CRITICAL CARE-EXAM 1 QUESTIONS NEWEST 2025/2026
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The nurse is a member of a committee to design a critical care unit in a new
building. Which design trend would best facilitate family-centered care?
a. Ensure that the patient's room is large enough and has adequate space for a
sleeper sofa and storage for family members' personal belongings.
b. Include a diagnostic suite in close proximity to the unit so that the patient does
not have to travel far for testing.
c. Incorporate a large waiting room on the top floor of the hospital with a scenic
view and amenities such as coffee and tea.
d. Provide access to a scenic garden for meditation. - ANSWER-a. Ensure that the
patient's room is large enough and has adequate space for a sleeper sofa and
storage for family members' personal belongings.
The nurse is caring for a patient who sustained a head injury and is unresponsive
to painful stimuli. Which intervention is most appropriate while bathing the
patient?
a. Ask a family member to help you bathe the patient, and discuss the family
structure with the family member during the procedure.
b. Because the patient is unconscious, complete care as quickly and quietly as
possible.
c. Tell the patient the day and time, and that you are providing a bath. Reassure
the patient that you are there.
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, Critical Care-Exam 1 Questions
d. Turn the television on to the evening news so that you and the patient can be
updated to current events. - ANSWER-c. Tell the patient the day and time, and
that you are providing a bath. Reassure the patient that you are there.
Sleep often is disrupted for critically ill patients. Which nursing intervention is
most appropriate to promote sleep and rest?
a. Consult with the pharmacist to adjust medication times to allow periods of
sleep or rest between intervals.
b. Encourage family members to talk with the patient whenever they are present
in the room.
c. Keep the television on to provide white noise and distraction.
d. Leave the lights on in the room so that the patient is not frightened of his or her
surroundings. - ANSWER-a. Consult with the pharmacist to adjust medication
times to allow periods of sleep or rest between intervals.
Family assessment is essential to meet family needs. Which of the following must
be assessed first to assist the nurse in providing family-centered care?
a. Assessment of patient and family's developmental stages and needs
b. Description of the patient's home environment
c. Identification of immediate family, extended family, and decision makers
d. Observation and assessment of how family members function with each other -
ANSWER-c. Identification of immediate family, extended family, and decision
makers
Critical illness often results in family conflicts. Which scenario is most likely to
result in the greatest conflict?
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a. A 21-year-old college student of divorced parents hospitalized with multiple
trauma. She resides with her mother. The parents are amicable with each other
and have similar values. The father blames the daughter's boyfriend for causing
the accident.
b. A 36-year-old male admitted for a ruptured cerebral aneurysm. He has been
living with his 34-year-old girlfriend for 8 years, and they have a 4-year-old
daughter. He does not have a written advance directive. His parents arrive from
out-of-state and are asked to make decisions about his health care. He has not
seen them in over a year.
c. A 58-year-old male admitted for coronary artery bypass surgery. He has been
living with his same-sex partner for 20 years in a committed relationship. He has
designated his sister, a registered nurse, as his health c - ANSWER-b. A 36-year-old
male admitted for a ruptured cerebral aneurysm. He has been living with his 34-
year-old girlfriend for 8 years, and they have a 4-year-old daughter. He does not
have a written advance directive. His parents arrive from out-of-state and are
asked to make decisions about his health care. He has not seen them in over a
year.
Which nursing interventions would best support the family of a critically ill
patient?
a. Encourage family members to stay all night in case the patient needs them.
b. Give a condition update each morning and whenever changes occur.
c. Limit visitation from children into the critical care unit.
d. Provide beverages and snacks in the waiting room. - ANSWER-b. Give a
condition update each morning and whenever changes occur.
Which intervention is appropriate to assist the patient in coping with admission to
the critical care unit?
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a. Allowing unrestricted visiting by several family members at one time
b. Explaining all procedures in easy-to-understand terms
c. Providing back massage and mouth care
d. Turning down the alarm volume on the cardiac monitor - ANSWER-b. Explaining
all procedures in easy-to-understand terms
The constant noise of a ventilator, monitor alarms, and infusion pumps
predisposes the patient to:
a. anxiety.
b. pain.
c. powerlessness.
d. sensory overload. - ANSWER-d. sensory overload.
Which of the following statements about family assessment is false?
a. Assessment of structure (who comprises the family) is the last step in
assessment.
b. Interaction among family members is assessed.
c. It is important to assess communication among family members to understand
roles.
d. Ongoing assessment is important, because family functioning may change
during the course of illness. - ANSWER-a. Assessment of structure (who comprises
the family) is the last step in assessment.
Which intervention about visitation in the critical care unit is true?
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