NURS MISC Critical care test 1 Test bank with all Correct Answers.
Chapter 1: Overview of Critical Care Nursing
1. Which of the following professional
... [Show More] 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
2. A nurse has been working as a staff nurse in the surgical intensive care unit for 2 years and is interested in certification. Which
credential would be most applicable for her to seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d
. validate knowledge of critical care nursing.
4. 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.
5. 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
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d
. Nursing process
7. 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
8. The vision of the American Association of Critical-Care Nurses is a healthcare system driven by:
a. a healthy work environment.
b. care from a multiprofessional team under the direction of a critical care physician.
c. the needs of critically ill patients and families.
d. respectful, healing, and humane environments.
9. The most important outcome of effective communication is to:
a. demonstrate caring practices to family members.
b. ensure that patient teaching is done.
c. meet the diversity needs of patients.
d
. reduce patient errors.
10. You are caring for a critically ill patient whose urine output has been low for 2 consecutive hours. After a thorough patient
assessment, you call the intensivist with the following report. Dr. Smith, I’m calling about Mrs. P., your 65-year-old patient in CCU
10. Her urine output for the past 2 hours totaled only 40 mL. She arrived from surgery to repair an aortic aneurysm 4 hours ago and
remains on mechanical ventilation. In the past 2 hours, her heart rate has increased from 80 to 100 beats per minute and her blood
pressure has decreased from 128/82 to 100/70 mm Hg. She is being given an infusion of normal saline at 100 mL per hour. Her
right atrial pressure through the subclavian central line is low at 3 mm Hg. Her urine is concentrated. Her BUN and creatinine levels
have been stable and in normal range. Her abdominal dressing is dry with no indication of bleeding. My assessment suggests that
Mrs. P. is hypovolemic and I would like you to consider increasing her fluids or giving her a fluid challenge. Using the SBAR model
for communication, the information the nurse gives about the patient’s history and vital signs is:
a. Situation
b
. Background
c. Assessment
d. Recommendation
11. 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
12. Which of the following assists the critical care nurse in ensuring that care is appropriate and based on research?
a. Clinical practice guidelines
b. Computerized physician order entry
c. Consulting with advanced practice nurses
d. Implementing Joint Commission National Patient Safety Goals
13. Comparing the patient’s current (home) medications with those ordered during hospitalization and communicating a complete
list of medications to the next provider when the patient is transferred within an organization or to another setting are strategies to:
a. improve accuracy of patient identification.
b. prevent errors related to look-alike and sound-alike medications.
c. reconcile medications across the continuum of care.
d. reduce harms associated with administration of anticoagulants.
14. 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:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative.
15. You work in an intermediate care unit that has experienced high nursing turnover. 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 be involved 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:
a. a barrier to handoff communication.
b
. a work environment that is unhealthy.
c. ineffective decision making.
d. nursing practice that is not evidence-based.
16. 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. [Show Less]