Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Question 1 (Recall)
Learning Objective: Identify the primary goal of critical care
nursing.
Chapter Reference: Critical Care Nursing Practice
A critically ill patient is admitted with septic shock. What is the
primary goal of critical care nursing?
A. Prevent all hospital admissions
B. Support organ function while treating the underlying
,condition
C. Reduce healthcare costs
D. Minimize use of technology
Correct Answer: B
Rationale: Critical care nursing focuses on supporting
physiologic function and preventing complications while
treating the underlying illness.
Distractor Analysis:
A: Not the purpose of critical care nursing.
C: Cost containment is secondary.
D: Technology is often necessary in ICU care.
Difficulty: Easy
Clinical Significance: Guides prioritization of life-sustaining
interventions.
Question 2 (Recall)
Learning Objective: Identify an expanded-role nursing position.
Chapter Reference: Expanded-Role Nursing Positions
Which nurse is functioning in an advanced practice role?
A. Charge nurse
B. Staff nurse
,C. Clinical Nurse Specialist
D. Unit secretary
Correct Answer: C
Rationale: Clinical Nurse Specialists are advanced practice
registered nurses who provide expert consultation and
leadership.
Distractor Analysis:
A: Leadership role but not APRN.
B: Registered nurse role.
D: Non-nursing role.
Difficulty: Easy
Clinical Significance: Clarifies scope of advanced practice
responsibilities.
Question 3 (Comprehension)
Learning Objective: Explain Social Determinants of Health.
Chapter Reference: SDOH
Which patient situation best reflects a social determinant of
health?
A. Elevated troponin level
B. Lack of transportation to follow-up appointments
, C. Ventricular tachycardia
D. Elevated intracranial pressure
Correct Answer: B
Rationale: Transportation access influences healthcare
utilization and outcomes.
Distractor Analysis:
A, C, D: Physiologic conditions rather than social
determinants.
Difficulty: Easy
Clinical Significance: Recognition of SDOH improves care
planning.
Question 4 (Application)
Learning Objective: Apply knowledge of health inequities.
Chapter Reference: Disparities and Inequities
A nurse notices that patients with limited English proficiency
experience delays in discharge teaching. What is the most
appropriate intervention?
A. Use family members as translators
B. Delay teaching until discharge
C. Request a certified medical interpreter
D. Provide written instructions only
Correct Answer: C
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Question 1 (Recall)
Learning Objective: Identify the primary goal of critical care
nursing.
Chapter Reference: Critical Care Nursing Practice
A critically ill patient is admitted with septic shock. What is the
primary goal of critical care nursing?
A. Prevent all hospital admissions
B. Support organ function while treating the underlying
,condition
C. Reduce healthcare costs
D. Minimize use of technology
Correct Answer: B
Rationale: Critical care nursing focuses on supporting
physiologic function and preventing complications while
treating the underlying illness.
Distractor Analysis:
A: Not the purpose of critical care nursing.
C: Cost containment is secondary.
D: Technology is often necessary in ICU care.
Difficulty: Easy
Clinical Significance: Guides prioritization of life-sustaining
interventions.
Question 2 (Recall)
Learning Objective: Identify an expanded-role nursing position.
Chapter Reference: Expanded-Role Nursing Positions
Which nurse is functioning in an advanced practice role?
A. Charge nurse
B. Staff nurse
,C. Clinical Nurse Specialist
D. Unit secretary
Correct Answer: C
Rationale: Clinical Nurse Specialists are advanced practice
registered nurses who provide expert consultation and
leadership.
Distractor Analysis:
A: Leadership role but not APRN.
B: Registered nurse role.
D: Non-nursing role.
Difficulty: Easy
Clinical Significance: Clarifies scope of advanced practice
responsibilities.
Question 3 (Comprehension)
Learning Objective: Explain Social Determinants of Health.
Chapter Reference: SDOH
Which patient situation best reflects a social determinant of
health?
A. Elevated troponin level
B. Lack of transportation to follow-up appointments
, C. Ventricular tachycardia
D. Elevated intracranial pressure
Correct Answer: B
Rationale: Transportation access influences healthcare
utilization and outcomes.
Distractor Analysis:
A, C, D: Physiologic conditions rather than social
determinants.
Difficulty: Easy
Clinical Significance: Recognition of SDOH improves care
planning.
Question 4 (Application)
Learning Objective: Apply knowledge of health inequities.
Chapter Reference: Disparities and Inequities
A nurse notices that patients with limited English proficiency
experience delays in discharge teaching. What is the most
appropriate intervention?
A. Use family members as translators
B. Delay teaching until discharge
C. Request a certified medical interpreter
D. Provide written instructions only
Correct Answer: C
