Page 1 of 88
NR 341 EXAM 2 (FINAL) STUDY GUIDE 2025 UPDATE
|ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS
[100% CORRECT] ALREADY GRADED A+
Which of the following professional organizations best supports
critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine ......ANSWER........a
The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each
day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing
competency.
d. patients' needs for energy and support. ......ANSWER........c
The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange for
her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team
members ......ANSWER........c
,Page 2 of 88
The charge nurse is responsible for making the patient
assignments on the critical care unit. She assigns the experienced,
certified nurse to care for the acutely ill patient with sepsis who
also requires continuous renal replacement therapy and
mechanical ventilation. She assigns the nurse with less than 1 year
of experience to two patients who are more stable. This
assignment reflects implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice ......ANSWER........d
The family members of a critically ill, 90-year-old patient bring
in a copy of the patient's living will to the hospital, which
identifies the patient's wishes regarding health care. You discuss
contents of the living will with the patient's physician. This is an
example of implementation of which of the AACN Standards of
Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in
practice ......ANSWER........b
As part of nursing management of a 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 mechanical ventilation, and
implement oral care protocols every 4 hours. These interventions
are done as a group to reduce the risk of ventilator-associated
pneumonia. This group of evidence-based interventions is often
called a:
,Page 3 of 88
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative. ......ANSWER........a
Which of the following statements describes the core concept of
the synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary
rounds.
c. Nurses and physicians must work collaboratively and
synergistically to influence care.
d. Unique needs of patients and their families influence nursing
competencies. ......ANSWER........d
Which of the following is a National Patient Safety Goal? (Select
all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.
......ANSWER........a,c,d
Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional
Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American
Association of Critical-Care Nurses in which a continuing
education program on sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in
meeting spiritual needs of the patient and family
, Page 4 of 88
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of
venous thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-
associated pneumonia ......ANSWER........a,b,c,d,e
Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks
you to update her on the patient's status and assist in placing a
central line for hemodialysis.
b. The noise level is high because twice as many staff members
are present and everyone is giving report in the nurse's station.
c. The unit has decided to use a standardized checklist/tool for
change-of-shift reports and patient transfers.
d. You and the oncoming nurse conduct a standardized report at
the patient's bedside and review key assessment findings.
......ANSWER........c,d
Which strategy is important to addressing issues associated with
the aging workforce? (Select all that apply.)
a. Allowing nurses to work flexible shift durations
b. Encouraging older nurses to transfer to an outpatient setting
that is less stressful
c. Hiring nurse technicians that are available to assist with patient
care, such as turning the patient
d. Remodeling patient care rooms to include devices to assist in
patient lifting ......ANSWER........a,c,d
Which of the following strategies will assist in creating a healthy
work environment for the critical care nurse? (Select all that
apply.)
NR 341 EXAM 2 (FINAL) STUDY GUIDE 2025 UPDATE
|ACTUAL EXAM QUESTIONS AND VERIFIED ANSWERS
[100% CORRECT] ALREADY GRADED A+
Which of the following professional organizations best supports
critical care nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine ......ANSWER........a
The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each
day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing
competency.
d. patients' needs for energy and support. ......ANSWER........c
The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you
convey this concern to the attending intensivist and arrange for
her to meet with the family at 4:00 PM in the conference room.
Which competency of critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team
members ......ANSWER........c
,Page 2 of 88
The charge nurse is responsible for making the patient
assignments on the critical care unit. She assigns the experienced,
certified nurse to care for the acutely ill patient with sepsis who
also requires continuous renal replacement therapy and
mechanical ventilation. She assigns the nurse with less than 1 year
of experience to two patients who are more stable. This
assignment reflects implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice ......ANSWER........d
The family members of a critically ill, 90-year-old patient bring
in a copy of the patient's living will to the hospital, which
identifies the patient's wishes regarding health care. You discuss
contents of the living will with the patient's physician. This is an
example of implementation of which of the AACN Standards of
Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in
practice ......ANSWER........b
As part of nursing management of a 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 mechanical ventilation, and
implement oral care protocols every 4 hours. These interventions
are done as a group to reduce the risk of ventilator-associated
pneumonia. This group of evidence-based interventions is often
called a:
,Page 3 of 88
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative. ......ANSWER........a
Which of the following statements describes the core concept of
the synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary
rounds.
c. Nurses and physicians must work collaboratively and
synergistically to influence care.
d. Unique needs of patients and their families influence nursing
competencies. ......ANSWER........d
Which of the following is a National Patient Safety Goal? (Select
all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.
......ANSWER........a,c,d
Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional
Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American
Association of Critical-Care Nurses in which a continuing
education program on sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in
meeting spiritual needs of the patient and family
, Page 4 of 88
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of
venous thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-
associated pneumonia ......ANSWER........a,b,c,d,e
Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks
you to update her on the patient's status and assist in placing a
central line for hemodialysis.
b. The noise level is high because twice as many staff members
are present and everyone is giving report in the nurse's station.
c. The unit has decided to use a standardized checklist/tool for
change-of-shift reports and patient transfers.
d. You and the oncoming nurse conduct a standardized report at
the patient's bedside and review key assessment findings.
......ANSWER........c,d
Which strategy is important to addressing issues associated with
the aging workforce? (Select all that apply.)
a. Allowing nurses to work flexible shift durations
b. Encouraging older nurses to transfer to an outpatient setting
that is less stressful
c. Hiring nurse technicians that are available to assist with patient
care, such as turning the patient
d. Remodeling patient care rooms to include devices to assist in
patient lifting ......ANSWER........a,c,d
Which of the following strategies will assist in creating a healthy
work environment for the critical care nurse? (Select all that
apply.)
