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EXAM 1 CRITICAL CARE WEEK 1 AND 2 QUESTIONS AND ANSWERS UPDATED
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EXAM 1 CRITICAL CARE WEEK 1 AND 2 QUESTIONS AND ANSWERS UPDATED
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EXAM 1 CRITICAL CARE WEEK 1 AND 2 QUESTIONSAND ANSWERS UPDATED 2024 - 2025
A,patient,in,the,ICU,with,acute,respiratory,distress,syndrome,(ARDS),complains,of,worsening,dyspnea.,W
hich,of,the,following,physiological,changes,associated,with,ARDS,are,most,responsible,for,this,patient's,i
mpaired,ventilation?,Select,all,that,apply.
A),Decreased,lung,compliance
B),Pulmonary,hypertension
C),Vasoconstriction,of,the,pulmonary,vascular,bed
D),Increased,airway,resistance
E),Cyanosis
F),Multisystem,organ,dysfunction,ANS,-A,,D
A,patient,with,acute,respiratory,distress,syndrome,(ARDS),demonstrates,unmistakable,signs,of,pneumot
horax.,What,is,the,next,intervention,that,the,nurse,should,implement?
A),Increase,the,peak,end-expiratory,pressure,(PEEP).
B),Administer,an,inotropic,agent.
C),Elevate,the,head,of,the,bed,to,35,degrees.
D),Assist,with,a,chest,tube,insertion.,ANS,-D
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,knowledg
e,and,her,intuition.,She,loves,her,work,but,wishes,she,could,do,it,with,a,greater,level,of,competence.,Wh
at,is,the,most,important,effect,that,obtaining,certification,would,likely,have,on,the,nurse's,practice?
A),Recognition,by,peers
B),Increase,in,salary,and,rank
C),More,flexibility,in,seeking,employment
D),Increased,confidence,in,making,decisions,ANS,-D
A,hospital,interviews,two,different,candidates,for,a,position,in,the,ICU.,Both,candidates,have,around,10,y
ears,of,experience,working,in,the,ICU.,Both,have,excellent,interpersonal,skills,and,highly,positive,referen
,ces.,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.,ANS,-A
.,A,nurse,is,caring,for,an,elderly,man,recently,admitted,to,the,ICU,following,a,stroke.,She,assesses,his,cog
nitive,function,using,a,new,cognitive,assessment,test,she,learned,about,in,a,recent,article,in,a,nursing,jou
rnal.,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,objec
ts,at,first,,saying,that,he,can,walk,on,his,own,,but,the,nurse,explains,that,it,is,hospital,policy,to,use,the,w
heelchair.,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),Giving,the,patient,a,cup,of,water
B),Transferring,the,patient,in,a,wheelchair
C),Using,the,cognitive,assessment,test
D),Recognizing,signs,of,imminent,stroke,and,paging,the,physician,ANS,-c
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,sho
wn,to,be,most,effective,in,reducing,these,infections.,She,consults,many,different,sources,and,finds,confli
cting,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,ANS,-B
A,physician,visits,a,patient,in,the,ICU,while,the,nurse,is,out.,The,patient,complains,that,the,pain,medicati
on,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,patient's,request,for,stronger,pain,medication.,The,n
urse,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.,Whic
h,component,of,a,healthy,work,environment,is,most,evident,in,this,scenario?
, A),Skilled,communication
B),Appropriate,staffing
C),True,collaboration
D),Meaningful,recognition,ANS,-C
A,patient,in,the,ICU,has,recently,been,diagnosed,with,diabetes,mellitus.,Before,being,discharged,,this,pat
ient,will,require,detailed,instructions,on,how,to,manage,her,diet,,how,to,self-
inject,insulin,,and,how,to,handle,future,diabetic,emergencies.,Which,nurse,competency,is,most,needed,i
n,this,situation?
A),Clinical,judgment
B),Advocacy,and,moral,agency
C),Caring,practices
D),Facilitation,of,learning,ANS,-D
An,elderly,patient,is,admitted,to,the,ICU,with,stage,IV,lung,cancer,,diabetes,mellitus,,and,congestive,hear
t,failure.,The,health,care,team,assembled,to,care,for,her,is,large,and,diverse,,including,an,oncologist,,a,p
ulmonologist,,an,endocrinologist,,a,cardiologist,,and,others.,The,patient,is,not,expected,to,survive,more,t
han,a,few,weeks,,and,her,husband,is,overwhelmed,with,stress,and,grief.,Which,nurse,competency,or,co
mpetencies,are,most,needed,in,this,situation?,Select,all,that,apply.
A),Clinical,judgment
B),Caring,practices
C),Collaboration
D),Response,to,diversity,ANS,-B,D
The,American,Association,of,Critical-
Care,Nurses,(AACN),sponsors,certification,in,critical,care,nursing,for,several,critical,care,subspecialties.,
What,is,the,most,important,benefit,of,such,certification,for,the,profession,of,nursing?
A),Provides,positive,publicity,for,nursing
B),Validates,nurses',expert,knowledge,and,practice
C),Mandated,by,government,regulations
D),Demonstrates,basic,knowledge,in,the,field,ANS,-B
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