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)
,Critical Care Nursing Test Bank (20 Questions)
Unit I: Foundations of Critical Care Nursing
Question 1 (Recall – MCQ)
A nurse is reviewing the history of critical care nursing. Which event most significantly
contributed to the development of modern intensive care units (ICUs)?
A. Development of home health nursing
B. Creation of specialized units for mechanically ventilated patients during poliomyelitis
epidemics
C. Introduction of electronic health records
D. Establishment of managed care organizations
Correct Answer: B
Rationale: Modern ICUs evolved largely from specialized respiratory care units established
during poliomyelitis epidemics, where patients requiring mechanical ventilation were grouped
together for intensive monitoring and treatment.
Distractor Analysis:
A: Home health nursing did not directly lead to ICU development.
C: Electronic health records improved documentation but occurred much later.
D: Managed care organizations focus on healthcare financing and delivery.
Difficulty: Easy
Learning Objective: Describe the historical development of critical care nursing.
Chapter Reference: Critical Care Nursing Practice – History of Critical Care
Clinical Significance: Understanding ICU origins provides context for current critical care
practices.
Bloom's Level: Recall
NCLEX Clinical Judgment: Recognize Cues
Question 2 (Comprehension – MCQ)
,Which statement best describes the primary goal of Social Determinants of Health (SDOH)?
A. Reduce healthcare costs only
B. Increase hospital admissions
C. Improve health outcomes by addressing conditions affecting health and quality of life
D. Standardize critical care equipment
Correct Answer: C
Rationale: SDOH focus on environmental, social, and economic conditions influencing health
outcomes and overall well-being.
Distractor Analysis:
A: Cost reduction is not the primary goal.
B: SDOH aim to improve health, not increase admissions.
D: Equipment standardization is unrelated.
Difficulty: Easy
Learning Objective: Explain the purpose of SDOH.
Chapter Reference: Social Determinants of Health
Clinical Significance: Addressing SDOH can reduce disparities and improve patient outcomes.
Bloom's Level: Comprehension
NCLEX Clinical Judgment: Recognize Cues
Question 3 (Application – SATA)
The critical care nurse demonstrates professional accountability by performing which actions?
Select all that apply.
A. Maintaining clinical competency
B. Following evidence-based practice guidelines
C. Delegating all patient education responsibilities
D. Participating in continuing education activities
E. Reporting unsafe practices
Correct Answers: A, B, D, E
, Rationale: Professional accountability includes competence, lifelong learning, adherence to
evidence-based practice, and advocating for patient safety.
Distractor Analysis:
C: Patient education remains a nursing responsibility.
Difficulty: Moderate
Learning Objective: Identify behaviors demonstrating professional accountability.
Chapter Reference: Critical Care Professional Accountability
Clinical Significance: Accountability promotes safe, high-quality care.
Bloom's Level: Application
NCLEX Clinical Judgment: Take Action
Question 4 (Recall – MCQ)
Which organization is specifically dedicated to advancing the practice of critical care nursing?
A. SCCM
B. AACN
C. ANA
D. AHA
Correct Answer: B
Rationale: AACN is the primary professional organization dedicated to critical care nursing
practice.
Distractor Analysis:
A: SCCM includes multiple healthcare disciplines.
C: ANA represents all nurses.
D: AHA focuses on cardiovascular health.
Difficulty: Easy
Learning Objective: Identify major critical care nursing organizations.
Chapter Reference: Critical Care Professional Organizations