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 (Application)
A critical care nurse is caring for a patient with septic shock. Which action best
demonstrates the role of the critical care nurse as a patient advocate?
A. Administering medications as prescribed without question
B. Requesting clarification of a medication order that appears unsafe
C. Delegating all patient education to the physician
D. Restricting family involvement during decision-making
Correct Answer: B
Rationale: Critical care nurses advocate for patient safety by questioning unclear or
potentially harmful orders and ensuring appropriate care.
Distractor Analysis:
• A: Does not demonstrate advocacy if an order appears unsafe.
• C: Education is a shared nursing responsibility.
• D: Family involvement is central to patient-centered care.
Difficulty: Moderate
Learning Objective: Describe advocacy responsibilities in critical care nursing practice.
Chapter Reference: Critical Care Nursing Roles
Clinical Significance: Advocacy reduces preventable adverse events and improves patient
outcomes.
, Question 2 (Recall)
Which organization is primarily dedicated to supporting critical care nurses through
education, certification, and practice standards?
A. SCCM
B. AACN
C. ANA
D. CDC
Correct Answer: B
Rationale: The American Association of Critical-Care Nurses (AACN) specifically focuses
on the professional needs of critical care nurses.
Distractor Analysis:
• A: SCCM is multidisciplinary.
• C: ANA serves all nursing specialties.
• D: CDC is a public health agency.
Difficulty: Easy
Learning Objective: Identify major professional organizations in critical care nursing.
Chapter Reference: Critical Care Professional Organizations
Clinical Significance: Professional organizations provide evidence-based resources and
standards.
Question 3 (Analysis)
A patient repeatedly misses follow-up appointments because transportation is unavailable.
Which Social Determinant of Health (SDOH) domain is most directly involved?
A. Health care access and quality
B. Education access and quality
C. Social and community context
D. Economic stability
, Correct Answer: A
Rationale: Transportation barriers affect access to health care services and continuity of
care.
Distractor Analysis:
• B: Not related to transportation.
• C: Social support may influence care but is not the primary issue.
• D: May contribute indirectly but is less specific.
Difficulty: Moderate
Learning Objective: Apply SDOH concepts to patient care situations.
Chapter Reference: SDOH Domains
Clinical Significance: Identifying barriers helps reduce health disparities.
Question 4 (SATA – Comprehension)
Which factors are recognized drivers of evidence-based practice (EBP)? Select all that
apply.
A. Improved patient outcomes
B. Regulatory requirements
C. Tradition alone
D. Quality improvement initiatives
E. Advances in scientific research
Correct Answers: A, B, D, E
Rationale: EBP is driven by quality, safety, research findings, and regulatory expectations.
Distractor Analysis:
• C: Tradition alone is not evidence-based.
Difficulty: Moderate
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 (Application)
A critical care nurse is caring for a patient with septic shock. Which action best
demonstrates the role of the critical care nurse as a patient advocate?
A. Administering medications as prescribed without question
B. Requesting clarification of a medication order that appears unsafe
C. Delegating all patient education to the physician
D. Restricting family involvement during decision-making
Correct Answer: B
Rationale: Critical care nurses advocate for patient safety by questioning unclear or
potentially harmful orders and ensuring appropriate care.
Distractor Analysis:
• A: Does not demonstrate advocacy if an order appears unsafe.
• C: Education is a shared nursing responsibility.
• D: Family involvement is central to patient-centered care.
Difficulty: Moderate
Learning Objective: Describe advocacy responsibilities in critical care nursing practice.
Chapter Reference: Critical Care Nursing Roles
Clinical Significance: Advocacy reduces preventable adverse events and improves patient
outcomes.
, Question 2 (Recall)
Which organization is primarily dedicated to supporting critical care nurses through
education, certification, and practice standards?
A. SCCM
B. AACN
C. ANA
D. CDC
Correct Answer: B
Rationale: The American Association of Critical-Care Nurses (AACN) specifically focuses
on the professional needs of critical care nurses.
Distractor Analysis:
• A: SCCM is multidisciplinary.
• C: ANA serves all nursing specialties.
• D: CDC is a public health agency.
Difficulty: Easy
Learning Objective: Identify major professional organizations in critical care nursing.
Chapter Reference: Critical Care Professional Organizations
Clinical Significance: Professional organizations provide evidence-based resources and
standards.
Question 3 (Analysis)
A patient repeatedly misses follow-up appointments because transportation is unavailable.
Which Social Determinant of Health (SDOH) domain is most directly involved?
A. Health care access and quality
B. Education access and quality
C. Social and community context
D. Economic stability
, Correct Answer: A
Rationale: Transportation barriers affect access to health care services and continuity of
care.
Distractor Analysis:
• B: Not related to transportation.
• C: Social support may influence care but is not the primary issue.
• D: May contribute indirectly but is less specific.
Difficulty: Moderate
Learning Objective: Apply SDOH concepts to patient care situations.
Chapter Reference: SDOH Domains
Clinical Significance: Identifying barriers helps reduce health disparities.
Question 4 (SATA – Comprehension)
Which factors are recognized drivers of evidence-based practice (EBP)? Select all that
apply.
A. Improved patient outcomes
B. Regulatory requirements
C. Tradition alone
D. Quality improvement initiatives
E. Advances in scientific research
Correct Answers: A, B, D, E
Rationale: EBP is driven by quality, safety, research findings, and regulatory expectations.
Distractor Analysis:
• C: Tradition alone is not evidence-based.
Difficulty: Moderate
