TestwxBankwx- 1
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
Table of Contents
wx wx
Tablewxofwx Content 1
s
Chapterwx 01:wx Overviewwx ofwx Criticalwx Carewx Nursing 2
Chapterwx02:wxPatientwxandwxFamilywxResponsewxtowxthewxCriticalwxCarewxExpe 14
riencewxChapterwx03:wxEthicalwxandwxLegalwxIssueswxinwxCriticalwxCarewxNursin 30
g 42
Chapterwx04:wxPalliativewxandwxEnd-of- 56
LifewxCarewxChapterw x 05:w x Comfortw x andw x 69
SedationwxChapterwx06:wxNutritionalwxTherap 83
y 117
Chapterwx07:wxDysrhythmiawxInterpretationwxandwxManagementwxC 137
hapterwx08:wxHemodynamicwxMonitoring 156
Chapterwx 09:wx Ventilatorywx Assistance 171
Chapterwx10:wxRapidwxResponsewxTeamswxandwxCodewxManageme 189
ntwxChapterwx11:wxOrganwxDonation 207
Chapterwx12:wxShock,wxSepsis,wxandwxMultiplewxOrganwxDysfunctionwxSyndro 225
mewxChapterwx13:wxCardiovascularwxAlterations 243
Chapterwx14:wxNervouswxSystemwxAlteratio 260
nswxChapterwx15:wxAcutewxRespiratorywxFai 285
lurewxChapterw x 16:w x Acutew x Kidneyw x Inj 312
urywxChapterwx17:wxGastrointestinalwxAlter 341
ations 361
Chapterwx17:wxHematologicalwxandwxImmunewxDisorders 377
wxChapterwx19:wxEndocrinewxAlterations
Chapterwx20:wxTraumawxandwxSurgicalwxManagementwxC
hapterwx21:wxBurns
,TestwxBankwx- 2
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
Chapter 01: Overview of Critical Care Nursing
wx wx wx wx wx wx
MULTIPLEw x CHOICE
1. Whichwx ofwx thewx followingwx professionalwx organizationswx bestwx supportswx criticalwx carewx nursingwx practice?
a. Americanwx Associationwx ofw x Critical-Carew x Nurses
b. Americanwx Heartwx Association
c. Americanwx Nurseswx Association
d. SocietywxofwxCriticalwxCarewxMedicine
ANS:wx A
ThewxAmericanwxAssociationwxofwxCritical-
CarewxNurseswxiswxthewxspecialtywxorganizationwxthatwxsupportswxandwxrepresentswxcriticalwxcarewxnurses.wxThewx
AmericanwxHeartwxAssociationwxsupportswxcardiovascularwxinitiatives.wxThewxAmericanwxNursesw x Associationwx
supportswxallwxnurses.wxThewxSocietywxofwxCriticalwxCarewxMedicinewxrepresentswxthewxmultiprofessionalwxcritical
w x carewxteamwxunderwxthewxdirectionwxofwxanwxintensivist.
DIF:wx Cognitivewx Level:wx Knowledgewx REF:wx p.wx 4
OBJ:wxDiscusswxthewxpurposeswxandwxfunctionswxofwxthewxprofessionalwxorganizationswxthatwxsupportwxcriticalwxca
rewxpractice.w x TOP:wxNursingwxProcesswxStep:wxN/A
MSC:wx NCLEX:wx Safewx andwx Effectivewx Carewx Environment
2. Awxnursewxhaswxbeenwxworkingwxaswxawxstaffwxnursewxinwxthewxsurgicalwxintensivewxcarewxunitwxforwx2wxyearswxa
ndwxiswxinterestedwxinw x certification.wxWhichwxcredentialwxwouldwxbewxmostwxapplicablewxforwxherwxtowxseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:w x C
ThewxCCRNwxcertificationwxiswxappropriatewxforwxnurseswxinwxbedsidewxpracticewxwhowxcarewxforwxcriticallywxillwxpa
tients.wxThew x ACNPCwxcertificationwxiswxforwxacutewxcarewxnursewxpractitioners.wxThewxCCNSwxcertificationwxiswx
forwxcriticalwxcarewxclinicalw x nursewxspecialists.wxThewxPCCNwxcertificationwxiswxforwxstaffwxnurseswxworkingwxinw
xprogressivewxcare,wxintermediatewxcare,wxorw x step-downwxunitwxsettings.
DIF:w x Cognitivew x Level:w x Applicationw x REF:w x p.w x 5
OBJ:wxExplainwxcertificationwxoptionswxforwxcriticalwxcarewxnurses.wxTOP:wxNursingwxProcesswxSte
p:wxN/Aw x MSC:wxNCLEX:wxSafewxandwxEffectivewxCarewxEnvironment
,TestwxBankwx- 3
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
3. Thewxmainwxpurposewxofwxcertificationwxiswxto:
a. assurewxthewxconsumerwxthatwx youwxwillwxnotwx makewxawx mistake.
b. preparewx forwx graduatewx school.
c. promotewx magnetwx statuswx forwx yourwx facility.
d. validatewxknowledgewx ofwx criticalwx carewxnursing.
ANS:wx D
Certificationwxassistswxinwxvalidatingwxknowledgewxofwxthewxfield,wxpromoteswxexcellencewxinwxthewxprofession,wx
andwxhelpsw x nurseswxtowxmaintainwxtheirwxknowledgewxofwxcriticalwxcarewxnursing.wxCertificationwxhelpswxtowxas
surewxthewxconsumerwxthatwxthew x nursew x hasw x aw x minimumw x levelw x ofw x knowledge;w x however,w x itw x doesw x n
otw x ensurew x thatw x carew x willw x bew x mistake-free.
Certificationwxdoeswxnotwxpreparewxonewxforwxgraduatewxschool;wxhowever,wxachievingwxcertificationwxdemonstrat
esw x motivationwxforwxachievementwxandwxprofessionalism.wxMagnetwxfacilitieswxarewxratedwxonwxthewxnumberwx
ofwxcertifiedwxnurses;w x however,wxthatwxiswxnotwxthewxpurposewxofwxcertification.
DIF:wx Cognitivewx Level:wx Analysisw x REF:wx pp.wx 4-5
OBJ:wxExplainwxcertificationwxoptionswxforwxcriticalwxcarewxnurses.wxTOP:wxNursingwxProcesswxSte
p:wxN/AwxMSC:wxNCLEX:wxSafewxandwxEffectivewxCarewxEnvironment
4. Thewx synergywx modelwx ofwx practicewx focuseswx on:
a. allowingwxunrestrictedwx visitingwxforwx thewxpatientwx 24wx hourswx eachwxday.
b. holisticwx andwx alternativewx therapies.
c. needswxofwxpatientswxandwx theirwxfamilies,wx whichwx driveswxnursingwxcompetency.
d. patientswxneedswxforwx energywxandwxsupport.
ANS:w x C
Thew x synergyw x modelw x ofw x practicew x statesw x thatw x thew x needsw x ofw x patientsw x andw x familiesw x influencew x andw
x drivew x competencieswxofwxnurses.wxNursingwxpracticewxbasedwxonwxthewxsynergywxmodelwxwouldwxinvolvewxtailoredw
xvisitingwxtowxmeetwxthewxpatientswxandw x familysw x needsw x andw x applicationw x ofw x alternativew x therapiesw x ifw x desir
edw x byw x thew x patient,w x butw x thatw x isw x notw x thew x primaryw x focuswxofwxthewxmodel.
DIF:wx Cognitivew x Level:w x Applicationw x REF:wx p.w x 5wx |w x Fig.w x 1-3
OBJ:wx Describew x standardsw x ofw x professionalw x practicew x forw x criticalw x carew x nursing.
TOP:wx Nursingw x Processw x Step:w x N/Aw x MSC:w x NCLEX:w x Safew x andw x Effectivew x Carew x Environment
5. Thew x familyw x ofw x yourw x criticallyw x illw x patientw x tellsw x youw x thatw x theyw x havew x notw x spokenw x withw x thew x p
hysicianw x inw x overw x 24wxhoursw x andw x theyw x havew x somew x questionsw x thatw x theyw x wantw x clarified.w x Duringw x m
orningw x rounds,w x youw x conveyw x thisw x concernwxtow x thew x attendingw x intensivistw x andw x arrangew x forw x herw x tow x
meetw x withw x thew x familyw x atw x 4:00w x PMw x inw x thew x conferencew x room.wxWhichwxcompetencywxofwxcriticalwxcare
wxnursingwxdoeswxthiswxrepresent?
, TestwxBankwx- 4
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
a. Advocacywxandwx moralwx agencywx inwx solvingwxethicalwx issues
b. Clinicalwx judgmentwx andwx clinicalwx reasoningwx skills
c. Collaborationwx withwx patients,wx families,wx andwx teamwx members
d. Facilitationwxofwxlearningwx forwxpatients,wx families,wxandwxteamwx members
ANS:wx C
Althoughwxonewxmightwxconsiderwxthatwxallwxofwxthesewxcompetencieswxarewxbeingwxaddressed,wxcommunicationwx
andwxcollaborationwxwithwxthewxfamilywxandwxphysicianwxbestwxexemplifywxthewxcompetencywxofwxcollaboration.
DIF:wxCognitivewx Level:wx Analysisw x REF:wx p.wx 9
OBJ:wx Describewx standardswx ofwx professionalwx practicewx forwx criticalwx carewx nursing.
TOP:wx Nursingwx Processwx Step:wx N/Awx MSC:wx NCLEX:wx Safewx andwx Effectivewx Carewx Environment
6. ThewxAACNwxStandardswxforwxAcutewxandwxCriticalwxCarewxNursingwxPracticewxusewxwhatwxframeworkwxtowx
guidewxcriticalwxcarewxnursingwxpractice?
a. Evidence-basedw x practice
b. Healthywx workwx environment
c. Nationalwx Patientwx Safetywx Goals
d. Nursingwx process
ANS:w x D
ThewxAACNwxStandardswxforwxAcutewxandwxCriticalwxCarewxNursingwxPracticewxdelineatewxthewxnursingwxprocesswx
aswxappliedwxtow x criticallywxillwxpatients:wxcollectwxdata,wxdeterminewxdiagnoses,wxidentifywxexpectedwxoutcomes,w
xdevelopwxawxplanwxofwxcare,w x implementwxinterventions,wxandwxevaluatewxcare.wxAACNwxpromoteswxawxhealthywx
workwxenvironment,wxbutwxthiswxiswxnotw x includedw x inw x thew x Standards.w x Thew x Jointw x Commissionw x hasw x esta
blishedw x Nationalw x Patientw x Safetyw x Goals,w x butw x thesew x arewxnotwxthewxAACNwxStandards.
DIF:wx Cognitivewx Level:wx Analysisw x REF:wx p.w x 5wx |w x Boxwx 1-2
OBJ:wx Describew x standardsw x ofw x professionalw x practicew x forw x criticalw x carew x nursing.
TOP:wx Nursingw x Processw x Step:w x N/Aw x MSC:w x NCLEX:w x Safew x andw x Effectivew x Carew x Environment
7. Thewxchargewxnursewxiswxresponsiblewxforwxmakingwxthewxpatientwxassignmentswxonwxthewxcriticalwxcarewxunit.wxS
hewxassignswxthew x experienced,wxcertifiedwxnursewxtowxcarewxforwxthewxacutelywxillwxpatientwxwithwxsepsiswxwhowxal
sowxrequireswxcontinuouswxrenalw x replacementw x therapyw x andw x mechanicalw x ventilation.w x Shew x assignsw x thew
x nursew x withw x lessw x thanw x 1w x yearw x ofw x experiencew x towxtwow x patientsw x whow x arew x morew x stable.w x Thisw x a
ssignmentw x reflectsw x implementationw x ofw x the:
a. crewwx resourcew x managementw x model
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
Table of Contents
wx wx
Tablewxofwx Content 1
s
Chapterwx 01:wx Overviewwx ofwx Criticalwx Carewx Nursing 2
Chapterwx02:wxPatientwxandwxFamilywxResponsewxtowxthewxCriticalwxCarewxExpe 14
riencewxChapterwx03:wxEthicalwxandwxLegalwxIssueswxinwxCriticalwxCarewxNursin 30
g 42
Chapterwx04:wxPalliativewxandwxEnd-of- 56
LifewxCarewxChapterw x 05:w x Comfortw x andw x 69
SedationwxChapterwx06:wxNutritionalwxTherap 83
y 117
Chapterwx07:wxDysrhythmiawxInterpretationwxandwxManagementwxC 137
hapterwx08:wxHemodynamicwxMonitoring 156
Chapterwx 09:wx Ventilatorywx Assistance 171
Chapterwx10:wxRapidwxResponsewxTeamswxandwxCodewxManageme 189
ntwxChapterwx11:wxOrganwxDonation 207
Chapterwx12:wxShock,wxSepsis,wxandwxMultiplewxOrganwxDysfunctionwxSyndro 225
mewxChapterwx13:wxCardiovascularwxAlterations 243
Chapterwx14:wxNervouswxSystemwxAlteratio 260
nswxChapterwx15:wxAcutewxRespiratorywxFai 285
lurewxChapterw x 16:w x Acutew x Kidneyw x Inj 312
urywxChapterwx17:wxGastrointestinalwxAlter 341
ations 361
Chapterwx17:wxHematologicalwxandwxImmunewxDisorders 377
wxChapterwx19:wxEndocrinewxAlterations
Chapterwx20:wxTraumawxandwxSurgicalwxManagementwxC
hapterwx21:wxBurns
,TestwxBankwx- 2
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
Chapter 01: Overview of Critical Care Nursing
wx wx wx wx wx wx
MULTIPLEw x CHOICE
1. Whichwx ofwx thewx followingwx professionalwx organizationswx bestwx supportswx criticalwx carewx nursingwx practice?
a. Americanwx Associationwx ofw x Critical-Carew x Nurses
b. Americanwx Heartwx Association
c. Americanwx Nurseswx Association
d. SocietywxofwxCriticalwxCarewxMedicine
ANS:wx A
ThewxAmericanwxAssociationwxofwxCritical-
CarewxNurseswxiswxthewxspecialtywxorganizationwxthatwxsupportswxandwxrepresentswxcriticalwxcarewxnurses.wxThewx
AmericanwxHeartwxAssociationwxsupportswxcardiovascularwxinitiatives.wxThewxAmericanwxNursesw x Associationwx
supportswxallwxnurses.wxThewxSocietywxofwxCriticalwxCarewxMedicinewxrepresentswxthewxmultiprofessionalwxcritical
w x carewxteamwxunderwxthewxdirectionwxofwxanwxintensivist.
DIF:wx Cognitivewx Level:wx Knowledgewx REF:wx p.wx 4
OBJ:wxDiscusswxthewxpurposeswxandwxfunctionswxofwxthewxprofessionalwxorganizationswxthatwxsupportwxcriticalwxca
rewxpractice.w x TOP:wxNursingwxProcesswxStep:wxN/A
MSC:wx NCLEX:wx Safewx andwx Effectivewx Carewx Environment
2. Awxnursewxhaswxbeenwxworkingwxaswxawxstaffwxnursewxinwxthewxsurgicalwxintensivewxcarewxunitwxforwx2wxyearswxa
ndwxiswxinterestedwxinw x certification.wxWhichwxcredentialwxwouldwxbewxmostwxapplicablewxforwxherwxtowxseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:w x C
ThewxCCRNwxcertificationwxiswxappropriatewxforwxnurseswxinwxbedsidewxpracticewxwhowxcarewxforwxcriticallywxillwxpa
tients.wxThew x ACNPCwxcertificationwxiswxforwxacutewxcarewxnursewxpractitioners.wxThewxCCNSwxcertificationwxiswx
forwxcriticalwxcarewxclinicalw x nursewxspecialists.wxThewxPCCNwxcertificationwxiswxforwxstaffwxnurseswxworkingwxinw
xprogressivewxcare,wxintermediatewxcare,wxorw x step-downwxunitwxsettings.
DIF:w x Cognitivew x Level:w x Applicationw x REF:w x p.w x 5
OBJ:wxExplainwxcertificationwxoptionswxforwxcriticalwxcarewxnurses.wxTOP:wxNursingwxProcesswxSte
p:wxN/Aw x MSC:wxNCLEX:wxSafewxandwxEffectivewxCarewxEnvironment
,TestwxBankwx- 3
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
3. Thewxmainwxpurposewxofwxcertificationwxiswxto:
a. assurewxthewxconsumerwxthatwx youwxwillwxnotwx makewxawx mistake.
b. preparewx forwx graduatewx school.
c. promotewx magnetwx statuswx forwx yourwx facility.
d. validatewxknowledgewx ofwx criticalwx carewxnursing.
ANS:wx D
Certificationwxassistswxinwxvalidatingwxknowledgewxofwxthewxfield,wxpromoteswxexcellencewxinwxthewxprofession,wx
andwxhelpsw x nurseswxtowxmaintainwxtheirwxknowledgewxofwxcriticalwxcarewxnursing.wxCertificationwxhelpswxtowxas
surewxthewxconsumerwxthatwxthew x nursew x hasw x aw x minimumw x levelw x ofw x knowledge;w x however,w x itw x doesw x n
otw x ensurew x thatw x carew x willw x bew x mistake-free.
Certificationwxdoeswxnotwxpreparewxonewxforwxgraduatewxschool;wxhowever,wxachievingwxcertificationwxdemonstrat
esw x motivationwxforwxachievementwxandwxprofessionalism.wxMagnetwxfacilitieswxarewxratedwxonwxthewxnumberwx
ofwxcertifiedwxnurses;w x however,wxthatwxiswxnotwxthewxpurposewxofwxcertification.
DIF:wx Cognitivewx Level:wx Analysisw x REF:wx pp.wx 4-5
OBJ:wxExplainwxcertificationwxoptionswxforwxcriticalwxcarewxnurses.wxTOP:wxNursingwxProcesswxSte
p:wxN/AwxMSC:wxNCLEX:wxSafewxandwxEffectivewxCarewxEnvironment
4. Thewx synergywx modelwx ofwx practicewx focuseswx on:
a. allowingwxunrestrictedwx visitingwxforwx thewxpatientwx 24wx hourswx eachwxday.
b. holisticwx andwx alternativewx therapies.
c. needswxofwxpatientswxandwx theirwxfamilies,wx whichwx driveswxnursingwxcompetency.
d. patientswxneedswxforwx energywxandwxsupport.
ANS:w x C
Thew x synergyw x modelw x ofw x practicew x statesw x thatw x thew x needsw x ofw x patientsw x andw x familiesw x influencew x andw
x drivew x competencieswxofwxnurses.wxNursingwxpracticewxbasedwxonwxthewxsynergywxmodelwxwouldwxinvolvewxtailoredw
xvisitingwxtowxmeetwxthewxpatientswxandw x familysw x needsw x andw x applicationw x ofw x alternativew x therapiesw x ifw x desir
edw x byw x thew x patient,w x butw x thatw x isw x notw x thew x primaryw x focuswxofwxthewxmodel.
DIF:wx Cognitivew x Level:w x Applicationw x REF:wx p.w x 5wx |w x Fig.w x 1-3
OBJ:wx Describew x standardsw x ofw x professionalw x practicew x forw x criticalw x carew x nursing.
TOP:wx Nursingw x Processw x Step:w x N/Aw x MSC:w x NCLEX:w x Safew x andw x Effectivew x Carew x Environment
5. Thew x familyw x ofw x yourw x criticallyw x illw x patientw x tellsw x youw x thatw x theyw x havew x notw x spokenw x withw x thew x p
hysicianw x inw x overw x 24wxhoursw x andw x theyw x havew x somew x questionsw x thatw x theyw x wantw x clarified.w x Duringw x m
orningw x rounds,w x youw x conveyw x thisw x concernwxtow x thew x attendingw x intensivistw x andw x arrangew x forw x herw x tow x
meetw x withw x thew x familyw x atw x 4:00w x PMw x inw x thew x conferencew x room.wxWhichwxcompetencywxofwxcriticalwxcare
wxnursingwxdoeswxthiswxrepresent?
, TestwxBankwx- 4
wxIntroductionwxtowxCriticalwxCarewxNursingwx7ewx(Solewx2016)
a. Advocacywxandwx moralwx agencywx inwx solvingwxethicalwx issues
b. Clinicalwx judgmentwx andwx clinicalwx reasoningwx skills
c. Collaborationwx withwx patients,wx families,wx andwx teamwx members
d. Facilitationwxofwxlearningwx forwxpatients,wx families,wxandwxteamwx members
ANS:wx C
Althoughwxonewxmightwxconsiderwxthatwxallwxofwxthesewxcompetencieswxarewxbeingwxaddressed,wxcommunicationwx
andwxcollaborationwxwithwxthewxfamilywxandwxphysicianwxbestwxexemplifywxthewxcompetencywxofwxcollaboration.
DIF:wxCognitivewx Level:wx Analysisw x REF:wx p.wx 9
OBJ:wx Describewx standardswx ofwx professionalwx practicewx forwx criticalwx carewx nursing.
TOP:wx Nursingwx Processwx Step:wx N/Awx MSC:wx NCLEX:wx Safewx andwx Effectivewx Carewx Environment
6. ThewxAACNwxStandardswxforwxAcutewxandwxCriticalwxCarewxNursingwxPracticewxusewxwhatwxframeworkwxtowx
guidewxcriticalwxcarewxnursingwxpractice?
a. Evidence-basedw x practice
b. Healthywx workwx environment
c. Nationalwx Patientwx Safetywx Goals
d. Nursingwx process
ANS:w x D
ThewxAACNwxStandardswxforwxAcutewxandwxCriticalwxCarewxNursingwxPracticewxdelineatewxthewxnursingwxprocesswx
aswxappliedwxtow x criticallywxillwxpatients:wxcollectwxdata,wxdeterminewxdiagnoses,wxidentifywxexpectedwxoutcomes,w
xdevelopwxawxplanwxofwxcare,w x implementwxinterventions,wxandwxevaluatewxcare.wxAACNwxpromoteswxawxhealthywx
workwxenvironment,wxbutwxthiswxiswxnotw x includedw x inw x thew x Standards.w x Thew x Jointw x Commissionw x hasw x esta
blishedw x Nationalw x Patientw x Safetyw x Goals,w x butw x thesew x arewxnotwxthewxAACNwxStandards.
DIF:wx Cognitivewx Level:wx Analysisw x REF:wx p.w x 5wx |w x Boxwx 1-2
OBJ:wx Describew x standardsw x ofw x professionalw x practicew x forw x criticalw x carew x nursing.
TOP:wx Nursingw x Processw x Step:w x N/Aw x MSC:w x NCLEX:w x Safew x andw x Effectivew x Carew x Environment
7. Thewxchargewxnursewxiswxresponsiblewxforwxmakingwxthewxpatientwxassignmentswxonwxthewxcriticalwxcarewxunit.wxS
hewxassignswxthew x experienced,wxcertifiedwxnursewxtowxcarewxforwxthewxacutelywxillwxpatientwxwithwxsepsiswxwhowxal
sowxrequireswxcontinuouswxrenalw x replacementw x therapyw x andw x mechanicalw x ventilation.w x Shew x assignsw x thew
x nursew x withw x lessw x thanw x 1w x yearw x ofw x experiencew x towxtwow x patientsw x whow x arew x morew x stable.w x Thisw x a
ssignmentw x reflectsw x implementationw x ofw x the:
a. crewwx resourcew x managementw x model
