SOLE’S INTRODUCTION TO
CRITICAL CARE NURSING
9TH EDITION
• AUTHOR(S)MARY MAKIC
TEST BANK
1)
Reference: Ch. 1 — Introduction — Collaborative plan of care /
Team communication
Stem: A 68-year-old patient with multilobar pneumonia is
admitted to the ICU. The bedside nurse notes conflicting orders
from the on-call physician and the respiratory therapist about
timing of spontaneous breathing trials. Which action should the
nurse perform first?
A. Begin the spontaneous breathing trial immediately per
respiratory therapist’s plan.
B. Hold the trial until the attending physician is reached and
confirms orders.
,C. Clarify the orders with both clinicians at the bedside and
confirm the plan in the medical record.
D. Delay the trial and document the conflict in the patient's
chart for later review.
Correct Answer: C
Rationale — Correct: Clarifying conflicting orders at the bedside
resolves immediate safety risk, aligns the team, and creates a
clear plan for the patient; documentation follows the agreed
plan. This action prioritizes patient safety and collaborative
practice.
Rationale — Incorrect:
A. Acting on one discipline’s plan without clarification risks
contradictory care and patient harm.
B. Waiting for attending confirmation delays time-sensitive care
and may worsen respiratory status.
D. Documentation alone does not resolve the conflict or ensure
immediate patient safety.
Teaching Point: Resolve conflicting orders immediately through
bedside clarification and mutual confirmation.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
2)
Reference: Ch. 1 — Professional organizations — Standards &
advocacy
Stem: The ICU plans to revise nursing protocols to align with
,national practice standards. Which resource is the most
appropriate starting point for validating evidence-based
standards?
A. A peer-reviewed critical care guideline from a recognized
professional organization.
B. A blog post written by a well-known ICU nurse.
C. A recent textbook chapter summarizing clinical practices.
D. Manufacturer instructions for a monitoring device.
Correct Answer: A
Rationale — Correct: Professional organizations publish
evidence-based guidelines subject to review — these form
authoritative standards for clinical practice and policy
alignment. They reflect consensus and often include
implementation strategies.
Rationale — Incorrect:
B. Blogs are opinion-based and not systematically reviewed.
C. Textbooks are useful but may lag behind latest guidelines and
lack implementation specificity.
D. Manufacturer instructions address device use, not
comprehensive clinical standards.
Teaching Point: Use evidence-based professional organization
guidelines to set clinical protocols.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
3)
, Reference: Ch. 1 — Certification — Professional development /
CCRN relevance
Stem: A new ICU nurse asks whether CCRN certification is
necessary. Which response best reflects the professional and
patient-safety rationale for pursuing specialty certification?
A. Certification is optional and only matters for resume building.
B. Certification demonstrates validated knowledge, supporting
quality care and professional accountability.
C. Certification is required by law for bedside nursing in most
hospitals.
D. Certification replaces the need for unit orientation and
mentorship.
Correct Answer: B
Rationale — Correct: Specialty certification provides
standardized validation of knowledge and clinical judgment,
supporting evidence-based practice and improving professional
credibility and patient safety.
Rationale — Incorrect:
A. It’s more than resume padding; it signals competence and
commitment.
C. Certification is not a legal requirement for bedside nursing in
most jurisdictions.
D. Certification complements but does not substitute
orientation or mentoring.
Teaching Point: Certification validates competence and
supports safe, high-quality ICU care.
CRITICAL CARE NURSING
9TH EDITION
• AUTHOR(S)MARY MAKIC
TEST BANK
1)
Reference: Ch. 1 — Introduction — Collaborative plan of care /
Team communication
Stem: A 68-year-old patient with multilobar pneumonia is
admitted to the ICU. The bedside nurse notes conflicting orders
from the on-call physician and the respiratory therapist about
timing of spontaneous breathing trials. Which action should the
nurse perform first?
A. Begin the spontaneous breathing trial immediately per
respiratory therapist’s plan.
B. Hold the trial until the attending physician is reached and
confirms orders.
,C. Clarify the orders with both clinicians at the bedside and
confirm the plan in the medical record.
D. Delay the trial and document the conflict in the patient's
chart for later review.
Correct Answer: C
Rationale — Correct: Clarifying conflicting orders at the bedside
resolves immediate safety risk, aligns the team, and creates a
clear plan for the patient; documentation follows the agreed
plan. This action prioritizes patient safety and collaborative
practice.
Rationale — Incorrect:
A. Acting on one discipline’s plan without clarification risks
contradictory care and patient harm.
B. Waiting for attending confirmation delays time-sensitive care
and may worsen respiratory status.
D. Documentation alone does not resolve the conflict or ensure
immediate patient safety.
Teaching Point: Resolve conflicting orders immediately through
bedside clarification and mutual confirmation.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
2)
Reference: Ch. 1 — Professional organizations — Standards &
advocacy
Stem: The ICU plans to revise nursing protocols to align with
,national practice standards. Which resource is the most
appropriate starting point for validating evidence-based
standards?
A. A peer-reviewed critical care guideline from a recognized
professional organization.
B. A blog post written by a well-known ICU nurse.
C. A recent textbook chapter summarizing clinical practices.
D. Manufacturer instructions for a monitoring device.
Correct Answer: A
Rationale — Correct: Professional organizations publish
evidence-based guidelines subject to review — these form
authoritative standards for clinical practice and policy
alignment. They reflect consensus and often include
implementation strategies.
Rationale — Incorrect:
B. Blogs are opinion-based and not systematically reviewed.
C. Textbooks are useful but may lag behind latest guidelines and
lack implementation specificity.
D. Manufacturer instructions address device use, not
comprehensive clinical standards.
Teaching Point: Use evidence-based professional organization
guidelines to set clinical protocols.
Citation: Makic, M. B. F. (2025). Sole’s Introduction to Critical
Care Nursing (9th ed.). Ch. 1.
3)
, Reference: Ch. 1 — Certification — Professional development /
CCRN relevance
Stem: A new ICU nurse asks whether CCRN certification is
necessary. Which response best reflects the professional and
patient-safety rationale for pursuing specialty certification?
A. Certification is optional and only matters for resume building.
B. Certification demonstrates validated knowledge, supporting
quality care and professional accountability.
C. Certification is required by law for bedside nursing in most
hospitals.
D. Certification replaces the need for unit orientation and
mentorship.
Correct Answer: B
Rationale — Correct: Specialty certification provides
standardized validation of knowledge and clinical judgment,
supporting evidence-based practice and improving professional
credibility and patient safety.
Rationale — Incorrect:
A. It’s more than resume padding; it signals competence and
commitment.
C. Certification is not a legal requirement for bedside nursing in
most jurisdictions.
D. Certification complements but does not substitute
orientation or mentoring.
Teaching Point: Certification validates competence and
supports safe, high-quality ICU care.
