INTRODUCTION TO CRITICAL CARE
NURSING 7TH EDITION EXAM
1QUESTIONS WITH CORRECT
ANSWERS GRADED A+
1.Thenurseisworkingforahospitalthatholdsanagreementwithalocalorganprocur
ementorganization
(OPO).ThepatienthasaGlasgowComaScale(GCS)scoreof3anddiscussionshaveb
eenheldwiththe
familyaboutwithdrawinglifesupport.Whichstatementbythenursebestdescribesr
equirementsthatmust
bemettosustainCentersforMedicareandMedicaidServices(CMS)ConditionsofPa
rticipation?
a. I need to notify TransLife (OPO) of my patients impending death
2.Thenurseismanagingadonorpatientsixhourspriortothescheduledharvestingof
thepatients
organs.Whichassessmentfindingrequiresimmediateactionbythenurse
b. pH 7.30; PaCO2 38mm Hg; HCO316mEq/
3.Thechargenurseisreviewingthestatusofpatientsinthecriticalcareunit.Whichpat
ientshouldthe
nursenotifytheorganprocurementorganizationtoevaluateforpossibleorgandona
tion?
a. A36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on
electroencephalogram
4.Thetransplantcliniccoordinatorisevaluatingrelativesofapatientwithend-
stagerenaldisease,whose
, bloodtypeisApositive,forsuitabilityasalivingdonorforkidneytransplantation.Whi
chfamilymemberbest qualifiesforevaluation?
b. A35-year-old female with a history of food allergies; blood type O negative
5.Thenurseiscaringforapatientwhoisbeingevaluatedclinicallyforbraindeathbyap
hysician.Which assessmentfindingsbythenursesupportbraindeath
Absence of a corneal reflex
6.Thenurseisprovidingpreoperativecaretoapatientwhowillreceiveatransplant.Th
epatienthashigh
panelreactiveantibodies(PRA).Aspartofinductiontherapyforthispatient,thenurse
understandswhich
medicationtobeofpriorityforadministrationintheoperatingroom?
Alemtuzumab(Campath)
.Thenurseiscaringforamechanicallyventilatedpatientfollowingbilaterallungtrans
plantation.When
planningthecareofthispatient,whatistheprioritynursingintervention?
Endotracheal suctioning as needed
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becau
seenteraltubefeedingsarenotpossible,thedecisionistoinitiateparenteralfeedings
.Whatarethemajorcomplicationsforthistherapy
b. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastr
icsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubep
lacement?
d. Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsitefor
catheterinsertion?
d. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallo
wstudy,thepatientisplacedonenteralfeedings.Followingplacementofanasogastri
ctubefortubefeeding,whatisthenextcriticalstep?
c. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcont
inuousflowtubefeeding.Thenurseknowsthatthisapproachwaschosenbecause:
NURSING 7TH EDITION EXAM
1QUESTIONS WITH CORRECT
ANSWERS GRADED A+
1.Thenurseisworkingforahospitalthatholdsanagreementwithalocalorganprocur
ementorganization
(OPO).ThepatienthasaGlasgowComaScale(GCS)scoreof3anddiscussionshaveb
eenheldwiththe
familyaboutwithdrawinglifesupport.Whichstatementbythenursebestdescribesr
equirementsthatmust
bemettosustainCentersforMedicareandMedicaidServices(CMS)ConditionsofPa
rticipation?
a. I need to notify TransLife (OPO) of my patients impending death
2.Thenurseismanagingadonorpatientsixhourspriortothescheduledharvestingof
thepatients
organs.Whichassessmentfindingrequiresimmediateactionbythenurse
b. pH 7.30; PaCO2 38mm Hg; HCO316mEq/
3.Thechargenurseisreviewingthestatusofpatientsinthecriticalcareunit.Whichpat
ientshouldthe
nursenotifytheorganprocurementorganizationtoevaluateforpossibleorgandona
tion?
a. A36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on
electroencephalogram
4.Thetransplantcliniccoordinatorisevaluatingrelativesofapatientwithend-
stagerenaldisease,whose
, bloodtypeisApositive,forsuitabilityasalivingdonorforkidneytransplantation.Whi
chfamilymemberbest qualifiesforevaluation?
b. A35-year-old female with a history of food allergies; blood type O negative
5.Thenurseiscaringforapatientwhoisbeingevaluatedclinicallyforbraindeathbyap
hysician.Which assessmentfindingsbythenursesupportbraindeath
Absence of a corneal reflex
6.Thenurseisprovidingpreoperativecaretoapatientwhowillreceiveatransplant.Th
epatienthashigh
panelreactiveantibodies(PRA).Aspartofinductiontherapyforthispatient,thenurse
understandswhich
medicationtobeofpriorityforadministrationintheoperatingroom?
Alemtuzumab(Campath)
.Thenurseiscaringforamechanicallyventilatedpatientfollowingbilaterallungtrans
plantation.When
planningthecareofthispatient,whatistheprioritynursingintervention?
Endotracheal suctioning as needed
1.ApatientishavingcomplicationsfromabdominalsurgeryandremainsNPO.Becau
seenteraltubefeedingsarenotpossible,thedecisionistoinitiateparenteralfeedings
.Whatarethemajorcomplicationsforthistherapy
b. Fluidandelectrolyteimbalancesandsepsis
.Apatientisbeingventilatedandhasbeenstartedonenteralfeedingswithanasogastr
icsmall-
borefeedingtube.Whatistheprimaryreasonthenursemustfrequentlyassesstubep
lacement?
d. Topreventaspirationofthefeedings
3.Thepatientistostartparenteralnutrition.Thenurseknowstopreparewhichsitefor
catheterinsertion?
d. Subclavianvein
4.Apatienthasbeenadmittedtothecriticalcareunitafterastroke.Afterfailingaswallo
wstudy,thepatientisplacedonenteralfeedings.Followingplacementofanasogastri
ctubefortubefeeding,whatisthenextcriticalstep?
c. Obtainachestradiograph.
5.Apatientsfeedingtubehasbeensuccessfullyplacedinthesmallintestinewithcont
inuousflowtubefeeding.Thenurseknowsthatthisapproachwaschosenbecause:
