Test Bank For Critical Care Nursing- A Holistic Approach
12th Edition Morton Fontaine
Chapters 1 - 56
,Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because
she doubts the accuracy of her knowledge and her intuition. She loves her work but
wishes she could do it with a greater level of competence. What is the most important
effect that obtaining certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate reason
for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in
a recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first, saying
that he can walk on his own, but the nurse explains that it is hospital policy to use the
wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and
immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A)7. A nurse in thethe
Giving ICU is responding
patient to a patient who has just gone into cardiac arrest. A
a cup of water
moment later, the nurse is notified that another patient has just gone into anaphylactic
B) shockTransferring
due to a drug theallergy.
patientShe
in aiswheelchair
conflicted as to what to do, as she is the only nurse
C) available at the
Using the cognitive
moment to tend to both
assessment testpatients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
, 4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many different
sources and finds conflicting information. Which of the following sources should she
consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinical
practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.
The physician has the nurse paged and consults with him in the hallway regarding the
patients request for stronger pain medication. The nurse explains that patient was started
on a morphine drip only 20 minutes ago and that the drug has not had time to take effect
yet. The physician agrees and tells the patient to give it just a bit more time. Which
component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
D) Recognizing signs of imminent stroke and paging the physician
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An dICU dnurse dhas dprovided dexcellent dcare dfor da d6-year-old dgirl dwho dhad dbeen
dadmitted dtodthe dICU dfor da dhead dinjury. dThe dnurse dwas dattentive dnot donly dto dthe
dneeds dof dthe dpatient dbutdalso dwent dout dof dher dway dto dcare dfor dthe dneeds dof dthe
dgirls dfamily. dAccording dto dresearch, dwhich dof dthe dfollowing dforms dof drecognition
dwould d the dnurse dvalue dthe dmost?
A) A dcard dfrom dthe dgirls dfamily
B) A dplaque dfrom dthe dICU dphysicians dnaming dher das dNurse dof dthe dYear
C) A dletter dof dcommendation dfrom dthe dhospitals dadministration
D) A dbouquet dof dflowers dfrom dher dsupervisor
9. A dpatient din dthe dICU dhas drecently dbeen ddiagnosed dwith ddiabetes dmellitus. dBefore
dbeing ddischarged, dthis dpatient dwill drequire ddetailed dinstructions don dhow dto dmanage
dher ddiet, dhowdto dself-inject dinsulin, dand dhow dto dhandle dfuture ddiabetic
demergencies. dWhich dnurse dcompetency dis dmost dneeded din dthis dsituation?
A) Clinical djudgment
B) Advocacy dand dmoral dagency
C) Caring dpractices
D) Facilitation dof dlearning
10. An delderly dpatient dis dadmitted dto dthe dICU dwith dstage dIV dlung dcancer, ddiabetes
dmellitus, danddcongestive dheart dfailure. dThe dhealth dcare dteam dassembled dto dcare dfor
dher dis dlarge dand ddiverse, dincluding dan doncologist, da dpulmonologist, dan
dendocrinologist, da dcardiologist, dand dothers. dThe dpatient dis dnot dexpected dto dsurvive
dmore dthan da dfew dweeks, dand dher dhusband dis doverwhelmed dwith dstress dand dgrief.
dWhich dnurse dcompetency dor dcompetencies dare dmost dneeded din dthis dsituation?
dSelect dall dthat dapply.
A) Clinical djudgment
B) Caring dpractices
C)7. A nurseCollaboration
in the ICU is responding to a patient who has just gone into cardiac arrest. A
D) moment later, the
Response dto nurse is notified that another patient has just gone into anaphylactic
ddiversity
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
11. An dEthiopian
available at thedman dwithto
moment dAIDS
tend todhas
bothdrecently
patients.dbeen dadmitted
Which dto dthe
component ofdaICU dwithwork
healthy da
case dof dpneumonia.
denvironment d The d man d is
is lacking in this scenario? d new d to dthe dU.S. d and d has d no d health dinsurance.
dHe dwould dlikely dbedeligible dfor dthe dstates dMedicaid dcoverage, dbut ddoes dnot
A) dunderstand
Effectivedhowdecision making
dto daccess dthis dcoverage. dWhich dcompetency dor dcompetencies dare
dmost dneeded din dthis dsituation? dSelect dall dthat dapply.
12th Edition Morton Fontaine
Chapters 1 - 56
,Chapter 1 Critical Care Nursing Practice: Promoting Excellence-Caring,Collaboration
Evidence
Multiple Choice
1. A nurse is the only one in the ICU who has not achieved certification in critical care
nursing. She often will ask her fellow nurses what to do in caring for a patient because
she doubts the accuracy of her knowledge and her intuition. She loves her work but
wishes she could do it with a greater level of competence. What is the most important
effect that obtaining certification would likely have on the nurses practice?
A) Recognition by peers
B) Increase in salary and rank
C) More flexibility in seeking employment
D) Increased confidence in making decisions
2. A hospital interviews two different candidates for a position in the ICU. Both candidates
have around 10 years of experience working in the ICU. Both have excellent
interpersonal skills and highly positive references. One, however, has certification in
critical care nursing. Which of the following is the most compelling and accurate reason
for the hospital to hire the candidate with certification?
A) The certified nurse will have more knowledge and expertise.
B) The certified nurse will behave more ethically.
C) The certified nurse will be more caring toward patients.
D) The certified nurse will work more collaboratively with other nurses.
3. A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She
assesses his cognitive function using a new cognitive assessment test she learned about in
a recent article in a nursing journal. She then brings a cup of water and a straw to the
patient because she observes that his lips are dry. Later, she has the patient sit in a
wheelchair and takes him to have some blood tests performed. He objects at first, saying
that he can walk on his own, but the nurse explains that it is hospital policy to use the
wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and
immediately pages the physician. Which action taken by the nurse is the best example of
evidence-based practice?
A)7. A nurse in thethe
Giving ICU is responding
patient to a patient who has just gone into cardiac arrest. A
a cup of water
moment later, the nurse is notified that another patient has just gone into anaphylactic
B) shockTransferring
due to a drug theallergy.
patientShe
in aiswheelchair
conflicted as to what to do, as she is the only nurse
C) available at the
Using the cognitive
moment to tend to both
assessment testpatients. Which component of a healthy work
environment is lacking in this scenario?
A) Effective decision making
, 4. A nurse is on a committee that is trying to reduce the occurrence of hospital-acquired
infections in the ICU. Her role is to conduct research to find which interventions have
been shown to be most effective in reducing these infections. She consults many different
sources and finds conflicting information. Which of the following sources should she
consider the most authoritative?
A) AACN expert panel report
B) A meta-analysis of randomized controlled trials in the American Journal of Nursing
C) A systematic review of qualitative studies in the Journal of Advanced Nursing
D) A single randomized controlled trial in the American Journal of Critical Care
5. A nurse who has been recently hired to manage the nursing staff of the ICU is concerned
at the lack of evidence-based practice she sees among the staff. Which of the following
would be the best step for her to take to promote incorporating evidence into clinical
practice?
A) Only hire nurses certified in critical care nursing.
B) Leave copies of several different nursing journals in the nurses lounge.
C) Demonstrate to the staff the best nursing-related search terms to use in Google or
Yahoo!
D) Introduce the staff to the PubMed search engine and assign them topics to research
on it.
6. A physician visits a patient in the ICU while the nurse is out. The patient complains that
the pain medication is not effective and that he would like to receive an increased dose.
The physician has the nurse paged and consults with him in the hallway regarding the
patients request for stronger pain medication. The nurse explains that patient was started
on a morphine drip only 20 minutes ago and that the drug has not had time to take effect
yet. The physician agrees and tells the patient to give it just a bit more time. Which
component of a healthy work environment is most evident in this scenario?
A) Skilled communication
B) Appropriate staffing
C) True collaboration
D) Meaningful recognition
D) Recognizing signs of imminent stroke and paging the physician
, Critical Care Nursing: A Holistic Approach 11th Edition Morton Fontaine Test Bank
B) Appropriate staffing
C) Authentic leadership
D) Meaningful recognition
8. An dICU dnurse dhas dprovided dexcellent dcare dfor da d6-year-old dgirl dwho dhad dbeen
dadmitted dtodthe dICU dfor da dhead dinjury. dThe dnurse dwas dattentive dnot donly dto dthe
dneeds dof dthe dpatient dbutdalso dwent dout dof dher dway dto dcare dfor dthe dneeds dof dthe
dgirls dfamily. dAccording dto dresearch, dwhich dof dthe dfollowing dforms dof drecognition
dwould d the dnurse dvalue dthe dmost?
A) A dcard dfrom dthe dgirls dfamily
B) A dplaque dfrom dthe dICU dphysicians dnaming dher das dNurse dof dthe dYear
C) A dletter dof dcommendation dfrom dthe dhospitals dadministration
D) A dbouquet dof dflowers dfrom dher dsupervisor
9. A dpatient din dthe dICU dhas drecently dbeen ddiagnosed dwith ddiabetes dmellitus. dBefore
dbeing ddischarged, dthis dpatient dwill drequire ddetailed dinstructions don dhow dto dmanage
dher ddiet, dhowdto dself-inject dinsulin, dand dhow dto dhandle dfuture ddiabetic
demergencies. dWhich dnurse dcompetency dis dmost dneeded din dthis dsituation?
A) Clinical djudgment
B) Advocacy dand dmoral dagency
C) Caring dpractices
D) Facilitation dof dlearning
10. An delderly dpatient dis dadmitted dto dthe dICU dwith dstage dIV dlung dcancer, ddiabetes
dmellitus, danddcongestive dheart dfailure. dThe dhealth dcare dteam dassembled dto dcare dfor
dher dis dlarge dand ddiverse, dincluding dan doncologist, da dpulmonologist, dan
dendocrinologist, da dcardiologist, dand dothers. dThe dpatient dis dnot dexpected dto dsurvive
dmore dthan da dfew dweeks, dand dher dhusband dis doverwhelmed dwith dstress dand dgrief.
dWhich dnurse dcompetency dor dcompetencies dare dmost dneeded din dthis dsituation?
dSelect dall dthat dapply.
A) Clinical djudgment
B) Caring dpractices
C)7. A nurseCollaboration
in the ICU is responding to a patient who has just gone into cardiac arrest. A
D) moment later, the
Response dto nurse is notified that another patient has just gone into anaphylactic
ddiversity
shock due to a drug allergy. She is conflicted as to what to do, as she is the only nurse
11. An dEthiopian
available at thedman dwithto
moment dAIDS
tend todhas
bothdrecently
patients.dbeen dadmitted
Which dto dthe
component ofdaICU dwithwork
healthy da
case dof dpneumonia.
denvironment d The d man d is
is lacking in this scenario? d new d to dthe dU.S. d and d has d no d health dinsurance.
dHe dwould dlikely dbedeligible dfor dthe dstates dMedicaid dcoverage, dbut ddoes dnot
A) dunderstand
Effectivedhowdecision making
dto daccess dthis dcoverage. dWhich dcompetency dor dcompetencies dare
dmost dneeded din dthis dsituation? dSelect dall dthat dapply.
