1_INTRODUCTION

Question 1

deals with human responses to life threatening health problems

Answer 1

Critical care nursing

Question 2

The specialty of critical care has its roots in the ______ when polio victims were cared for in critical care units.

Answer 2

1950’s

Question 3

In the _____ recovery rooms were established for the care of patients who had gone into surgery and _________ were instituted for the care of individuals with cardiac problems.

Answer 3

1960’s

coronary care units

Question 4

3 Transformational Changes in Healthcare Delivery System ( IWE)

Answer 4

Issues in managing neglected health care services
Work force
Emergency preparedness

Question 5

3 New Expectation in Nursing Practice

Answer 5

Display a professional attitude, skilled and equipped
Challenges in patient care.
Complexities of globalization.

Question 6

is the specialty within nursing that deals specifically with human responses to life-threatening problem

Answer 6

Critical care nursing

Question 7

Critical Care Nursing is focused on:
(CRRMP)

Answer 7

Curative
Restorative
Rehabilitative
Maintainable
Palliative care

Question 8

(PRC-BON) Meaning

Answer 8

Professional Regulation Commission – Board of Nursing

Question 9

is dedicated to provide the regulation for an effective and efficient nursing care service.

Answer 9

Professional Regulation Commission – Board of Nursing (PRC-BON)

Question 10

PRC-BON developed the __________in the year _____

Answer 10

Nursing Specialty Framework (1996)

Question 11

PRC-BON developed the Nursing Specialty Framework (1996).
Committee includes: (PEM)

Answer 11

nurse educators, nurse practitioners and nurse managers.

Question 12

(CCNAPI) meaning

Answer 12

Critical Care Nursing Association of the Philippines (

Question 13

TRUE/FALSE

The CCNAPI Core Competencies of a Critical Care Nurse are stated according to the levels of expected behavior defining the actual knowledge, skills and abilities in the practice of critical care by a nursing professional.

Answer 13

True

Question 14

levels of CCNAPI Core Competencies of a Critical Care Nurse

Answer 14

Nurse Clinician 1
Nurse Clinician II
Nurse Specialist

Question 15

11 CORE COMPETENCIES (BON 2025)

Answer 15

Safe & quality nursing practice
Management of resources & environment
Health and education
Legal responsibility
Ethico- moral responsibility
Personal & professional development
Quality improvement
Research
Record management
Communication
Collaboration & teamwork

Question 16

Philosophy of Critical Care Nursing:

Critical Care Nursing reflects a holistic approach in caring for patients. It places great emphasis on the caring of the __________________ of human beings and their responses to illnesses rather than salary on the disease process.

Answer 16

bio-psycho-social-spiritual nature

Question 17

Philosophy of Critical Care Nursing:
It helps maintain the individual patient’s identity and _____.

Answer 17

dignity

Question 18

The focus of caring includes ________, _____________;and _________to decrease future patient admissions to acute care facilities.

Answer 18

preventive care,risk factor modification ,education

Question 19

(ICN) meaning

Answer 19

International Council of Nurses (ICN)

Question 20

The International Council of Nurses (ICN) views health care as the rights of every individual regardless of financial, political, geographical, racial and religious consideration.

Answer 20

The Right of Critically Ill Patient

Question 21

This right includes the right to choose or decline care, including the right to accept or refuse treatment or nourishment; informed consent; confidentiality and dignity, including the right to die with dignity. It involves both the rights of those seeking care and the providers

Answer 21

6The Right of Critically Ill Patient

Question 22

The Right of Critically Ill Patient(Enumerate)

Answer 22

This right includes:
the right to choose or decline care,

including the right to accept or refuse treatment or nourishment;

informed consent;

confidentiality and dignity, including the right to die with dignity.

It involves both the rights of those seeking care and the providers.

Question 23

Goals of Critical Care Nursing
(P, C, U, P)

Answer 23

To promote optimal delivery of safe and quality care to the critically ill patients and their families by providing highly individualized care so that the physiological dysfunction as well as the psychological stress in the ICU are under control;
To care for the critically ill patients with a holistic approach, considering the patient’s biological, psychological, cultural and spiritual dimensions regardless of diagnosis or clinical setting
To use relevant and up-to-date knowledge, caring attitude and clinical skills, supported by appropriate technology for the prevention, early detection and treatment of complications to facilitate recovery.
To provide palliative care to the critically ill patients in situations where their health status is progressing to unavoidable death, and to help the patients and families go through their painful sufferings.

Question 24

Goals of Critical Care Nursing

To promote optimal delivery of safe and quality care to the critically ill patients and their families by providing _______________ so that the physiological dysfunction as well as the psychological stress in the ICU are under control;

Answer 24

providing highly individualized care

Question 25

Goals of Critical Care Nursing To care for the critically ill patients with a __________, considering the patient’s biological, psychological, cultural and spiritual dimensions regardless of diagnosis or clinical setting

Answer 25

holistic approach

Question 26

T/F Goals of Critical Care Nursing To use relevant and up-to-date knowledge, caring attitude and clinical skills, supported by appropriate technology for the prevention, early detection and treatment of complications to facilitate recovery.

Answer 26

TRUE

Question 27

Goals of Critical Care Nursing To provide _________ to the critically ill patients in situations where their health status is progressing to unavoidable death, and to help the patients and families go through their painful sufferings.

Answer 27

palliative care

Question 28

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS WITHIN PHILIPPINES

Answer 28

LEVEL 1 LEVEL 2 LEVEL 3

Question 29

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Able to provide immediate resuscitation ( CPR) for critically ill

Answer 29

Level 1

Question 30

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Monitoring complications of “at risk” MS patients

Answer 30

LEVEL 1

Question 31

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Providing mech vent and simple invasive cardiovascular monitoring

Answer 31

LEVEL 1

Question 32

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Formal organization of medical staff ( at least 1 RN)

Answer 32

LEVEL 1

Question 33

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Staffing 1:1 ratio

Answer 33

LEVEL 1

Question 34

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Should be capable of providing a high standard of general critical care for patients who are stepping down from higher levels of care or requiring single organ support/support post-operatively;

Answer 34

Level 2

Question 35

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Capable of providing sustainable support for mechanical ventilation, renal replacement therapy, invasive hemodynamic monitoring and equipment for critically ill patients of various specialties such as medicine, surgery, trauma, neurosurgery, vascular surgery;

Answer 35

LEVEL 2

Question 36

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Has a designated medical director with appropriate intensive care qualification and a duty

Answer 36

LEVEL 2

Question 37

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: A nurse: patient ratio is 1:1 for all critically ill patients.

Answer 37

LEVEL 2

Question 38

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Is a tertiary referral unit, capable of managing all aspects of critical care medicine (This does not only include the management of patients requiring advanced respiratory support but also patients with multi-organ failure);

Answer 38

LEVEL 3

Question 39

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: Has a medical director with specialist critical / intensive care qualification and a duty specialist available exclusively to the unit and medical staff with an appropriate level of experience present in the unit at all times;

Answer 39

Level 3

Question 40

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: A nurse in-charge and the majority of nursing staff have intensive care certification; and

Answer 40

LEVEL 3

Question 41

LEVELS & CATEGORIES OF CRITICAL CARE PROVISIONS: A nurse: patient ratio is at least 1:1 for all patients at all times.

Answer 41

LEVEL 3

Question 42

Rules/Guidelines to follow Three L’s to NOT DO:

Answer 42

Lie (especially parts of physical exam that you did not do) Be Lazy Be Late

Question 43

These are the habits to ICU success: (O,I, E,T,I,O)

Answer 43

Be Organized Be Involved Be Efficient Be Thorough Take Initiative Take Ownership of Your patients

Question 44

Daily Routine/Patient Care Every day each person should have the following addressed: (C,S,G,D,F,D)

Answer 44

1. Code Status 2. Sedation (held in am, when stopping, etc.) 3. GI Prophylaxis (most important, when intubated) 4. DVT Prophylaxis 5. Fluid, electrolytes, nutrition 6. Disposition

Question 45

Other daily tasks to always keep in mind: (MIDDD)

Answer 45

7. Monitor I/O on EVERY PATIENT with 24h totals 8. Know their IV access including dates central lines have been placed 9. Duration of antibiotics use 10. Duration of steroid use for shock patients 11. Date and type of suction and other catheter inserted

Question 46

For Mechanically Ventilated Patients, always know the following

Answer 46

Date Intubated Size of Tube Vent Settings (mode/rate/volume/pressure/PEEP/FiO2) Peak/Plateau Pressure

Question 47

Life Threatening Health Problems:

Answer 47

CVA, MI, Electrolyte Imbalances. Burn, Chest Pain etc.

Question 48

poliomyelitis year ____

Answer 48

1950-1953

Question 49

Do not CPR Maintain IV fluids, meds and therapy Family members are the ones that will remove contraptions (catheters, cannula, etc.) from the patient.

Answer 49

DNR (Do Not Resuscitate)

Question 50

PUT BACK TO LIFE (FLAT LINE) NEED CONSENT

Answer 50

DEFIBRILLATION

Question 51

>200 CARDIAC RATE DON’T NEED CONSENT POSSIBLE: ARRHYTHMIA/DYSRHYTHMIA

Answer 51

CARDIOVERSION