Critical Care Nursing Exam: Sole - Chapter 1 Overview & Best Marking Scheme, Exams of Nursing

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Sole - Chapter 1: Overview of Critical

Care Nursing examination test w3ith

best marking scheme

1. 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 - Correct Answers A
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 the nurse to seek? A. ACNPC-AG
3. b.
4. CNML
5. c.
6. CCRN
7. d.
8. PCCN - Correct Answers C
9. The main purpose of certification is to
10. a.
11. assure the consumer that you will not make a mistake.
12. b.
13. prepare for graduate school.
14. c.
15. promote magnet status for your facility.
16. d.
17. validate knowledge of critical care nursing. - Correct Answers D
18. The synergy model of practice focuses on
19. a.
20. allowing unrestricted visiting for the patient 24 hours a day.
21. b.
22. holistic and alternative therapies.
23. c.
24. the needs of patients and their families, which drive nursing competency.
25. d.

26. patients' needs for energy and support. - Correct Answers C
27. 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?
28. a.
29. Advocacy and moral agency in solving ethical issues
30. b.
31. Clinical judgment and clinical reasoning skills
32. c.
33. Collaboration with patients, families, and team members
34. d.
35. Facilitation of learning for patients, families, and team members - Correct Answers C
36. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical care nursing practice?
37. a.
38. Evidence-based practice
39. b.
40. Healthy work environment
41. c.
42. National Patient Safety Goals
43. d.
44. Nursing process - Correct Answers D
45. The charge nurse is responsible for making the patient assignments on the critical care unit. An experienced, certified nurse is assigned to care for the acutely ill patient with sepsis who also requires continuous renal replacement therapy and mechanical ventilation. The nurse with less than 1 year of experience is assigned to two patients who are more stable. This assignment reflects implementation of the
46. a.
47. crew resource management model.
48. b.
49. National Patient Safety Goals.
50. c.
51. Quality and Safety Education for Nurses (QSEN) model.
52. d.
53. synergy model of practice. - Correct Answers D
54. The vision of the American Association of Critical-Care Nurses is a health care system driven by
55. a.

56. a healthy work environment.
57. b.
58. care from a multiprofessional team under the direction of a critical care physician.
59. c.
60. the needs of critically ill patients and families.
61. d.
62. respectful, healing, and humane environments. - Correct Answers C
63. The most important outcome of effective communication is to
64. a.
65. demonstrate caring practices to family members.
66. b.
67. ensure that patient teaching is done.
68. c.
69. meet the diversity needs of patients.
70. d.
71. reduce patient errors. - Correct Answers D
72. 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?
73. a.
74. Urine output of 40 mL/2 hours
75. b.
76. Current vital signs and history of aortic aneurysm repair 4 hours ago
77. c.
78. A statement that the patient is possibly hypovolemic
79. d.
80. A request for IV fluids - Correct Answers B
81. 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?
82. a.
83. Acquires and maintains current knowledge of practice
84. b.
85. Acts ethically on the behalf of the patient and family
86. c.
87. Considers factors related to safe patient care
88. d.
89. Uses clinical inquiry and integrates research findings in practice - Correct Answers B
90. Which of the following assists the critical care nurse in ensuring that care is appropriate and based on research?

91. a.
92. Clinical practice guidelines
93. b.
94. Computerized physician order entry
95. c.
96. Consulting with advanced practice nurses
97. d.
98. Implementing Joint Commission National Patient Safety Goals - Correct Answers A
99. 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:
100. a.
101. improve accuracy of patient identification.
102. b.
103. prevent errors related to look-alike and sound-alike medications.
104. c.
105. reconcile medications across the continuum of care.
106. d.
107. reduce harms associated with the administration of anticoagulants. - Correct Answers C
108. 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
109. a.
110. bundle of care.
111. b.
112. clinical practice guideline.
113. c.
114. patient safety goal.
115. d.
116. quality improvement initiative. - Correct Answers A
117. 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 force and that your ideas will be rejected by others. This situation is an example
118. a.
119. a barrier to handoff communication.

120. b.
121. a work environment that is unhealthy.
122. c.
123. ineffective decision making.
124. d.
125. nursing practice that is not evidence-based. - Correct Answers B
126. Which of the following statements describes the core concept of the synergy model of practice?
127. a.
128. All nurses must be certified in order to have the synergy model implemented.
129. b.
130. Family members must be included in daily interdisciplinary rounds.
131. c.
132. Nurses and physicians must work collaboratively and synergistically to influence care.
133. d.
134. Unique needs of patients and their families influence nursing competencies. - Correct Answers D
135. A nurse who plans care based on the patient's gender, ethnicity, spirituality, and lifestyle is said to
136. a.
137. be a moral advocate.
138. b.
139. facilitate learning.
140. c.
141. respond to diversity.
142. d.
143. use clinical judgment. - Correct Answers C
144. Which of the following is a National Patient Safety Goal? (Select all that apply.)
145. a.
146. Accurately identify patients.
147. b.
148. Eliminate the use of patient restraints.
149. c.
150. Reconcile medications across the continuum of care.
151. d.
152. Reduce risks of health care-acquired infection.
153. e.
154. Reduce costs associated with hospitalization. - Correct Answers A, C, D

155. Which of the following is (are) official journal(s) of the American Association of Critical-Care Nurses? (Select all that apply.)
156. a.
157. American Journal of Critical Care
158. b.
159. Critical Care Clinics of North America
160. c.
161. Critical Care Nurse
162. d.
163. Critical Care Nursing Quarterly
164. e.
165. Critical Care Nursing Management - Correct Answers A, C
166. The first critical care units were (Select all that apply.)
167. a.
168. burn units.
169. b.
170. coronary care units.
171. c.
172. recovery rooms.
173. d.
174. neonatal intensive care units.
175. e.
176. high-risk OB units. - Correct Answers B, C
177. Which of the following nursing activities demonstrates implementation of the AACN Standards of Professional Performance? (Select all that apply.)
178. a.
179. 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
180. b.
181. Collaborating with a pastoral services colleague to assist in meeting spiritual needs of the patient and family
182. c.
183. Participating on the unit's nurse practice council
184. d.
185. Posting an article from Critical Care Nurse on the management of venous thromboembolism for your colleagues to read
186. e.
187. Using evidence-based strategies to prevent ventilator-associated pneumonia - Correct Answers A, B, C, D, E
188. Which scenarios contribute to effective handoff communication at change of shift? (Select all that apply.)
189. a.

190. 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.
191. b.
192. The noise level is high because twice as many staff members are present and everyone is giving report in the nurses' station.
193. c.
194. The unit has decided to use a standardized checklist/tool for change-of- shift reports and patient transfers.
195. d.
196. You and the oncoming nurse conduct a standardized report at the patient's bedside and review key assessment findings.
197. e.
198. The off-going nurse is giving the patient medications at the same time as giving handoff report to the oncoming nurse. - Correct Answers C, D
199. Which strategy is important in addressing issues associated with the aging workforce? (Select all that apply.)
200. a.
201. Allowing nurses to work flexible shift durations
202. b.
203. Encouraging older nurses to transfer to an outpatient setting that is less stressful
204. c.
205. Hiring nurse technicians who are available to assist with patient care, such as turning the patient
206. d.
207. Remodeling patient care rooms to include devices to assist in patient lifting
208. e.
209. Developing a staffing model that accurately reflects the unit's needs. - Correct Answers A, C, D
210. Which of the following strategies will assist in creating a healthy work environment for the critical care nurse? (Select all that apply.)
211. a.
212. Celebrating improved outcomes from a nurse-driven protocol with a pizza party
213. b.
214. Implementing a medication safety program designed by pharmacists
215. c.
216. Modifying the staffing pattern to ensure a 1:1 nurse/patient ratio
217. d.
218. Offering quarterly joint nurse-physician workshops to discuss unit issues
219. e.

220. Using the Situation-Background-Assessment-Recommendation (SBAR) technique for handoff communication - Correct Answers A, D, E