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Test Bank - Critical Care NursingDiagnosis and Management, 9th Edition (Urden, 2022), Chapter 1-41 | All Chapters WITH RATIONALES GUARANTEED A+$17.99
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Test Bank - Critical Care NursingDiagnosis and Management, 9th Edition (Urden, 2022), Chapter 1-41 | All Chapters WITH RATIONALES GUARANTEED A+
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Critical Care NursingDiagnosis and Management
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Critical Care NursingDiagnosis And Management
Test Bank - Critical Care NursingDiagnosis and Management, 9th Edition
(Urden, 2022), Chapter 1-41 | All Chapters
WITH RATIONALES GUARANTEED A+
Critical Care Nursing
1. Which of the following is the primary goal of critical care nursing?
o A) To provide comfort measures only
o B) To stabili...
Test Bank - Critical Care Nursing-
Diagnosis and Management, 9th Edition
(Urden, 2022), Chapter 1-41 | All Chapters
WITH RATIONALES GUARANTEED A+
Critical Care Nursing
1. Which of the following is the primary goal of critical care nursing?
o A) To provide comfort measures only
o B) To stabilize patients and restore health
o C) To manage administrative tasks
o D) To educate patients about discharge instructions
Answer: B) To stabilize patients and restore health
Rationale: Critical care nursing focuses on the intensive management of patients
experiencing life-threatening conditions, aiming to stabilize and restore health.
2. What is the primary assessment focus for a patient with suspected septic shock?
o A) Pain level
o B) Skin integrity
o C) Vital signs and perfusion status
o D) Nutritional status
Answer: C) Vital signs and perfusion status
Rationale: In septic shock, monitoring vital signs, especially blood pressure and
heart rate, as well as assessing perfusion, is critical for early intervention.
3. Which laboratory finding is most indicative of acute kidney injury (AKI)?
o A) Elevated serum creatinine
o B) Low hemoglobin
o C) Elevated white blood cell count
o D) Decreased platelets
Answer: A) Elevated serum creatinine
Rationale: An increase in serum creatinine levels is a key indicator of impaired
kidney function and AKI.
4. When caring for a patient on mechanical ventilation, which of the following is
essential to prevent ventilator-associated pneumonia (VAP)?
o A) Keeping the head of the bed flat
o B) Regularly changing the ventilator circuit
o C) Oral care with chlorhexidine solution
o D) Sedating the patient adequately
Answer: C) Oral care with chlorhexidine solution
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Rationale: Routine oral care with chlorhexidine helps reduce the risk of VAP by
decreasing bacterial colonization in the oral cavity.
5. Which assessment finding would indicate a potential complication of deep vein
thrombosis (DVT) in a critically ill patient?
o A) Increased heart rate
o B) Swelling and redness of the affected limb
o C) Decreased urine output
o D) Elevated blood pressure
Answer: B) Swelling and redness of the affected limb
Rationale: Swelling, redness, and pain in the affected limb are classic signs of
DVT and require immediate assessment.
6. What is the priority nursing intervention for a patient exhibiting signs of
anaphylaxis?
o A) Administering antihistamines
o B) Positioning the patient comfortably
o C) Administering epinephrine
o D) Applying a cold compress
Answer: C) Administering epinephrine
Rationale: Epinephrine is the first-line treatment for anaphylaxis, as it rapidly
counteracts the severe allergic response.
7. Which vital sign changes are typically associated with hypovolemic shock?
o A) Elevated blood pressure and bradycardia
o B) Decreased blood pressure and tachycardia
o C) Increased blood pressure and tachypnea
o D) Stable blood pressure and bradycardia
Answer: B) Decreased blood pressure and tachycardia
Rationale: In hypovolemic shock, blood pressure drops due to inadequate blood
volume, while heart rate increases as a compensatory mechanism.
8. What is the purpose of using a pulmonary artery catheter (Swan-Ganz catheter) in
critical care?
o A) To administer medications
o B) To measure central venous pressure only
o C) To assess cardiac output and pulmonary pressures
o D) To monitor blood glucose levels
Answer: C) To assess cardiac output and pulmonary pressures
Rationale: The pulmonary artery catheter provides critical hemodynamic data,
including cardiac output and pulmonary artery pressures.
9. Which of the following is a common symptom of hyperglycemic hyperosmolar state
(HHS)?
o A) Kussmaul respirations
o B) Warm, dry skin
o C) Frequent urination
o D) Abdominal pain
Answer: C) Frequent urination
Rationale: HHS is characterized by very high blood sugar levels leading to
polyuria and dehydration.
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10. In managing a patient with acute respiratory distress syndrome (ARDS), what is a
key nursing intervention?
o A) Allowing high tidal volumes during ventilation
o B) Keeping the patient supine at all times
o C) Using a low tidal volume strategy in mechanical ventilation
o D) Administering high-flow oxygen without monitoring
Answer: C) Using a low tidal volume strategy in mechanical ventilation
Rationale: Low tidal volume ventilation minimizes lung injury and improves
outcomes in patients with ARDS.
)
11. Which of the following indicates a need for immediate intubation in a patient with
respiratory failure?
o A) Oxygen saturation of 92%
o B) Severe hypoxemia despite high-flow oxygen
o C) Decreased respiratory rate
o D) Shallow breathing
Answer: B) Severe hypoxemia despite high-flow oxygen
Rationale: Intubation may be necessary when patients show severe hypoxemia
that cannot be corrected with supplemental oxygen.
12. In a patient with heart failure, which assessment finding is most indicative of fluid
overload?
o A) Weight loss
o B) Increased urinary output
o C) Peripheral edema
o D) Decreased blood pressure
Answer: C) Peripheral edema
Rationale: Peripheral edema is a common sign of fluid overload in heart failure
patients.
13. What is the priority nursing action when a patient experiences a cardiac arrest?
o A) Call for help
o B) Start CPR
o C) Assess the airway
o D) Administer oxygen
Answer: B) Start CPR
Rationale: Immediate initiation of CPR is crucial in a cardiac arrest situation to
maintain circulation until advanced care can be provided.
14. Which medication is commonly used to manage pain and anxiety in critically ill
patients?
o A) Ibuprofen
o B) Morphine
o C) Acetaminophen
o D) Aspirin
Answer: B) Morphine
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