Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
1. A critical care nurse is explaining the history of intensive
care units (ICUs) to a newly hired nurse. Which event most
significantly contributed to the development of modern
critical care units?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring specialized
monitoring
,C. Development of outpatient surgical centers
D. Expansion of home healthcare services
Answer: B
Rationale: Modern critical care originated from grouping
critically ill patients together for continuous observation and
specialized treatment.
2. Which activity best reflects the role of a critical care nurse
in contemporary practice?
A. Performing only physician-directed interventions
B. Managing complex physiologic responses using evidence-
based care
C. Limiting communication with family members
D. Focusing solely on technical procedures
Answer: B
Rationale: Contemporary critical care nurses integrate
advanced assessment, evidence-based interventions, and
family-centered care.
3. Which nurse is functioning in an expanded-role nursing
position?
A. Staff ICU nurse
B. Charge nurse
,C. Clinical nurse specialist
D. Nursing assistant
Answer: C
Rationale: Clinical nurse specialists provide expert consultation,
education, and system-level improvements beyond traditional
nursing roles.
4. A nurse practitioner in the ICU is considered an advanced
practice nurse because the nurse:
A. Performs clerical duties
B. Possesses graduate-level education and advanced clinical
competencies
C. Supervises housekeeping staff
D. Works only day shifts
Answer: B
Rationale: Advanced practice nurses have advanced education
and specialized clinical expertise.
5. Which example represents a social determinant of health
(SDOH)?
A. Heart rate
B. Blood glucose level
C. Access to transportation for healthcare appointments
D. Serum potassium level
, Answer: C
Rationale: Transportation access is a social and environmental
factor affecting health outcomes.
6. Which SDOH domain includes educational attainment and
literacy?
A. Health Care Access and Quality
B. Education Access and Quality
C. Economic Stability
D. Social and Community Context
Answer: B
Rationale: Education Access and Quality addresses literacy,
educational achievement, and learning opportunities.
7. A patient from a low-income neighborhood experiences
delayed treatment due to lack of transportation. This
situation illustrates:
A. Health equity
B. Clinical excellence
C. Health disparity
D. Evidence-based practice
Answer: C
Rationale: Health disparities are preventable differences in
health outcomes among populations.
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
1. A critical care nurse is explaining the history of intensive
care units (ICUs) to a newly hired nurse. Which event most
significantly contributed to the development of modern
critical care units?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring specialized
monitoring
,C. Development of outpatient surgical centers
D. Expansion of home healthcare services
Answer: B
Rationale: Modern critical care originated from grouping
critically ill patients together for continuous observation and
specialized treatment.
2. Which activity best reflects the role of a critical care nurse
in contemporary practice?
A. Performing only physician-directed interventions
B. Managing complex physiologic responses using evidence-
based care
C. Limiting communication with family members
D. Focusing solely on technical procedures
Answer: B
Rationale: Contemporary critical care nurses integrate
advanced assessment, evidence-based interventions, and
family-centered care.
3. Which nurse is functioning in an expanded-role nursing
position?
A. Staff ICU nurse
B. Charge nurse
,C. Clinical nurse specialist
D. Nursing assistant
Answer: C
Rationale: Clinical nurse specialists provide expert consultation,
education, and system-level improvements beyond traditional
nursing roles.
4. A nurse practitioner in the ICU is considered an advanced
practice nurse because the nurse:
A. Performs clerical duties
B. Possesses graduate-level education and advanced clinical
competencies
C. Supervises housekeeping staff
D. Works only day shifts
Answer: B
Rationale: Advanced practice nurses have advanced education
and specialized clinical expertise.
5. Which example represents a social determinant of health
(SDOH)?
A. Heart rate
B. Blood glucose level
C. Access to transportation for healthcare appointments
D. Serum potassium level
, Answer: C
Rationale: Transportation access is a social and environmental
factor affecting health outcomes.
6. Which SDOH domain includes educational attainment and
literacy?
A. Health Care Access and Quality
B. Education Access and Quality
C. Economic Stability
D. Social and Community Context
Answer: B
Rationale: Education Access and Quality addresses literacy,
educational achievement, and learning opportunities.
7. A patient from a low-income neighborhood experiences
delayed treatment due to lack of transportation. This
situation illustrates:
A. Health equity
B. Clinical excellence
C. Health disparity
D. Evidence-based practice
Answer: C
Rationale: Health disparities are preventable differences in
health outcomes among populations.
