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
,A newly hired ICU nurse is caring for a mechanically ventilated
patient with septic shock. During interdisciplinary rounds, the
nurse clearly communicates changes in urine output, increasing
vasopressor requirements, and rising lactate levels. Which
healthy work environment standard is best demonstrated?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication involves clear, accurate, and timely
exchange of patient information among team members to
improve patient outcomes. Reporting trends in urine output,
vasopressor needs, and lactate changes demonstrates effective
ICU communication. Appropriate staffing relates to nurse-
patient ratios and competency mix. Meaningful recognition
focuses on acknowledging contributions. Authentic leadership
involves leadership accountability and support.
Source: Morton & Thurman, Ch. 1
Question 2
An ICU nurse is implementing evidence-based interventions to
reduce ventilator-associated complications. Which action best
reflects evidence-based practice (EBP)?
, A. Performing interventions based solely on physician
preference
B. Using interventions supported by current research and
clinical expertise
C. Following unit tradition regardless of patient outcomes
D. Avoiding protocol use to preserve individualized care
Correct Answer: B
Rationale:
EBP integrates best current evidence, clinician expertise, and
patient values to improve outcomes. Using researched
interventions for ventilated patients reflects EBP principles.
Relying solely on physician preference or tradition does not
reflect evidence integration. Individualized care can still occur
within evidence-based protocols.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU charge nurse notes increasing medication errors during
periods of heavy admissions and inadequate nurse staffing.
Which healthy work environment standard is most directly
compromised?
A. Appropriate staffing
B. True collaboration
C. Meaningful recognition
D. Skilled communication
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
,A newly hired ICU nurse is caring for a mechanically ventilated
patient with septic shock. During interdisciplinary rounds, the
nurse clearly communicates changes in urine output, increasing
vasopressor requirements, and rising lactate levels. Which
healthy work environment standard is best demonstrated?
A. Appropriate staffing
B. Skilled communication
C. Meaningful recognition
D. Authentic leadership
Correct Answer: B
Rationale:
Skilled communication involves clear, accurate, and timely
exchange of patient information among team members to
improve patient outcomes. Reporting trends in urine output,
vasopressor needs, and lactate changes demonstrates effective
ICU communication. Appropriate staffing relates to nurse-
patient ratios and competency mix. Meaningful recognition
focuses on acknowledging contributions. Authentic leadership
involves leadership accountability and support.
Source: Morton & Thurman, Ch. 1
Question 2
An ICU nurse is implementing evidence-based interventions to
reduce ventilator-associated complications. Which action best
reflects evidence-based practice (EBP)?
, A. Performing interventions based solely on physician
preference
B. Using interventions supported by current research and
clinical expertise
C. Following unit tradition regardless of patient outcomes
D. Avoiding protocol use to preserve individualized care
Correct Answer: B
Rationale:
EBP integrates best current evidence, clinician expertise, and
patient values to improve outcomes. Using researched
interventions for ventilated patients reflects EBP principles.
Relying solely on physician preference or tradition does not
reflect evidence integration. Individualized care can still occur
within evidence-based protocols.
Source: Morton & Thurman, Ch. 1
Question 3
An ICU charge nurse notes increasing medication errors during
periods of heavy admissions and inadequate nurse staffing.
Which healthy work environment standard is most directly
compromised?
A. Appropriate staffing
B. True collaboration
C. Meaningful recognition
D. Skilled communication
