Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Critical Care Nursing: Diagnosis and Management, 10th
Edition
Unit I – Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
,Question 1 (MCQ)
Chapter Reference: Chapter 1 – Critical Care Nursing Practice
Learning Objective: Describe the evolution of critical care
nursing and its impact on patient outcomes.
Bloom's Level: Recall
Difficulty: Easy
Which historical development most directly contributed to the
emergence of modern intensive care units (ICUs)?
A. Increased use of home healthcare services
B. Centralization of critically ill patients in specialized hospital
areas
C. Expansion of outpatient surgical centers
D. Development of electronic health records
Correct Answer: B
Rationale:
The modern ICU evolved when critically ill patients were
grouped in specialized hospital units to allow concentrated
monitoring, specialized equipment, and expert nursing care.
Distractor Analysis:
A. Home healthcare developed much later and is not the
origin of ICUs.
C. Outpatient centers focus on ambulatory care.
,D. Electronic health records improved documentation but did
not create ICUs.
Clinical Significance:
Understanding ICU history helps nurses appreciate the
rationale for specialized critical care delivery models.
Question 2 (MCQ)
Chapter Reference: Chapter 1 – Critical Care Nursing Roles
Learning Objective: Identify essential responsibilities of the
critical care nurse.
Bloom's Level: Comprehension
Difficulty: Easy
Which activity best reflects the role of a critical care nurse?
A. Performing independent surgical procedures
B. Providing continuous assessment and intervention for
unstable patients
C. Prescribing medications without authorization
D. Managing hospital financial operations
Correct Answer: B
Rationale:
Critical care nurses continuously assess, monitor, and
intervene to stabilize critically ill patients.
Distractor Analysis:
A. Surgical procedures are performed by surgeons.
, C. Prescriptive authority is limited to certain advanced
practice roles.
D. Financial management is not a primary nursing role.
Clinical Significance:
Timely recognition of deterioration is a cornerstone of critical
care nursing.
Question 3 (SATA)
Chapter Reference: Expanded-Role Nursing Positions
Learning Objective: Differentiate expanded nursing roles.
Bloom's Level: Comprehension
Difficulty: Moderate
Which nursing roles are considered expanded or advanced
roles in critical care? (Select all that apply.)
A. Clinical Nurse Specialist
B. Nurse Practitioner
C. Certified Registered Nurse Anesthetist
D. Staff ICU Nurse
E. Nurse Educator
Correct Answers: A, B, C, E
Rationale:
Advanced and expanded roles include CNSs, NPs, CRNAs, and
nurse educators. Staff ICU nurses provide direct bedside care
but are not considered expanded-role practitioners.
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Critical Care Nursing: Diagnosis and Management, 10th
Edition
Unit I – Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
,Question 1 (MCQ)
Chapter Reference: Chapter 1 – Critical Care Nursing Practice
Learning Objective: Describe the evolution of critical care
nursing and its impact on patient outcomes.
Bloom's Level: Recall
Difficulty: Easy
Which historical development most directly contributed to the
emergence of modern intensive care units (ICUs)?
A. Increased use of home healthcare services
B. Centralization of critically ill patients in specialized hospital
areas
C. Expansion of outpatient surgical centers
D. Development of electronic health records
Correct Answer: B
Rationale:
The modern ICU evolved when critically ill patients were
grouped in specialized hospital units to allow concentrated
monitoring, specialized equipment, and expert nursing care.
Distractor Analysis:
A. Home healthcare developed much later and is not the
origin of ICUs.
C. Outpatient centers focus on ambulatory care.
,D. Electronic health records improved documentation but did
not create ICUs.
Clinical Significance:
Understanding ICU history helps nurses appreciate the
rationale for specialized critical care delivery models.
Question 2 (MCQ)
Chapter Reference: Chapter 1 – Critical Care Nursing Roles
Learning Objective: Identify essential responsibilities of the
critical care nurse.
Bloom's Level: Comprehension
Difficulty: Easy
Which activity best reflects the role of a critical care nurse?
A. Performing independent surgical procedures
B. Providing continuous assessment and intervention for
unstable patients
C. Prescribing medications without authorization
D. Managing hospital financial operations
Correct Answer: B
Rationale:
Critical care nurses continuously assess, monitor, and
intervene to stabilize critically ill patients.
Distractor Analysis:
A. Surgical procedures are performed by surgeons.
, C. Prescriptive authority is limited to certain advanced
practice roles.
D. Financial management is not a primary nursing role.
Clinical Significance:
Timely recognition of deterioration is a cornerstone of critical
care nursing.
Question 3 (SATA)
Chapter Reference: Expanded-Role Nursing Positions
Learning Objective: Differentiate expanded nursing roles.
Bloom's Level: Comprehension
Difficulty: Moderate
Which nursing roles are considered expanded or advanced
roles in critical care? (Select all that apply.)
A. Clinical Nurse Specialist
B. Nurse Practitioner
C. Certified Registered Nurse Anesthetist
D. Staff ICU Nurse
E. Nurse Educator
Correct Answers: A, B, C, E
Rationale:
Advanced and expanded roles include CNSs, NPs, CRNAs, and
nurse educators. Staff ICU nurses provide direct bedside care
but are not considered expanded-role practitioners.
