Critical Care Nursing Practice Actual
Exam COMPLETE QUESTION AND
ANSWER GRADED A+
nurse is caring for pt who has arterial line inserted; to reduce risk of complications, what is the priority
nursing intervention? correct Answers
ensure all tubing connections are tightened
nurse is educating pt family member about pulmonary artery catheter. which statement by the family
member best indicates understanding of the purpose of the PAC? correct Answers
cath will allow physician to better manage fluid therapy
during insertion of pulmonary artery cath, physician ask nurse to assist by inflating the balloon with
1.5cc of air. As the MD advances the cat, the nurse notice premature vent contraction on the monitor.
what is the best action? correct Answers
ensure lidocaine hydrochloride IV is immediately available.
charge nurse has a vigileo pulse contour cardiac output monitoring system available for use in the
surgical intensive unit. For which patient is used of this device most appropriate? correct Answers
mech vent patient admitted following a repair of acute bowel obstruction
nurse is caring for mech vent patient being monitored with L radial arterial line. during the inspiratory
phase of vent, the nurse assesses a 20 mm hg decrease in art blood pressure. what is the best
interpretation of this finding by the nurse? correct Answers
, patient may require fluid restriction
neuromuscular blocking agents are used in the management of some vent patient. their primary mode
of action is
paralysis
patient is being mech vent in the synchronized intermittent mandatory vent mode at a rate of 4
breath/min. His spontaneous respirations are 12 breath/min. He rec'd a dose of morphine sulfate, and
his resp decrease to 4 breath/min. What adjustments may need to be made to the patient's vent
settings? correct Answers
increase the synchronized intermittent mandatory vent respiratory rate
The most important outcome of effective communication is to:
reduce patient error
as part of nursing management of critically ill patient, orders are written to keep the head of the bed
elevated at 30 degrees, awaken the patient from sedation each morning to assess readiness to wean
from mech vent, and implement oral care protocol every 4 hours. These intervention are done as a
group to reduce the risk of vent-associated pneumonia. This group of evidence-based interventions is
often called:
bundle of care
working in an intermediate care unit that has experienced high nursing turn over. the nurse manager is
often considered to be an autocratic leader by staff members and her leadership style is contributing to
turnover. you have asked to involve in developing new guidelines to prevent pressure ulcers in your
patient population. The nurse manager tells you that you do not yet have enough experience to be on
the prevention task force. this situation and setting is an example of:
work environment that is unhealthy
Exam COMPLETE QUESTION AND
ANSWER GRADED A+
nurse is caring for pt who has arterial line inserted; to reduce risk of complications, what is the priority
nursing intervention? correct Answers
ensure all tubing connections are tightened
nurse is educating pt family member about pulmonary artery catheter. which statement by the family
member best indicates understanding of the purpose of the PAC? correct Answers
cath will allow physician to better manage fluid therapy
during insertion of pulmonary artery cath, physician ask nurse to assist by inflating the balloon with
1.5cc of air. As the MD advances the cat, the nurse notice premature vent contraction on the monitor.
what is the best action? correct Answers
ensure lidocaine hydrochloride IV is immediately available.
charge nurse has a vigileo pulse contour cardiac output monitoring system available for use in the
surgical intensive unit. For which patient is used of this device most appropriate? correct Answers
mech vent patient admitted following a repair of acute bowel obstruction
nurse is caring for mech vent patient being monitored with L radial arterial line. during the inspiratory
phase of vent, the nurse assesses a 20 mm hg decrease in art blood pressure. what is the best
interpretation of this finding by the nurse? correct Answers
, patient may require fluid restriction
neuromuscular blocking agents are used in the management of some vent patient. their primary mode
of action is
paralysis
patient is being mech vent in the synchronized intermittent mandatory vent mode at a rate of 4
breath/min. His spontaneous respirations are 12 breath/min. He rec'd a dose of morphine sulfate, and
his resp decrease to 4 breath/min. What adjustments may need to be made to the patient's vent
settings? correct Answers
increase the synchronized intermittent mandatory vent respiratory rate
The most important outcome of effective communication is to:
reduce patient error
as part of nursing management of critically ill patient, orders are written to keep the head of the bed
elevated at 30 degrees, awaken the patient from sedation each morning to assess readiness to wean
from mech vent, and implement oral care protocol every 4 hours. These intervention are done as a
group to reduce the risk of vent-associated pneumonia. This group of evidence-based interventions is
often called:
bundle of care
working in an intermediate care unit that has experienced high nursing turn over. the nurse manager is
often considered to be an autocratic leader by staff members and her leadership style is contributing to
turnover. you have asked to involve in developing new guidelines to prevent pressure ulcers in your
patient population. The nurse manager tells you that you do not yet have enough experience to be on
the prevention task force. this situation and setting is an example of:
work environment that is unhealthy
