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CRITICAL CARE-EXAM 1 QUESTIONS AND ANSWERS
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CRITICAL CARE-EXAM 1 QUESTIONS AND ANSWERS
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CRITICAL CARE-EXAM 1 QUESTIONS ANDANSWERS 2024 - 2025
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,,ANS,-,,a.,American,Association,of,Critical-Care,Nurses
A,nurse,has,been,working,as,a,staff,nurse,in,the,surgical,intensive,care,unit,for,2,years,and,is,interested,i
n,certification.,Which,credential,would,be,most,applicable,for,the,nurse,to,seek?
a.,ACNPC-AG
b.,CNML
c.,CCRN
d.,PCCN,,ANS,-,,c.,CCRN
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.,,ANS,-,,d.,validate,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.,,ANS,-
,,c.,the,needs,of,patients,and,their,families,,which,drive,nursing,competency.
,The,family,of,your,critically,ill,patient,tells,you,that,they,have,not,spoken,with,the,physician,in,over,24,ho
urs,and,that,they,have,some,questions,they,want,clarified.,During,morning,rounds,,you,convey,this,conc
ern,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.,Clinical,judgment,and,clinical,reasoning,skills
c.,Collaboration,with,patients,,families,,and,team,members
d.,Facilitation,of,learning,for,patients,,families,,and,team,members,,ANS,-
,,c.,Collaboration,with,patients,,families,,and,team,members
The,AACN,Standards,for,Acute,and,Critical,Care,Nursing,Practice,use,what,framework,to,guide,critical,car
e,nursing,practice?
a.,Evidence-based,practice
b.,Healthy,work,environment
c.,National,Patient,Safety,Goals
d.,Nursing,process,,ANS,-,,d.,Nursing,process
The,charge,nurse,is,responsible,for,making,the,patient,assignments,on,the,critical,care,unit.,An,experienc
ed,,certified,nurse,is,assigned,to,care,for,the,acutely,ill,patient,with,sepsis,who,also,requires,continuous,r
enal,replacement,therapy,and,mechanical,ventilation.,The,nurse,with,less,than,1,year,of,experience,is,as
signed,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.,,ANS,-,,d.,synergy,model,of,practice.
The,vision,of,the,American,Association,of,Critical-Care,Nurses,is,a,health,care,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.,,ANS,-,,c.,the,needs,of,critically,ill,patients,and,families.
,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.,,ANS,-,,d.,reduce,patient,errors.
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,rega
rding,background?
a.,Urine,output,of,40,mL/2,hours
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,,ANS,-,,b.,Current,vital,signs,and,history,of,aortic,aneurysm,repair,4,hours,ago
The,family,members,of,a,critically,ill,patient,bring,a,copy,of,the,patient's,living,will,to,the,hospital,,which,i
dentifies,the,patient's,wishes,regarding,health,care.,You,discuss,contents,of,the,living,will,with,the,patien
t's,physician.,This,is,an,example,of,implementation,of,which,of,the,AACN,Standards,of,Professional,Perfo
rmance?
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,,ANS,-
,,b.,Acts,ethically,on,the,behalf,of,the,patient,and,family
Which,of,the,following,assists,the,critical,care,nurse,in,ensuring,that,care,is,appropriate,and,based,on,res
earch?
a.,Clinical,practice,guidelines
b.,Computerized,physician,order,entry
c.,Consulting,with,advanced,practice,nurses
d.,Implementing,Joint,Commission,National,Patient,Safety,Goals,,ANS,-,,a.,Clinical,practice,guidelines
, Comparing,the,patient's,current,(home),medications,with,those,ordered,during,hospitalization,and,com
municating,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.,,ANS,-
,,c.,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,el
evated,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,a
s,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.,,ANS,-,,a.,bundle,of,care.
You,work,in,an,intermediate,care,unit,and,have,asked,to,be,involved,in,developing,new,guidelines,to,pre
vent,pressure,ulcers,in,your,patient,population.,The,nurse,manager,tells,you,that,you,do,not,yet,have,en
ough,experience,to,be,on,the,prevention,task,force,and,that,your,ideas,will,be,rejected,by,others.,This,sit
uation,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.,,ANS,-,,b.,a,work,environment,that,is,unhealthy.
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.
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