Question 1

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include:

Accepted Answer

A)  anaerobic exercise. 
B)  art therapy. 
C)  guided imagery. 
D)  music therapy. 
E)  animal therapy. 
A)  anaerobic exercise. 
B)  art therapy. 
C)  guided imagery. 
D)  music therapy. 
E)  animal therapy. C,D,E

Question 2

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients?

Accepted Answer

A)  Environmental manipulation 
B)  Explanations of monitoring equipment 
C)  Guided imagery 
D)  Music therapy 
E)  Provision of personal items
F) None of the above 
A)  Environmental manipulation 
B)  Explanations of monitoring equipment 
C)  Guided imagery 
D)  Music therapy 
E)  Provision of personal items
F) None of the above A,B,C,D,E

Question 3

Nociceptors differ from other nerve receptors in the body in that they:

Accepted Answer

A)  adapt very little to continual pain response. 
B)  inhibit the infiltration of neutrophils and eosinophils. 
C)  play no role in the inflammatory response. 
D)  transmit only the thermal stimuli. 
A)  adapt very little to continual pain response. 
B)  inhibit the infiltration of neutrophils and eosinophils. 
C)  play no role in the inflammatory response. 
D)  transmit only the thermal stimuli. A

Question 4

The nurse is caring for a patient with hyperactive delirium.The nurse focuses interventions toward keeping the patient:

Accepted Answer

A)  comfortable. 
B)  nourished. 
C)  safe. 
D)  sedated. 
A)  comfortable. 
B)  nourished. 
C)  safe. 
D)  sedated.

Question 5

The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for

Accepted Answer

A)  arm binders or splints. 
B)  a higher dosage of lorazepam. 
C)  propofol. 
D)  soft wrist restraints. 
A)  arm binders or splints. 
B)  a higher dosage of lorazepam. 
C)  propofol. 
D)  soft wrist restraints.

Question 6

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

Accepted Answer

A)  brow lowering 
B)  eyelid closing 
C)  grimacing 
D)  relaxed facial expression 
A)  brow lowering 
B)  eyelid closing 
C)  grimacing 
D)  relaxed facial expression

Question 7

Choose the items that are common to both pain and anxiety.

Accepted Answer

A)  Cyclical exacerbation of one another 
B)  Require good nursing assessment for proper treatment 
C)  Response only to real phenomena 
D)  Subjective in nature 
E)  Perception may be influenced by prior experience 
A)  Cyclical exacerbation of one another 
B)  Require good nursing assessment for proper treatment 
C)  Response only to real phenomena 
D)  Subjective in nature 
E)  Perception may be influenced by prior experience

Question 8

Which of the following factors predispose the critically ill patient to pain and anxiety?

Accepted Answer

A)  Inability to communicate 
B)  Invasive procedures 
C)  Monitoring devices 
D)  Nursing care 
E)  Preexisting conditions
F) None of the above 
A)  Inability to communicate 
B)  Invasive procedures 
C)  Monitoring devices 
D)  Nursing care 
E)  Preexisting conditions
F) None of the above

Question 9

Anxiety differs from pain in that:

Accepted Answer

A)  it is confined to neurological processes in the brain. 
B)  it is linked to reward and punishment centers in the limbic system. 
C)  it is subjective. 
D)  there is no actual tissue injury. 
E)  it can be increased by noise and light. 
A)  it is confined to neurological processes in the brain. 
B)  it is linked to reward and punishment centers in the limbic system. 
C)  it is subjective. 
D)  there is no actual tissue injury. 
E)  it can be increased by noise and light.

Question 10

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium?

Accepted Answer

A)  Agitation 
B)  Apathy 
C)  Biting 
D)  Hitting 
E)  Restlessness 
A)  Agitation 
B)  Apathy 
C)  Biting 
D)  Hitting 
E)  Restlessness

Question 11

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

Accepted Answer

A)  Creatinine: 3.1 mg/dL 
B)  Platelet count 350,000 billion/L 
C)  White blood count 13, 550 mm3 
D)  ALT 25 U/L 
A)  Creatinine: 3.1 mg/dL 
B)  Platelet count 350,000 billion/L 
C)  White blood count 13, 550 mm3 
D)  ALT 25 U/L

Question 12

The nurse recognizes that which patient is likely to benefit most from patient-controlled analgesia (PCA)?

Accepted Answer

A)  Patient with a C4 fracture and quadriplegia 
B)  Patient with a femur fracture and closed head injury 
C)  Postoperative patient who had elective bariatric surgery 
D)  Postoperative cardiac surgery patient with mild dementia 
A)  Patient with a C4 fracture and quadriplegia 
B)  Patient with a femur fracture and closed head injury 
C)  Postoperative patient who had elective bariatric surgery 
D)  Postoperative cardiac surgery patient with mild dementia

Question 13

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

Accepted Answer

A)  Glasgow Coma Scale score of 3 
B)  Train-of-four yields two twitches 
C)  Bispectral index of 60 
D)  CAM-ICU positive 
A)  Glasgow Coma Scale score of 3 
B)  Train-of-four yields two twitches 
C)  Bispectral index of 60 
D)  CAM-ICU positive

Question 14

In the critically ill patient,an incomplete assessment and/or management of pain or anxiety may be hampered by which of the following?

Accepted Answer

A)  Administration of neuromuscular blocking agents 
B)  Delirium 
C)  Effective nurse communication and assessment skills 
D)  Nonverbal patients 
E)  Ventilated patient 
A)  Administration of neuromuscular blocking agents 
B)  Delirium 
C)  Effective nurse communication and assessment skills 
D)  Nonverbal patients 
E)  Ventilated patient

Question 15

The assessment of pain and anxiety is a continuous process.When critically ill patients exhibit signs of anxiety,the nurse's first priority is to

Accepted Answer

A)  administer antianxiety medications as ordered. 
B)  administer pain medication as ordered. 
C)  identify and treat the underlying cause. 
D)  reassess the patient hourly to determine whether symptoms resolve on their own. 
A)  administer antianxiety medications as ordered. 
B)  administer pain medication as ordered. 
C)  identify and treat the underlying cause. 
D)  reassess the patient hourly to determine whether symptoms resolve on their own.

Question 16

The nurse wishes to assess the quality of a patient's pain.Which of the following questions is appropriate to obtain this assessment if the patient is able to give a verbal response?

Accepted Answer

A)  "Is the pain constant or intermittent?" 
B)  "Is the pain sharp, dull, or crushing?" 
C)  "What makes the pain better? Worse?" 
D)  "When did the pain start?" 
A)  "Is the pain constant or intermittent?" 
B)  "Is the pain sharp, dull, or crushing?" 
C)  "What makes the pain better? Worse?" 
D)  "When did the pain start?"

Question 17

The nurse is caring for a patient who is intubated and on a ventilator following extensive abdominal surgery.Although the patient is responsive,the nurse is not able to read the patient's lips as the patient attempts to mouth the words.Which of the following assessment tools would be the most appropriate for the nurse to use when assessing the patient's pain level?

Accepted Answer

A)  The FACES scale 
B)  Pain Intensity Scale 
C)  The PQRST method 
D)  The Visual Analogue Scale 
E)  The CAM tool 
A)  The FACES scale 
B)  Pain Intensity Scale 
C)  The PQRST method 
D)  The Visual Analogue Scale 
E)  The CAM tool

Question 18

The nurse is caring for a postoperative patient in the critical care unit.The physician has ordered patient-controlled analgesia (PCA)for the patient.The nurse understands that the PCA:

Accepted Answer

A)  is a safe and effective method for administering analgesia. 
B)  has potentially fewer side effects than other routes of analgesic administration. 
C)  is an ideal method to provide most critically ill patients some control over their treatment. 
D)  provides good quality analgesia. 
E)  does not work well without family assistance. 
A)  is a safe and effective method for administering analgesia. 
B)  has potentially fewer side effects than other routes of analgesic administration. 
C)  is an ideal method to provide most critically ill patients some control over their treatment. 
D)  provides good quality analgesia. 
E)  does not work well without family assistance.

Question 19

Both the electroencephalogram (EEG)monitor and the Bispectral Index Score (BIS)or Patient State Index (PSI)analyzer monitors are used to assess patient sedation levels in critically ill patients.The BIS and PSI monitors are simpler to use because they

Accepted Answer

A)  can be used only on heavily sedated patients. 
B)  can be used only on pediatric patients. 
C)  provide raw EEG data and a numeric value. 
D)  require only five leads. 
A)  can be used only on heavily sedated patients. 
B)  can be used only on pediatric patients. 
C)  provide raw EEG data and a numeric value. 
D)  require only five leads.

Question 20

Factors in the critical care unit that may predispose the client to increased pain and anxiety include:

Accepted Answer

A)  an endotracheal tube. 
B)  frequent vital signs. 
C)  monitor alarms. 
D)  room temperature. 
E)  hostile environment.
F) None of the above 
A)  an endotracheal tube. 
B)  frequent vital signs. 
C)  monitor alarms. 
D)  room temperature. 
E)  hostile environment.
F) None of the above

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include:

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients?

Nociceptors differ from other nerve receptors in the body in that they:

The nurse is caring for a patient with hyperactive delirium.The nurse focuses interventions toward keeping the patient:

The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

Choose the items that are common to both pain and anxiety.

Which of the following factors predispose the critically ill patient to pain and anxiety?

Anxiety differs from pain in that:

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium?

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

The nurse recognizes that which patient is likely to benefit most from patient-controlled analgesia (PCA)?

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

In the critically ill patient,an incomplete assessment and/or management of pain or anxiety may be hampered by which of the following?

The assessment of pain and anxiety is a continuous process.When critically ill patients exhibit signs of anxiety,the nurse's first priority is to

The nurse wishes to assess the quality of a patient's pain.Which of the following questions is appropriate to obtain this assessment if the patient is able to give a verbal response?

The nurse is caring for a postoperative patient in the critical care unit.The physician has ordered patient-controlled analgesia (PCA)for the patient.The nurse understands that the PCA:

Both the electroencephalogram (EEG)monitor and the Bispectral Index Score (BIS)or Patient State Index (PSI)analyzer monitors are used to assess patient sedation levels in critically ill patients.The BIS and PSI monitors are simpler to use because they

Factors in the critical care unit that may predispose the client to increased pain and anxiety include:

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters

Exam 5: Comfort and Sedation

Nonpharmacological approaches to pain and/or anxiety that may best meet the needs of critically ill patients include:

Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients?

Nociceptors differ from other nerve receptors in the body in that they:

The nurse is caring for a patient with hyperactive delirium.The nurse focuses interventions toward keeping the patient:

The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for

The nurse is assessing pain levels in a critically ill patient using the Behavioral Pain Scale.The nurse recognizes __________ as indicating the greatest level of pain.

Choose the items that are common to both pain and anxiety.

Which of the following factors predispose the critically ill patient to pain and anxiety?

Anxiety differs from pain in that:

The nurse is assessing the critically ill patient for delirium.The nurse recognizes which characteristics that indicate hyperactive delirium?

The nurse is caring for a patient receiving intravenous ibuprofen for pain management.The nurse recognizes which laboratory assessment to be a possible side effect of the ibuprofen?

The nurse recognizes that which patient is likely to benefit most from patient-controlled analgesia (PCA)?

The patient is receiving neuromuscular blockade.Which nursing assessment indicates a target level of paralysis?

In the critically ill patient,an incomplete assessment and/or management of pain or anxiety may be hampered by which of the following?

The assessment of pain and anxiety is a continuous process.When critically ill patients exhibit signs of anxiety,the nurse's first priority is to

The nurse wishes to assess the quality of a patient's pain.Which of the following questions is appropriate to obtain this assessment if the patient is able to give a verbal response?

The nurse is caring for a postoperative patient in the critical care unit.The physician has ordered patient-controlled analgesia (PCA)for the patient.The nurse understands that the PCA:

Both the electroencephalogram (EEG)monitor and the Bispectral Index Score (BIS)or Patient State Index (PSI)analyzer monitors are used to assess patient sedation levels in critically ill patients.The BIS and PSI monitors are simpler to use because they

Factors in the critical care unit that may predispose the client to increased pain and anxiety include:

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters