Critical Care Nursing: Diagnosis and
Management (10th Edition)
Unit I: Foundations of Critical Care Nursing
Chapter 1: Critical Care Nursing Practice
Exam Revision Test Bank
EXAM BLUEPRINT
Content Area Weight
History and Evolution of
5%
Critical Care
Critical Care Nursing Roles 10%
Advanced Practice Nursing 5%
Social Determinants of Health
10%
(SDOH)
Evidence-Based Practice 10%
Patient-Centered & Holistic
10%
Care
Complementary Therapies 5%
Technology and Tele-ICU 10%
,Interprofessional
10%
Collaboration
Rapid Response Teams 10%
Quality & Safety 10%
Healthy Work Environment 5%
1. Question Type: MCQ
Bloom’s Level: Recall
Difficulty: Easy
Learning Objective: Identify an early milestone in the
development of modern critical care.
Chapter Reference: Unit I, Chapter 1: Critical Care Nursing
Practice
Clinical Significance: Understanding critical care history
supports appreciation of why ICU systems, staffing, and
monitoring evolved.
Question:
Which development most clearly marked the transition to
modern critical care units?
A. Routine use of outpatient case management
B. Creation of specialized areas for continuous monitoring and
mechanical ventilation
C. Introduction of home hospice programs
D. Replacement of nurses with automated monitoring systems
,Correct Answer: B
Rationale:
Modern critical care emerged when hospitals created
specialized units for patients requiring close observation,
respiratory support, and rapid intervention. Continuous
monitoring and mechanical ventilation were major drivers of
ICU development.
Distractor Analysis:
A. Incorrect. Outpatient case management is important but not
a historical driver of ICU development.
C. Incorrect. Hospice focuses on comfort care, not ICU
evolution.
D. Incorrect. Technology supports nursing care but did not
replace the need for skilled critical care nurses.
2. Question Type: MCQ
Bloom’s Level: Recall
Difficulty: Easy
Learning Objective: Identify an expanded-role position in
critical care nursing.
Chapter Reference: Unit I, Chapter 1: Critical Care Nursing
Practice
Clinical Significance: Recognizing expanded roles supports
, appropriate consultation, leadership, and advanced
practice use in ICU settings.
Question:
Which role is an expanded-role nursing position in critical care?
A. Clinical nurse specialist
B. Nursing assistant
C. Unit clerk
D. Transport technician
Correct Answer: A
Rationale:
A clinical nurse specialist is an expanded-role or advanced
practice nursing position that contributes expert clinical
guidance, consultation, education, and evidence-based practice
support.
Distractor Analysis:
B. Incorrect. Nursing assistants provide supportive care but are
not advanced or expanded-role nurses.
C. Incorrect. Unit clerks perform administrative functions.
D. Incorrect. Transport technicians assist with patient
movement but do not provide advanced nursing care.
3. Question Type: SATA
Bloom’s Level: Comprehension
Management (10th Edition)
Unit I: Foundations of Critical Care Nursing
Chapter 1: Critical Care Nursing Practice
Exam Revision Test Bank
EXAM BLUEPRINT
Content Area Weight
History and Evolution of
5%
Critical Care
Critical Care Nursing Roles 10%
Advanced Practice Nursing 5%
Social Determinants of Health
10%
(SDOH)
Evidence-Based Practice 10%
Patient-Centered & Holistic
10%
Care
Complementary Therapies 5%
Technology and Tele-ICU 10%
,Interprofessional
10%
Collaboration
Rapid Response Teams 10%
Quality & Safety 10%
Healthy Work Environment 5%
1. Question Type: MCQ
Bloom’s Level: Recall
Difficulty: Easy
Learning Objective: Identify an early milestone in the
development of modern critical care.
Chapter Reference: Unit I, Chapter 1: Critical Care Nursing
Practice
Clinical Significance: Understanding critical care history
supports appreciation of why ICU systems, staffing, and
monitoring evolved.
Question:
Which development most clearly marked the transition to
modern critical care units?
A. Routine use of outpatient case management
B. Creation of specialized areas for continuous monitoring and
mechanical ventilation
C. Introduction of home hospice programs
D. Replacement of nurses with automated monitoring systems
,Correct Answer: B
Rationale:
Modern critical care emerged when hospitals created
specialized units for patients requiring close observation,
respiratory support, and rapid intervention. Continuous
monitoring and mechanical ventilation were major drivers of
ICU development.
Distractor Analysis:
A. Incorrect. Outpatient case management is important but not
a historical driver of ICU development.
C. Incorrect. Hospice focuses on comfort care, not ICU
evolution.
D. Incorrect. Technology supports nursing care but did not
replace the need for skilled critical care nurses.
2. Question Type: MCQ
Bloom’s Level: Recall
Difficulty: Easy
Learning Objective: Identify an expanded-role position in
critical care nursing.
Chapter Reference: Unit I, Chapter 1: Critical Care Nursing
Practice
Clinical Significance: Recognizing expanded roles supports
, appropriate consultation, leadership, and advanced
practice use in ICU settings.
Question:
Which role is an expanded-role nursing position in critical care?
A. Clinical nurse specialist
B. Nursing assistant
C. Unit clerk
D. Transport technician
Correct Answer: A
Rationale:
A clinical nurse specialist is an expanded-role or advanced
practice nursing position that contributes expert clinical
guidance, consultation, education, and evidence-based practice
support.
Distractor Analysis:
B. Incorrect. Nursing assistants provide supportive care but are
not advanced or expanded-role nurses.
C. Incorrect. Unit clerks perform administrative functions.
D. Incorrect. Transport technicians assist with patient
movement but do not provide advanced nursing care.
3. Question Type: SATA
Bloom’s Level: Comprehension
