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NCLEX-PN Exam Study GUIDE, Exams of Nursing

Johns Hopkins University (JHU)Nursing

Identifies common conditions requiring intensive care (such as sepsis, respiratory failure, severe burns, heart failure, and major postoperative recovery) and introduces patient acuity and levels-of-care classifications

Typology: Exams

2025/2026

Available from 06/05/2026

Academia-Hall
Academia-Hall ๐Ÿ‡บ๐Ÿ‡ธ

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INTRODUCTION TO CRITICAL CARE NURSING
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
โ—‰ - survival of the critically ill patients and
restoring QUALITY of LIFE
- helping families of critically ill patients in coping with stress. Answer:
goals of critical care nursing:
โ—‰ - care provider
- nurse educator
- nurse manager
- nurse advocate. Answer: roles of a critical care nurse:
โ—‰ care provider [ role ]. Answer: - a nurse provides hands-on care to
patients in a variety of settings
- this includes physical needs, which can range from total care to helping
a patient with illness prevention
- the nurse maintains a patient's dignity while providing knowledgeable,
skilled care
Academia Hall
Academia Hall
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INTRODUCTION TO CRITICAL CARE NURSING

COMPREHENSIVE EXAM 2026 QUESTIONS

WITH SOLUTIONS GRADED A+

โ—‰ - survival of the critically ill patients and restoring QUALITY of LIFE

  • helping families of critically ill patients in coping with stress. Answer: goals of critical care nursing: โ—‰ - care provider
  • nurse educator
  • nurse manager
  • nurse advocate. Answer: roles of a critical care nurse: โ—‰ care provider [ role ]. Answer: - a nurse provides hands-on care to patients in a variety of settings
  • this includes physical needs, which can range from total care to helping a patient with illness prevention
  • the nurse maintains a patient's dignity while providing knowledgeable, skilled care

โ—‰ nurse educator [ role ]. Answer: - primarily teach prospective nursing professionals clinical skills, patient care methods, and best collaboration practices

  • they also take on a number of additional responsibilities revolving around both the academic and research side of the profession, including: instructing hospital research โ—‰ nurse manager [ role ]. Answer: are responsible for managing human and financial resources; ensuring patient and staff satisfaction; maintaining a safe environment for staff, patients, and visitors; ensuring standards and quality of care are maintained; and aligning the unit's goals with the hospital's strategic goals. โ—‰ nurse advocate [ role ]. Answer: - is to safeguard patients' rights, stand up for their interests, and ensure they receive the highest possible level of care
  • are liaisons between patients and the doctors treating them โ—‰ - care for clients who are very ill
  • provide one-to-one care
  • responsible of making life and death decision
  • at risk of injury and illness
  • COMMUNICATION SKILL is of optimum importance
  • level III: multi system failure. Answer: classification of critical care clients: โ—‰ level 0: normal ward care. Answer: patients whose needs can be met through normal ward care in an acute hospital โ—‰ level I: at risk of deteriorating. Answer: - support from critical care team
  • the patient does not require organ support
  • (example, they may need an IV, or oxygen by face mask) โ—‰ level II: needs more observation or intervention. Answer: - single failing organ or post operative care
  • high dependency unit (HDU)
  • patients needing single organ support (excluding mechanical ventilation) such as renal hemofiltration or inotropes and invasive BP monitoring
  • they are staffed with one nurse to two patients โ—‰ level III: multi system failure. Answer: - advanced respiratory support or basic respiratory support are needed
  • intensive nursing care
  • patients requiring two or more organ support (or needing mechanical ventilation alone)
  • staffed with one nurse per patient and usually with a doctor present in the unit 24 hours per day โ—‰ - continuous monitoring and treatment
  • high intensity therapies
  • expert surveillance and efficiency
  • alert to early manifestations and recognition of parameters denoting progress and deterioration. Answer: principles of critical care: โ—‰ intensive care unit. Answer: - is a specialty department, usually in a hospital, that provides care for patients who are experiencing a potentially life threatening condition because of a critical injury or illness
  • has a lot of specialized medical equipment, including monitors, ventilators and pumps, and it's important to have staff members who are able to operate these tools to provide high quality patient care โ—‰ - general ICU
  • medical ICU
  • surgical ICU
  • cardiac ICU
  • neuro ICU
  • trauma ICU
  • coronary care units. Answer: different ICUs for different conditions:
  • to provide quality performance and helps promote the best possible patient outcomes. Answer: importance of multidisciplinary collaboration in the ICU: โ—‰ - intensivist physician or ICU physician
  • clinical pharmacist
  • dietician or medical dietician
  • respiratory therapist
  • critical care nurses. Answer: team composition in multidisciplinary collaboration in the ICU: โ—‰ intensivist physician or ICU physician. Answer: completed special training in anesthesiology, internal medicine, general surgery or emergency medicine โ—‰ clinical pharmacist. Answer: - are health professionals who train for many years to become specialists in medicines
  • they can work directly as part of the team to make sure that medicines helps client get better and stay well โ—‰ dietician or medical dietician. Answer: is an expert in identifying and treating disease-related malnutrition and in conducting medical nutrition therapy, for example designing an enteral tube feeding regimen

โ—‰ respiratory therapist. Answer: is a specialized healthcare practitioner trained in critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical conditions, cardiac and pulmonary disease โ—‰ critical care nurses. Answer: must complete nursing training and work for several years as a general duty nurse in a hospital before attempting to qualify as a critical care nurse โ—‰ - assess patients constantly for LOC, hemodynamics and ventilation

  • react to changing conditions
  • make decisions quickly
  • ability to manage and infuse highly potent drugs safely
  • operate complex equipment
  • complete evaluation at the change of shift. Answer: abilities and characteristics of critical care unit nurses: โ—‰ - crash cart / resuscitation cart
  • defibrillator
  • bedside monitor
  • arterial line
  • mechanical ventilator
  • intracranial pressure monitor
  • intra aortic balloon pump device

โ—‰ pre-arrival assessment. Answer: - starts as soon as the nurse becomes aware of a patient coming in the ICU, whether from the ward, operating room or emergency room

  • determines the possible picture of the client and his needs (anticipate possible resources needed by the patient)
  • usual documentation abbreviated report on patient (age, gender, chief complaint, diagnosis, pertinent history, physiologic status, invasive devices, equipment and status of laboratory or diagnostic tests) โ—‰ admission quick check. Answer: - obtained immediately after the arrival and assessment
  • based on the parameters represented by ABCDEFGP โ—‰ A - airway B - breathing C - circulation, cerebral perfusion, chief complaint D - drugs, diagnostic tests and disability E - equipment, electrolytes F - fluids (fluid status and balance, fluid management) G - gastro ( abdominal exam, nutrition, renal function) P - peripheries. Answer: what is ABCDEFGP? โ—‰ on-going assessment. Answer: - determines response to therapy, progression of improvement of his or her condition
  • performed as long as the client is in the hospital
  • continuous assessment is necessary to determine outcome of the client's disease โ—‰ periodically. Answer: on-going assessment is done how? โ—‰ every 15 minutes. Answer: in on-going assessment, unstable patients is check every? โ—‰ every 2-4 hours. Answer: in on-going assessment, stable patients is check every? โ—‰ critical care nursing. Answer: - care of the seriously-ill clients from point of injury or illness until discharge from intensive care
  • deals with human responses to life threatening problems
  • comprehensive, specialized, and individualized nursing services which are rendered to patients with life threatening conditions