10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Critical Care Nursing: Diagnosis and Management, 10th
Edition
Unit I – Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
,Critical Care Nursing Test Bank (20 Questions)
Unit I: Foundations of Critical Care Nursing
Question 1
Bloom's Level: Recall
Difficulty: Easy
Learning Objective: Describe the primary purpose of critical care nursing.
A newly licensed nurse asks about the primary focus of critical care nursing. Which response by
the preceptor is most accurate?
A. Providing long-term rehabilitation services
B. Managing critically ill patients with actual or potential life-threatening conditions
C. Performing routine preventive health screenings
D. Coordinating outpatient specialty referrals
Correct Answer: B
Rationale: Critical care nursing focuses on patients experiencing actual or potential life-
threatening health problems requiring comprehensive assessment, advanced monitoring, and
specialized interventions.
Distractor Analysis:
A: Rehabilitation is not the primary focus of critical care.
C: Preventive screening is associated with primary care.
D: Referral coordination is not the central role of critical care nursing.
Chapter Reference: Critical Care Nursing Practice
Clinical Significance: Understanding the scope of critical care nursing guides professional role
development.
Question 2
Bloom's Level: Comprehension
Difficulty: Easy
Learning Objective: Identify characteristics of contemporary critical care.
Which statement best describes contemporary critical care practice?
,A. Care is limited to intensive care units.
B. Critical care is delivered wherever critically ill patients are located.
C. Only physicians provide critical care management.
D. Technology has reduced the need for nursing assessment.
Correct Answer: B
Rationale: Modern critical care extends beyond traditional ICUs and includes emergency
departments, step-down units, transport settings, and tele-ICU environments.
Distractor Analysis:
A: Critical care occurs in multiple settings.
C: Interprofessional teams provide care.
D: Technology supplements but does not replace assessment.
Chapter Reference: Contemporary Critical Care
Clinical Significance: Nurses must adapt critical care skills to diverse settings.
Question 3
Bloom's Level: Recall
Difficulty: Easy
Learning Objective: Differentiate advanced practice nursing roles.
Which nurse is functioning in an advanced practice role?
A. Charge nurse
B. Staff nurse
C. Clinical nurse specialist
D. Nursing assistant
Correct Answer: C
Rationale: Clinical nurse specialists are advanced practice registered nurses who provide expert
consultation, education, and leadership.
Distractor Analysis:
A: Leadership role but not APRN.
B: Registered nurse role.
D: Unlicensed assistive personnel.
, Chapter Reference: Advanced Practice Nurses
Clinical Significance: APRNs contribute to improved patient outcomes and evidence-based
care.
Question 4 (SATA)
Bloom's Level: Comprehension
Difficulty: Moderate
Learning Objective: Identify Social Determinants of Health domains.
Which factors are considered Social Determinants of Health (SDOH)? Select all that apply.
A. Economic stability
B. Education access and quality
C. Health care access and quality
D. Neighborhood and built environment
E. Eye color
Correct Answers: A, B, C, D
Rationale: SDOH domains include economic stability, education, health care access,
neighborhood environment, and social/community context.
Distractor Analysis:
E: Biological characteristic, not an SDOH domain.
Chapter Reference: SDOH Domains
Clinical Significance: Recognition of SDOH promotes equitable critical care delivery.
Question 5
Bloom's Level: Application
Difficulty: Moderate
Learning Objective: Apply principles of health equity.
A nurse notes that patients from disadvantaged communities have higher ICU mortality rates
despite similar diagnoses. This observation is most consistent with: