AACN Critical Care Registered Nurse: ICN Quiz 1 2024 Exam Review, Exams of Nursing

Download AACN Critical Care Registered Nurse: ICN Quiz 1 2024 Exam Review and more Exams Nursing in PDF only on Docsity! AACN Critical Care Registered Nurse ICN Quiz 1 2024 Exam Review with Answers 100% Pass Which of the following professional organizations best supports critical care nursing practice? a) AACN b) AHA c) ANA d) SCCM - Answer>> A The American Association of Critical-Care Nurses is the specialty organization that supports and represents critical care nurses. 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 the nurse to seek? a) ACNPG-AG b) CNML c) CCRN d) PCCN - Answer>> C The CCRN certification is appropriate for nurses in bedside practice who care for critically ill patients. 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 - Answer>> D Certification assists in validating knowledge of the field, promotes excellence in the profession, and helps nurses to maintain their knowledge of critical care nursing. The synergy model of practice focuses on a) allowing unrestricted visiting for the patient 24 hours a day b) holistic and alternative therapies c) the needs of patients and their families, which drive nursing competency d) patients' needs for energy and support - Answer>> C The synergy model of practice states that the needs of patients and families influence and drive competencies of nurses. The family of your critically ill patient tells you that they have not spoken with the physician in over 24 hours and that they have some questions they want clarified. During morning rounds, you convey this concern to the attending intensivist and arrange a meeting with the family at 4:00 PM. Which competency of critical care nursing does this represent? a) Advocacy and moral agency in solving ethical issues b) ensure that patient teaching is done c) meet the diversity needs of patients d) reduce patient errors - Answer>> D Many errors are directly attributed to faulty communication. Effective communication has been identified as an essential strategy to reduce patient errors and resolve issues related to patient care delivery. 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 report. Which information do you convey regarding background? a) Urine output of 40 mL/2hr b) Current vital signs and history of aortic aneurysm repair 4 hours ago c) A statement that the patient is possibly hypovolemic d) A request for IV fluids - Answer>> B The history and vital signs are part of the background. The family members of a critically ill patient bring 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 Discussing end-of-life issues is an example of a nurse acting ethically on behalf of the patient and family. 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 - Answer>> A Clinical practice guidelines are being implemented to ensure that care is appropriate and based on research. 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 the administration of anticoagulants - Answer>> C These are steps recommended in the National Patient Safety Goals to reconcile medications across the continuum of care. 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 - Answer>> A A group of evidence-based interventions done as a whole to improve outcomes is termed a bundle of care. This is an example of the ventilator bundle. You work in an intermediate care unit and 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 c) Critical Care Nurse d) Critical Care Nursing Quarterly e) Critical Care Nursing Management - Answer>> A, C American Journal of Critical Care and Critical Care Nurse are two official AACN publications. The first critical care units were (Select all that apply) a) burn units b) coronary care units c) recovery rooms d) neonatal intensive care units e) high-risk OB units - Answer>> B, C Recovery rooms and coronary care units were the first units designated to care for critically ill patients. 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 c) Participating on the unit's nurse practice council d) Posting an article from Critical Care Nurse on the management of VTE for your colleagues to read e) Using evidence-based strategies to prevent VAP - Answer>> A, B, C, D, E All answers are correct. Attending a program to learn about sepsis—Acquires and maintains current knowledge and competency in patient care. Collaborating with pastoral services— Collaborates with the health care team to provide care in a healing, humane, and caring environment. Posting information for others—Contributes to the professional development of peers and other health care providers. Nurse practice council—Provides leadership in the practice setting. Evidence-based practices— Uses clinical inquiry in practice. 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 for an update on the patient's status and to 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 nurses' 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. e) The off-going nurse is giving the patient medications at the same time as giving handoff report to the oncoming nurse. - Answer>> C, D A reporting tool and bedside report improve handoff communication by ensuring standardized communication and review of assessment findings. Conducting report at the bedside also reduces noise that commonly occurs at the nurses' station during a change of shift. Which strategy is important in 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 who 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 e) Developing a staffing model that accurately reflects the unit's needs - Answer>> A, C, D Modifying the work environment to reduce physical demands is one strategy to assist the aging workforce. Examples include overhead lifts to prevent back injuries. Twelve-hour shifts can be quite demanding; therefore, allowing nurses flexibility in choosing shifts of shorter duration is a good option as well. Adequate staffing, including both registered nurses and nonlicensed assistive personnel to help with nursing and nonnursing tasks, is helpful.