10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Unit I: Foundations of Critical Care Nursing
Exam Revision Test Bank (20 Questions)
Question 1 (Recall – MCQ)
Which event is most closely associated with the development
of modern critical care units?
A. Introduction of electronic health records
B. Polio epidemic requiring prolonged ventilatory support
,C. Creation of Medicare reimbursement programs
D. Development of rapid response teams
Correct Answer: B
Rationale: The modern ICU evolved during the polio epidemics
of the 1950s when patients required prolonged respiratory
support and continuous monitoring.
Distractor Analysis:
A: Important advancement but not the origin of ICUs.
C: Influenced healthcare financing, not ICU development.
D: Developed much later as a patient safety initiative.
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 helps nurses
appreciate the rationale for specialized critical care services.
Question 2 (Recall – MCQ)
Which organization is primarily dedicated to advancing the
practice of critical care nursing?
,A. American Medical Association
B. American Association of Critical Care Nurses
C. American Nurses Credentialing Center
D. National League for Nursing
Correct Answer: B
Rationale: AACN is the largest specialty nursing organization
focused on critical care nursing practice, education, and
certification.
Distractor Analysis:
A: Physician organization.
C: Credentialing body.
D: Nursing education organization.
Difficulty: Easy
Learning Objective: Identify major professional organizations in
critical care nursing.
Chapter Reference: Critical Care Professional Organizations
Clinical Significance: Professional organizations support
competency, certification, and evidence-based practice.
Question 3 (Comprehension – MCQ)
The primary goal of addressing Social Determinants of Health
(SDOH) is to:
, A. Reduce hospital expenditures
B. Increase ICU admissions
C. Achieve health equity and improve outcomes
D. Replace clinical interventions
Correct Answer: C
Rationale: SDOH initiatives aim to eliminate barriers affecting
health and promote equitable outcomes for all populations.
Distractor Analysis:
A: May occur indirectly but is not the primary goal.
B: Opposite of intended outcome.
D: SDOH complements rather than replaces medical care.
Difficulty: Easy
Learning Objective: Explain the purpose of SDOH initiatives.
Chapter Reference: Social Determinants of Health
Clinical Significance: Recognition of social influences improves
patient-centered care planning.
Question 4 (Application – SATA)
Which situations represent examples of health inequities?
Select all that apply.
A. Limited access to specialty care in rural communities
B. Language barriers affecting informed consent