Critical Care Nursing: Diagnosis and
Management (10th Edition)
Unit I: Foundations of Critical Care Nursing
Chapter 1: Critical Care Nursing Practice
Exam Revision Test Bank
EXAM BLUEPRINT
Content Area Weight
History and Evolution of
5%
Critical Care
Critical Care Nursing Roles 10%
Advanced Practice Nursing 5%
Social Determinants of Health
10%
(SDOH)
Evidence-Based Practice 10%
Patient-Centered & Holistic
10%
Care
Complementary Therapies 5%
Technology and Tele-ICU 10%
, Interprofessional
10%
Collaboration
Rapid Response Teams 10%
Quality & Safety 10%
Healthy Work Environment 5%
Question 1 (MCQ – Recall)
A critical care nurse is reviewing the history of critical care nursing. Which event most
directly contributed to the development of modern intensive care units (ICUs)?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring specialized monitoring and treatment
C. Establishment of home health nursing programs
D. Development of outpatient surgical centers
Correct Answer: B
Rationale: Modern ICUs evolved when critically ill patients were grouped in specialized
areas where advanced monitoring, technology, and expert clinicians could provide
intensive care.
Distractor Analysis:
• A: Improved documentation but did not create ICUs.
• C: Focuses on community care rather than critical care.
• D: Pertains to ambulatory care.
Difficulty: Easy
Learning Objective: Describe the historical development of critical care nursing.
Chapter Reference: Critical Care Nursing Practice
Clinical Significance: Understanding ICU evolution supports appreciation of current
critical care standards.
Bloom's Level: Recall
, Question 2 (MCQ – Comprehension)
Which statement best describes patient-centered care in the ICU?
A. Care is directed solely by the physician.
B. Family preferences are always prioritized over patient wishes.
C. Care decisions incorporate patient values, preferences, and goals.
D. Standardized treatment plans are used for all patients.
Correct Answer: C
Rationale: Patient-centered care emphasizes respect for individual preferences, values,
beliefs, and goals while promoting shared decision-making.
Distractor Analysis:
• A: Contradicts collaborative care principles.
• B: Patient wishes remain primary when known.
• D: Care should be individualized.
Difficulty: Easy
Learning Objective: Explain principles of patient-centered care.
Chapter Reference: Holistic Critical Care Nursing
Clinical Significance: Improves satisfaction, outcomes, and engagement.
Bloom's Level: Comprehension
Question 3 (SATA – Application)
A nurse identifies social determinants of health that may negatively affect a patient's
recovery after ICU discharge. Which factors should be considered? Select all that apply.
, A. Housing instability
B. Access to transportation
C. Genetic blood type
D. Food insecurity
E. Health literacy
Correct Answers: A, B, D, E
Rationale: Housing, transportation, food access, and health literacy are recognized SDOH
domains that influence health outcomes and recovery.
Distractor Analysis:
• C: Blood type is a biological characteristic, not an SDOH.
Difficulty: Moderate
Learning Objective: Identify SDOH factors affecting outcomes.
Chapter Reference: Social Determinants of Health
Clinical Significance: Supports equitable discharge planning.
Bloom's Level: Application
Question 4 (MCQ – Analysis)
A patient with limited English proficiency appears confused during discharge teaching.
Which nursing action best promotes culturally competent care?
A. Speak louder during education.
B. Ask a family member to translate medical information.
C. Use a qualified medical interpreter.
D. Provide written instructions only.
Correct Answer: C
Rationale: Qualified interpreters ensure accurate communication and reduce risk of
misunderstanding.
Management (10th Edition)
Unit I: Foundations of Critical Care Nursing
Chapter 1: Critical Care Nursing Practice
Exam Revision Test Bank
EXAM BLUEPRINT
Content Area Weight
History and Evolution of
5%
Critical Care
Critical Care Nursing Roles 10%
Advanced Practice Nursing 5%
Social Determinants of Health
10%
(SDOH)
Evidence-Based Practice 10%
Patient-Centered & Holistic
10%
Care
Complementary Therapies 5%
Technology and Tele-ICU 10%
, Interprofessional
10%
Collaboration
Rapid Response Teams 10%
Quality & Safety 10%
Healthy Work Environment 5%
Question 1 (MCQ – Recall)
A critical care nurse is reviewing the history of critical care nursing. Which event most
directly contributed to the development of modern intensive care units (ICUs)?
A. Introduction of electronic health records
B. Centralization of critically ill patients requiring specialized monitoring and treatment
C. Establishment of home health nursing programs
D. Development of outpatient surgical centers
Correct Answer: B
Rationale: Modern ICUs evolved when critically ill patients were grouped in specialized
areas where advanced monitoring, technology, and expert clinicians could provide
intensive care.
Distractor Analysis:
• A: Improved documentation but did not create ICUs.
• C: Focuses on community care rather than critical care.
• D: Pertains to ambulatory care.
Difficulty: Easy
Learning Objective: Describe the historical development of critical care nursing.
Chapter Reference: Critical Care Nursing Practice
Clinical Significance: Understanding ICU evolution supports appreciation of current
critical care standards.
Bloom's Level: Recall
, Question 2 (MCQ – Comprehension)
Which statement best describes patient-centered care in the ICU?
A. Care is directed solely by the physician.
B. Family preferences are always prioritized over patient wishes.
C. Care decisions incorporate patient values, preferences, and goals.
D. Standardized treatment plans are used for all patients.
Correct Answer: C
Rationale: Patient-centered care emphasizes respect for individual preferences, values,
beliefs, and goals while promoting shared decision-making.
Distractor Analysis:
• A: Contradicts collaborative care principles.
• B: Patient wishes remain primary when known.
• D: Care should be individualized.
Difficulty: Easy
Learning Objective: Explain principles of patient-centered care.
Chapter Reference: Holistic Critical Care Nursing
Clinical Significance: Improves satisfaction, outcomes, and engagement.
Bloom's Level: Comprehension
Question 3 (SATA – Application)
A nurse identifies social determinants of health that may negatively affect a patient's
recovery after ICU discharge. Which factors should be considered? Select all that apply.
, A. Housing instability
B. Access to transportation
C. Genetic blood type
D. Food insecurity
E. Health literacy
Correct Answers: A, B, D, E
Rationale: Housing, transportation, food access, and health literacy are recognized SDOH
domains that influence health outcomes and recovery.
Distractor Analysis:
• C: Blood type is a biological characteristic, not an SDOH.
Difficulty: Moderate
Learning Objective: Identify SDOH factors affecting outcomes.
Chapter Reference: Social Determinants of Health
Clinical Significance: Supports equitable discharge planning.
Bloom's Level: Application
Question 4 (MCQ – Analysis)
A patient with limited English proficiency appears confused during discharge teaching.
Which nursing action best promotes culturally competent care?
A. Speak louder during education.
B. Ask a family member to translate medical information.
C. Use a qualified medical interpreter.
D. Provide written instructions only.
Correct Answer: C
Rationale: Qualified interpreters ensure accurate communication and reduce risk of
misunderstanding.
