SOLE’S INTRODUCTION TO
CRITICAL CARE NURSING
9TH EDITION
• AUTHOR(S)MARY MAKIC
TEST BANK
1.
Reference: Ch. 1 — Introduction: Role delineation in the ICU
Stem: A newly hired nurse on an adult ICU float pool is asked to
care for a postoperative sepsis patient with invasive monitoring.
The nurse states they “only do basic bedside care” and hesitates
to interpret hemodynamic trends. Which action should the
charge nurse prioritize?
A. Reassign the nurse to a low-acuity patient for the shift.
B. Provide a brief bedside teaching session and supervise
interpretation across the shift.
C. Require the nurse to review the unit handbook
independently before assigning.
,D. Have the nurse observe another nurse without direct patient
assignments.
Correct Answer: B
Rationale — Correct: Supervising with bedside teaching
addresses patient safety while building competency; it allows
real-time coaching, aligns with role delineation, and preserves
safe care.
Rationale — Incorrect:
A. Reassignment avoids immediate risk but misses opportunity
for competency development and may not be feasible.
C. Independent review is passive and insufficient when
immediate patient safety and interpretation are required.
D. Observation without hands-on supervision delays active
learning and does not ensure safe care delegation.
Teaching Point: Supervised bedside teaching balances safety
and competency development.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
2.
Reference: Ch. 1 — Clinical Judgment Measurement Model:
recognizing deterioration
Stem: A patient’s vitals change: HR 120, BP 86/48, RR 28, SpO₂
92% on 2 L. The nurse notes subtle confusion and decreased
urine output. According to clinical judgment principles, what is
the nurse’s best immediate action?
,A. Notify the provider and document findings.
B. Perform focused assessment (lung sounds, skin perfusion,
orthostatics) and activate rapid response if criteria met.
C. Increase IV fluids by 250 mL bolus without notifying team.
D. Reassess in 30 minutes to see trend.
Correct Answer: B
Rationale — Correct: Focused assessment collects data to
differentiate shock/respiratory causes; rapid response
activation is appropriate if instability persists—this follows
clinical judgment and early deterioration recognition.
Rationale — Incorrect:
A. Notification without rapid focused assessment delays
immediate stabilization steps.
C. Administering fluids without assessment risks fluid overload
if cardiogenic causes exist.
D. Waiting 30 minutes risks worsening hemodynamic instability.
Teaching Point: Rapid focused assessment informs timely
escalation for deteriorating patients.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
3.
Reference: Ch. 1 — Professional organizations: advocacy and
standards
Stem: The unit is implementing a new ventilator-associated
pneumonia (VAP) prevention bundle. A staff nurse suggests
, adding a unit-level metric to report to a professional critical
care organization. Which benefit aligns best with professional
organization involvement?
A. Immediate financial reimbursement for compliance.
B. Access to benchmarking data and evidence-based standards
for improvement.
C. Mandatory adoption of the bundle by regulatory bodies.
D. Decreased need for unit-level audits.
Correct Answer: B
Rationale — Correct: Professional organizations provide
benchmarking and standards that inform evidence-based
practice and quality improvement—useful for targeted unit
metrics.
Rationale — Incorrect:
A. Membership or reporting may not produce immediate
financial reimbursement.
C. Organizations influence guidelines but do not unilaterally
mandate regulatory adoption.
D. Audits remain necessary; reporting augments but does not
replace audits.
Teaching Point: Professional bodies supply benchmarking and
standards to guide unit improvement.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
4.
CRITICAL CARE NURSING
9TH EDITION
• AUTHOR(S)MARY MAKIC
TEST BANK
1.
Reference: Ch. 1 — Introduction: Role delineation in the ICU
Stem: A newly hired nurse on an adult ICU float pool is asked to
care for a postoperative sepsis patient with invasive monitoring.
The nurse states they “only do basic bedside care” and hesitates
to interpret hemodynamic trends. Which action should the
charge nurse prioritize?
A. Reassign the nurse to a low-acuity patient for the shift.
B. Provide a brief bedside teaching session and supervise
interpretation across the shift.
C. Require the nurse to review the unit handbook
independently before assigning.
,D. Have the nurse observe another nurse without direct patient
assignments.
Correct Answer: B
Rationale — Correct: Supervising with bedside teaching
addresses patient safety while building competency; it allows
real-time coaching, aligns with role delineation, and preserves
safe care.
Rationale — Incorrect:
A. Reassignment avoids immediate risk but misses opportunity
for competency development and may not be feasible.
C. Independent review is passive and insufficient when
immediate patient safety and interpretation are required.
D. Observation without hands-on supervision delays active
learning and does not ensure safe care delegation.
Teaching Point: Supervised bedside teaching balances safety
and competency development.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
2.
Reference: Ch. 1 — Clinical Judgment Measurement Model:
recognizing deterioration
Stem: A patient’s vitals change: HR 120, BP 86/48, RR 28, SpO₂
92% on 2 L. The nurse notes subtle confusion and decreased
urine output. According to clinical judgment principles, what is
the nurse’s best immediate action?
,A. Notify the provider and document findings.
B. Perform focused assessment (lung sounds, skin perfusion,
orthostatics) and activate rapid response if criteria met.
C. Increase IV fluids by 250 mL bolus without notifying team.
D. Reassess in 30 minutes to see trend.
Correct Answer: B
Rationale — Correct: Focused assessment collects data to
differentiate shock/respiratory causes; rapid response
activation is appropriate if instability persists—this follows
clinical judgment and early deterioration recognition.
Rationale — Incorrect:
A. Notification without rapid focused assessment delays
immediate stabilization steps.
C. Administering fluids without assessment risks fluid overload
if cardiogenic causes exist.
D. Waiting 30 minutes risks worsening hemodynamic instability.
Teaching Point: Rapid focused assessment informs timely
escalation for deteriorating patients.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
3.
Reference: Ch. 1 — Professional organizations: advocacy and
standards
Stem: The unit is implementing a new ventilator-associated
pneumonia (VAP) prevention bundle. A staff nurse suggests
, adding a unit-level metric to report to a professional critical
care organization. Which benefit aligns best with professional
organization involvement?
A. Immediate financial reimbursement for compliance.
B. Access to benchmarking data and evidence-based standards
for improvement.
C. Mandatory adoption of the bundle by regulatory bodies.
D. Decreased need for unit-level audits.
Correct Answer: B
Rationale — Correct: Professional organizations provide
benchmarking and standards that inform evidence-based
practice and quality improvement—useful for targeted unit
metrics.
Rationale — Incorrect:
A. Membership or reporting may not produce immediate
financial reimbursement.
C. Organizations influence guidelines but do not unilaterally
mandate regulatory adoption.
D. Audits remain necessary; reporting augments but does not
replace audits.
Teaching Point: Professional bodies supply benchmarking and
standards to guide unit improvement.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
4.
