Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Unit I: Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
Question 1 (MCQ)
Bloom Level: Recall
Difficulty: Easy
Learning Objective: Describe the historical development of
,critical care nursing.
Chapter Reference: Critical Care Nursing Practice – History of
Critical Care
Clinical Significance: Understanding historical influences helps
nurses appreciate current ICU practices.
Which event most directly contributed to the development of
modern intensive care units?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring continuous
monitoring
C. Development of outpatient surgical centers
D. Expansion of home health services
Correct Answer: B
Rationale: Modern ICUs emerged when critically ill patients
were grouped together for continuous observation, specialized
equipment, and expert nursing care.
Distractor Analysis:
A: EHRs improved documentation but did not create ICUs.
C: Outpatient surgery reduced hospitalization needs.
D: Home health services developed later and do not
explain ICU origins.
Question 2 (MCQ)
,Bloom Level: Recall
Difficulty: Easy
Learning Objective: Identify roles of advanced practice nurses
in critical care.
Chapter Reference: Expanded-Role Nursing Positions
Which professional is most likely to diagnose illnesses,
prescribe medications, and manage complex ICU patients?
A. Staff nurse
B. Nurse aide
C. Advanced practice registered nurse
D. Unit secretary
Correct Answer: C
Rationale: APRNs possess advanced education and clinical
authority to assess, diagnose, prescribe, and manage care.
Distractor Analysis:
A: Staff nurses implement and evaluate care but generally
do not prescribe.
B: Nurse aides provide supportive care.
D: Unit secretaries perform administrative duties.
Question 3 (SATA)
Bloom Level: Comprehension
Difficulty: Moderate
, Learning Objective: Recognize domains of social determinants
of health.
Which factors are considered Social Determinants of Health
(SDOH)? Select all that apply.
A. Education access
B. Neighborhood environment
C. Genetic mutations only
D. Economic stability
E. Health care access
Correct Answers: A, B, D, E
Rationale: SDOH include economic stability, education,
healthcare access, neighborhood environment, and
social/community context.
Distractor Analysis:
C: Genetics influence health but are not categorized as
SDOH.
Question 4 (Case Study MCQ)
Bloom Level: Application
Difficulty: Moderate
Learning Objective: Apply knowledge of health disparities to
patient care.
A critically ill patient with limited English proficiency is admitted
to the ICU. Which nursing action best promotes equitable care?
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Unit I: Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
Question 1 (MCQ)
Bloom Level: Recall
Difficulty: Easy
Learning Objective: Describe the historical development of
,critical care nursing.
Chapter Reference: Critical Care Nursing Practice – History of
Critical Care
Clinical Significance: Understanding historical influences helps
nurses appreciate current ICU practices.
Which event most directly contributed to the development of
modern intensive care units?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring continuous
monitoring
C. Development of outpatient surgical centers
D. Expansion of home health services
Correct Answer: B
Rationale: Modern ICUs emerged when critically ill patients
were grouped together for continuous observation, specialized
equipment, and expert nursing care.
Distractor Analysis:
A: EHRs improved documentation but did not create ICUs.
C: Outpatient surgery reduced hospitalization needs.
D: Home health services developed later and do not
explain ICU origins.
Question 2 (MCQ)
,Bloom Level: Recall
Difficulty: Easy
Learning Objective: Identify roles of advanced practice nurses
in critical care.
Chapter Reference: Expanded-Role Nursing Positions
Which professional is most likely to diagnose illnesses,
prescribe medications, and manage complex ICU patients?
A. Staff nurse
B. Nurse aide
C. Advanced practice registered nurse
D. Unit secretary
Correct Answer: C
Rationale: APRNs possess advanced education and clinical
authority to assess, diagnose, prescribe, and manage care.
Distractor Analysis:
A: Staff nurses implement and evaluate care but generally
do not prescribe.
B: Nurse aides provide supportive care.
D: Unit secretaries perform administrative duties.
Question 3 (SATA)
Bloom Level: Comprehension
Difficulty: Moderate
, Learning Objective: Recognize domains of social determinants
of health.
Which factors are considered Social Determinants of Health
(SDOH)? Select all that apply.
A. Education access
B. Neighborhood environment
C. Genetic mutations only
D. Economic stability
E. Health care access
Correct Answers: A, B, D, E
Rationale: SDOH include economic stability, education,
healthcare access, neighborhood environment, and
social/community context.
Distractor Analysis:
C: Genetics influence health but are not categorized as
SDOH.
Question 4 (Case Study MCQ)
Bloom Level: Application
Difficulty: Moderate
Learning Objective: Apply knowledge of health disparities to
patient care.
A critically ill patient with limited English proficiency is admitted
to the ICU. Which nursing action best promotes equitable care?
