Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Question 1
An ICU nurse notes repeated breakdowns in handoff
communication resulting in delayed interventions. Which
concept from critical care nursing practice directly addresses
this issue?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication is essential to ensure accurate, timely
exchange of patient information and prevent errors.
Appropriate staffing (A) affects workload but does not directly
fix communication breakdowns. Meaningful recognition (C)
supports morale but not communication processes. Authentic
leadership (D) influences culture but is not the direct
mechanism for improving communication.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse is reviewing research to guide ICU practice changes.
Which level of evidence provides the strongest support for
clinical decision-making?
, A. Expert opinion
B. Case study
C. Randomized controlled trials
D. Descriptive study
Correct Answer: C
Rationale:
Randomized controlled trials provide the highest level of
evidence for determining cause-and-effect relationships. Expert
opinion (A) is lowest-level evidence. Case studies (B) and
descriptive studies (D) provide insight but lack strong
generalizability and control.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU implements evidence-based protocols, but nurses
inconsistently follow them. Which barrier is most likely
contributing?
A. Lack of patient acuity
B. Limited access to evidence
C. Excessive staffing levels
D. Overuse of protocols
Correct Answer: B
Rationale:
Limited access to evidence is a common barrier to EBP
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Question 1
An ICU nurse notes repeated breakdowns in handoff
communication resulting in delayed interventions. Which
concept from critical care nursing practice directly addresses
this issue?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication is essential to ensure accurate, timely
exchange of patient information and prevent errors.
Appropriate staffing (A) affects workload but does not directly
fix communication breakdowns. Meaningful recognition (C)
supports morale but not communication processes. Authentic
leadership (D) influences culture but is not the direct
mechanism for improving communication.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse is reviewing research to guide ICU practice changes.
Which level of evidence provides the strongest support for
clinical decision-making?
, A. Expert opinion
B. Case study
C. Randomized controlled trials
D. Descriptive study
Correct Answer: C
Rationale:
Randomized controlled trials provide the highest level of
evidence for determining cause-and-effect relationships. Expert
opinion (A) is lowest-level evidence. Case studies (B) and
descriptive studies (D) provide insight but lack strong
generalizability and control.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU implements evidence-based protocols, but nurses
inconsistently follow them. Which barrier is most likely
contributing?
A. Lack of patient acuity
B. Limited access to evidence
C. Excessive staffing levels
D. Overuse of protocols
Correct Answer: B
Rationale:
Limited access to evidence is a common barrier to EBP
