2022 Critical Care Final Exam

2022 Critical care final exam
1-First step to deal with moral distress is

ASK
2-when to change propofol IV line?
12 hours
3- diabetic female clients ask educator nurse how often to exercise?
At least three times a week
4-Where to assess the pulls Aortic stenosis?
2ed right
5-Where to hear the point of maximal impulse apical puls?
fifth intercostal space
6-Level of central line?
phlebostatic axis
7-When CVP measuring u need to keep the map <85?
close all expect inotrope
8-Pt heat intolerance and polyuria fatigue thyroid or parathyroid?
I chose hyperparathyroidism
9-Patient with low calcium?
at risk for fracture
10-Patient with Low potassium diarrhea?

Bartter syndrome
12-Recurrent pneumonia patient at risk for?
Bronchitis
13-Ca 131 the goal met or not me partial met?
The goal not met
14-Raas and cam
Pt max midaz and max fenta still agatited?
15-Behavior score?
8
16-GCS scale?
6
17-Informatics when where is?
information knowledge
18-Patient with AF u give adenosin 6mg still unstable what u will do next?
Give 12 mg adenosin.
19-Patient comatose -5 sedation keep him on HEPARIN INFUSION or low
molecule heparin?
low molecule heparin
20-DKA sign and symptom?
https://www.rnspeak.com/nursing-management-and-leadership-test-questions-with-rationale/ 29/09/2019, 5?24 PM
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Kussmaul, acetone breath and hypotension.
21-Anaphlactic shook what u will give?
epinephrine 1mg
22-Patient agitation what medication u will use?
holdol
23-Type of meningitis microorganism?
gram-negative, cocus diplococci
24-Patient has CVP retention which value?
CVP 20
25- patient has low K u advise him to eat?
banana
26-Covid precaution?
I chose Airborne
27-what precaution patient has dry cough..?
I chose Airborne
28- pt age 40 what type of lymphoma?

Not sure I chose ALL
29-
how many ampules in 1 cc normal saline? 3 ampules
28-subarachniod hemorrhage?
Avoid turn the head
29-side effect of albuterol?
Nervousness
30-First sign increase ICP?
Restlessness and irritability
31- email sent?
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Formal
32- communication coffee time?
Informal relationship
33-what diagnostic procedure pt with hyperlipidemia, inflammation?
Endoscopic retrograde cholangiopancreatography (ERCP)
34-patient with NGT frequent section complication?
Metabolic alkalosis
35- ABG analysis
36-stage of hypertension 180/..?
Crisis
37-nursing care plan?
Holistic approach
39-test before ABG?
Allene test
40-perphral edema?
Sign of rt heart failure
41- pic infection in central line what confirm the infection?
Tube more than 2 days
42- factor help in thrombolytic and fibrinolytic?
Xlla
43- Fluid replacement?
6 L over the first 24 h
44- Preeclampsia many other disease 34 weeks?
Deliver the fetus
45-pregnant women 24 weeks BP….. is it gestational hypertension, eclampsia or
preeclampsia?
??
46-nurse want to assess patient wound?
Put normal saline in the cotton
47-MI anterior?
V3, V4
48- fluid that used commonly after surgery, severe burn patient move fluid to blood cells?
LR
49- patient with seizure?
Prevent from injury
50-when u can transfer pt with meningitis?
After24hr of antibiotic.
51-burn in face?
intubation
52- after norepinephrine ECG some with only p wave?
I chose adverse effect
53- pt mg was 4 second day become 8 what u will do?
Repeat sample
54- hypokalemia?
Inverted T wave
55- pt on CRRT decrease ultrafiltration what to expect?
Clotted
56- high risk of infection?
Femoral line non tunneled
57- Alexandra is tasked to organize the new wing of the hospital. She was given the
authority to do as she deems fit. She is aware that the director of nursing has
substantial trust and confidence in her capabilities, communicates through
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downward and upward channels, and usually uses the ideas and opinions of her
staff. Which of the following is her style of management?
 A. Benevolent –authoritative
 B. Consultative
 C. Exploitive-authoritative
 D. Participative
58-Ms. Caputo is newly promoted to a patient care manager position. She updates
her knowledge on the theories in management and leadership in order to become
effective in her new role. She learns that some managers have low concern for
services and high concern for staff. Which style of management refers to this?
 A. Organization Management
 B. Impoverished Management
 C. Country Club Management
 D. Team Management
59-Her former manager demonstrated passion for serving her staff rather than
being served. She takes time to listen, prefers to be a teacher first before being a
leader, which is characteristic of:
 A. Transformational leader
 B. Transactional leader
 C. Servant leader
 D. Charismatic leader
60-Henry is a Unit Manager I the Medical Unit. He is not satisfied with the way
things are going in his unit. The patient satisfaction rate is 60% for two consecutive
months and staff morale is at its lowest. He decides to plan and initiate changes
that will push for a turnaround in the condition of the unit. Which of the following
actions is a priority for Henry?
 A. Call for a staff meeting and take this up in the agenda.
 B. Seek help from her manager.

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 C. Develop a strategic action on how to deal with these concerns.
 D. Ignore the issues since these will be resolved naturally.
61-Joey plans to revisit the organizational chart of the department. He plans to

create a new position of a Patient Educator who has a coordinating relationship
with the head nurse in the unit. Which of the following will likely depict this
organizational relationship?
 A. Box
 B. Solid line
 C. Broken line
 D. Dotted line
62-Which of the following guidelines should be least considered in formulating

objectives for nursing care?
 A. Written nursing care plan
 B. Holistic approach
 C. Prescribed standards
 D. Staff preferences

67-In a patient undergoing surgery, it was vital to aspirate the contents of the
upper gastrointestinal tract. After the operation, the following values were acquired
from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40
mmol/l. What is the underlying disorder?
 A. Respiratory Acidosis
 B. Respiratory Alkalosis
 C. Metabolic Acidosis
 D. Metabolic Alkalosis
68-A female adult client with a history of chronic hyperparathyroidism admits to

being non-compliant. Based on initial assessment findings, the nurse formulates the
nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement
for this client, which “related-to” phrase should the nurse add?
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 A. Related to bone demineralization resulting in pathologic fractures.
 B. Related to exhaustion secondary to an accelerated metabolic rate.
 C. Related to edema and dry skin secondary to fluid infiltration into the
interstitial spaces.
 D. Related to tetany secondary to a decreased serum calcium level.
69-During a class on exercise for diabetic clients, a female client asks the nurse
educator how often to exercise. The nurse educator advises the clients to exercise
how often to meet the goals of planned exercise?
 A. At least once a week
 B. At least three times a week
 C. At least five times a week
 D. Every day
70-Normal urine output :

0.5 ml/kg/hr
0.8 ml/kg/hr
2 ml/kg/hr
2.5 ml/kg/hr
71- knowing how when…

Information knowledge
72-nursing informatics is the intersection between the discipline-specific science and the
area of informatics
Turley’s Model
73- manager not satisfied with …

Call for meeting
74-nurse find missing drug then she see one of staff about to inject her self
Informe the supervisor
73- many questions about environmental, physical and psychological stress?
Psychological Stress in ICU

– Loss of control
– Fear of death or serious illness
– Fear of pain
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– Overwhelming isolation
– Feelings of helplessness
– Loss of normal circadian rhythms
– The disruption of normal sleep patterns
– Sleep deprivation
– Disorientation and panic
Environmental Stress in ICU

• Foreign environments
• Room temperature
• Continuous ambient lighting
• Family not continuously available for comfort
• Significant noise from personnel and medical equipment
Physical Stress in ICU
• Attached to equipment with tubes or wires

• Intubated and ventilated
• Treatment or diagnostic procedures
• Confined (restricted) to bed
• Uncomfortable bed and pillow
Unable to control stool habit
74- many questions about shock to identify the type or management
75-some phycological question.

76--‫ مريض عنده‬pAD ‫ايش االنترفنشن حقه‬
Elevate the leg when setting
Walk as tolerated
Stocking
78-
‫ مريضه جايه مع‬vomiting coffee ground , melena
- keep pt NPO
- give 2 prbcs
- IVF
79-
‫ مريض‬DNR ‫ويشتكي من الم وال‬Hb 8
‫ وفي اوردر حق‬morphin and 2 units PRBSc
‫ايش اول شي نسويه‬
‫ الجواب‬moprphine
80-
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‫ سؤال عن التحديات اللي تواجه في استخدام‬health medical recored
‫الخيارات‬
Privacy
81- stage of bed sore and other one for burn
Note:
There is an important website for studying most of MOH question and MOCK
exam, leadership and delegation question
Nursing Test Bank: #1 Free Practice Questions For 2022 - Nurseslabs
Nursing Leadership and

Management Test- questions
with rationale
Nursing Leadership And Management Practice Test
Question 1 PARTIAL-CREDIT
Situation: You are not new in your department and you had been
there for almost three years. Miss A, your previous nurse manager
was considered strict and authoritative in implementing the
protocols in your area. She would make your schedule fixed
unless you will inform her two weeks before for any change of
shift. On the contrary, your new nurse manager, Miss B, schedules
a monthly staff meeting for any significant matters in your
department. She is not so lax but makes it up to collect
suggestions from all of you before making decisions. 1. If you are
to choose which one of your nurse managers described above
reflects a democratic type of leadership, who is she?
A Miss A
Miss B
D Both of them
None of the above

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Question 1 Explanation:
A democratic leadership style offers and gives suggestions, but lets the whole group do the planning. Miss B basically exhibits a democratic leadership
What leadership style did Miss A utilized to maintain a strong

control in the department?
A Laissez- faire
Democratic
C
Collegial
Autocratic
Miss A used an autocratic leadership style to strictly maintain the

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control in the department. An autocratic leader usually gives orders and the one who makes decisions and the planning.
There are nursing students who are conducting their study on

leadership styles in your unit. One of the questions included is:
What do you think is the most effective leadership style that can
be used during emergency situations?
A Democratic
Laissez- faire
D Autocratic
Supportive
Since an authoritative leader tends to be directive, during emergency situations this kind of leadership styles pays effectiveness in nursing care. It ca
Question 4 CORRECT
What are the qualities that define a leader who uses laissez- faire?
AB She involves the group in planning and in decision
D making She oversees everything to come up with
good quantity and

quality of output but provides little autonomy and self-
motivation to her members.
She tends to be passive and puts the responsibility of

decision making to others.
She would foster independence in your team by promoting

motivation and creativity.
Laissez- faire leadership style provides no control in the team. She may be passive and uninvolved. This type of leadership style is likely to have chao
This is a common trait of a leader which is defined as his ability to

possess honesty, responsibility and maturity in the working area.
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Integrity

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BC Personality
Intelligence
Flexibility
Personality refers to his personal alertness, creativity, emotional balance and control while intelligence corresponds to his sound judgement, decisiven
Question 6 WRONG
You are the head nurse in the pediatric department. Your roles in
the planning process in the hospital include the following, except
one:
Act as link between higher- level managers and non managers
Directly responsible for the actual production of nursing services
Represent the organization
Answers C & B
Answers A & B are both roles of a head nurse while representing the organization is the role of top managerial positions like director of nursing servic
What is true about patient classification system or PCS?
It is a method of grouping patients according to length or

duration of nursing care
B
It is a measuring tool used to describe the progress of
patient’s status
D It depends on the complexity of nursing care requirements

of the patient
All of the above
It is both a method of grouping patients and a measuring tool but defines the workload of a nurse to a specific patient. It usually depends on how com

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Question 8PARTIAL-CREDIT

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You are asked by your instructor to discuss about Contingency
Theory. What should you include in your discussion?
It is a theory in leadership that views the pattern of leader

behaviour as dependent on the interaction of the
personality and the needs of the situation.
It considers that leaders must provide followers the sense

D of security and approval and discipline to be successful in
an output.
It emphasizes that both leaders and followers should act

on one another to raise their motivation.
It states that leadership qualities inspire followers to be

motivated in what they do.
Contingency theory is described as a leadership that depends on other factors in the environment for it to be effective. Option B refers to McGrego
In planning, conceptualizing the purpose and the aspirations

of the organization is essential. What statement gives a false
description of a vision?
It reflects what the organization wants to be

B
It is written to magnify the various activities and it is
projected with a broad time frame
D
It reflects why the organization exist
It uses action words in present tense
This description corresponds to a mission statement not a vision statement.
Isabelle, your co-worker, is a newly hired nurse. She asked you

about centralized staffing system.
The head nurse or the supervisor does the scheduling

of personnel.
BC
Schedule is based on the needs of the patients and the

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knowledge of the personnel.
You can readily rearrange your schedule as needed.
The scheduling is planned and made by the nursing director.

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Centralized staffing system is done by the nursing director, wherein denies the head nurse to make the staffing decisions and it allows minimal person
In the hospital, your department is using the functional method of

patient care modality. What is it all about?
One nurse is responsible for giving bedside care, another

one for administering medications and another one for
treatments and so on.
It is a one on one constant patient care for period of time.

D
The nurse has the responsibility for giving nursing care to
the client from admission until discharge
A team leader has the responsibility for coordinating the

total care of a group of patients.
Functional nursing is a task- oriented way of delegating work. No single nurse is responsible for the total care of any patient.
It corresponds to moderate care or category 2 in the patient

classification system, if:
The patient is unstable and acutely ill and has high

demands for nursing care
CD
The patient is already recovering from a serious
illness and requires some assistance.
The patient is only requiring diagnostic studies and

minimal therapy.
The patient needs close monitoring and requires complete

care in most activities
A patient can be considered to be in category 2 if she is already recovering from an illness and is able to meet his needs with minimal assistance.
Question 13 CORRECT

Page 16 of 25
It is a managerial function that indicates leading the staff in the
most effective method.
A Planning

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Directing
CD
Organizing
Controlling
Directing means giving instructions, directions, or orders in such a way that a certain goal will be achieved effectively.
Question 14 WRONG
Which describes an informal leader?
Anna who is appointed because of her competencies

and continuing education
Maria who becomes the leader of the team because of her

years of experience in the department
Eduard who is considered the leader of the team since he

was given the legitimate authority to act as one.
Alexandra who is chosen by the administration because of

her age and knowledge in the area of work.
Words such as appointed, legitimate authority, and chose by the administration all describes a formal leader. Maria becomes the leader because of he
Question 15 CORRECT
Why is good communication important in managing

personnel?
A BItCmotivates personnel to do their jobs well
It promotes independence and collaboration
It fosters influence and power
All of the above
All the statements above describe the advantages of a good communication in the organization.

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Downward communication is described below. Which one is correct?
The communication is between two supervisors

Page 19 of 25
B
The flow of communication is from the head nurse to supervisor
The flow of communication is from the chief nurse to the

head nurse
The flow of communication is from the staff nurse to the

chief nurse
Downward communication is defined as the flow of communication from the top level managers to the lower levels.
Question 17 WRONG
During controlling and evaluating phase, the following are quality

improvement methods utilized by institutions. Which one refers to
a review process used by healthcare organization to assure that
the hospital may provide care to clients?
Credentialing and licensing
Standards of care
Clinical pathways
Benchmarking
Standards of care refers to descriptions of standard client care which was developed by healthcare organizations to be considered as guide; clinical p
Question 18 CORRECT
Which type of conflict management technique is described as

cooperating and that one side gives in to the other?
A Avoiding
CD Accommodating
Competing
Compromising
Accommodating allows stakes which is not high enough. It can be utilized when the other side is more concerned with the issue than the other one.

Page 20 of 25
The management theorist who developed the 14 principles of

management is:
A Frederick Taylor
Max Weber
C
Mary Follet
Henri Fayol
Frederick Taylor postulated the theory of scientific management while Max Weber advocated that the ideal organization for complex institution is havi
What are the tasks that should not be delegated to a non professional staff?
Doing the vital signs

B
Turning the client every two hours
Grooming and bathing the client
Assessment of neurological deficits
Nursing assessment requiring professional judgement should not be delegated to a non professional nurse.
You are asked by your instructor to differentiate a leader and a

manager. Which one is incorrect?
A A leader is focused on purposes but a manager is focused

with structures and processes.
A leader does the right thing and a manager does each

task the right way.
D A leader has a short term view while a manager views work

in long term duration
A leader rely on trust while a manager rely on control
It is incorrect since a leader focuses on the future of his organization thus it has long term goals for it while a manager focuses on the

Page 21 of 25
present making him plot for short term goals.
Question 22 WRONG
Supervision and delegation fall to what phase of the management process?
Organizing
Directing
Controlling
Planning
In directing, commanding orders or tasks and coordinating it to personnel are involved – thus, delegation and supervision have important roles in this
What type of conflict refers to when there are two or more

opposing incompatible demands that arise and priority
differences affects the resolution of the conflict.
AB Interpersonal conflict
Organizational conflict
Intrapersonal conflict
Answers A & B
This kind of conflict usually arises when a staff is confronted with choosing between going to work or prioritizing her sick mother, and the like.
Question 24 CORRECT
What is not a characteristic of an organizational chart?
A It shows the division of work
CD It shows the workload of each personnel
It reflects the type of work of each staff
It delineates the groupings according to type of work
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The organizational chart shows all the above descriptions except for telling the amount of work laid for personnel. It might impose the weight of re
What kind of staffing is considered the most common pattern and

the oldest type?
Cyclical staffing
B
Full time equivalent staffing
D Conventional staffing
Decentralized staffing
It is the oldest staffing pattern utilized by many institutions. It combines centralized and decentralized staffing.

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2022 Critical Care Final Exam

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2022 Critical care final exam

1-First step to deal with moral distress is

10-Patient with Low potassium diarrhea?

28- pt age 40 what type of lymphoma?

 A. Benevolent –authoritative

 A. Organization Management

 B. Impoverished Management

 C. Country Club Management

 D. Team Management

 A. Transformational leader

 B. Transactional leader

 C. Servant leader

 D. Charismatic leader

 B. Seek help from her manager.

 D. Ignore the issues since these will be resolved naturally.

61-Joey plans to revisit the organizational chart of the department. He plans to

 B. Solid line

 C. Broken line

 D. Dotted line

62-Which of the following guidelines should be least considered in formulating

 A. Written nursing care plan

 B. Holistic approach

 C. Prescribed standards

 D. Staff preferences

 A. Respiratory Acidosis

 B. Respiratory Alkalosis

 C. Metabolic Acidosis

 D. Metabolic Alkalosis

68-A female adult client with a history of chronic hyperparathyroidism admits to

 B. Related to exhaustion secondary to an accelerated metabolic rate.

 D. Related to tetany secondary to a decreased serum calcium level.

 A. At least once a week

 B. At least three times a week

 C. At least five times a week

 D. Every day

70-Normal urine output :

71- knowing how when…

73- manager not satisfied with …

73- many questions about environmental, physical and psychological stress?

Psychological Stress in ICU

Environmental Stress in ICU

Physical Stress in ICU

• Attached to equipment with tubes or wires

74- many questions about shock to identify the type or management

75-some phycological question.

Nursing Leadership and

None of the above

What leadership style did Miss A utilized to maintain a strong

https://www.rnspeak.com/nursing-management-and-leadership-test-questions-with-rationale/ 29/09/2019, 5?24 PM

There are nursing students who are conducting their study on

AB She involves the group in planning and in decision

D making She oversees everything to come up with

good quantity and

She tends to be passive and puts the responsibility of

She would foster independence in your team by promoting

This is a common trait of a leader which is defined as his ability to

https://www.rnspeak.com/nursing-management-and-leadership-test-questions-with-rationale/ 29/09/2019, 5?24 PM

Act as link between higher- level managers and non managers

Directly responsible for the actual production of nursing services

Represent the organization

What is true about patient classification system or PCS?

It is a method of grouping patients according to length or