10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
UNIT I: FOUNDATIONS OF CRITICAL CARE NURSING
Critical Care Nursing: Diagnosis and Management (Urden,
Stacy & Lough, 10th Ed.)
Exam Revision Test Bank (20 Questions)
,Question 1
Bloom Level: Recall
Difficulty: Easy
Question Type: MCQ
Learning Objective: Identify the historical purpose of critical
care units.
Chapter Reference: Critical Care Nursing Practice
Question
The development of modern intensive care units (ICUs) was
primarily driven by the need to:
A. Increase hospital revenue
B. Centralize care for critically ill patients requiring specialized
monitoring and interventions
C. Reduce nursing staffing requirements
D. Improve outpatient management
Correct Answer: B
Rationale
ICUs evolved to concentrate specialized equipment, personnel,
and monitoring capabilities for critically ill patients requiring
intensive treatment and surveillance.
Distractor Analysis
A. Revenue generation was not the primary reason for ICU
development.
,C. ICU care requires increased, not decreased, staffing.
D. ICUs focus on inpatient critical illness.
Clinical Significance
Understanding ICU evolution helps nurses appreciate the
rationale for specialized critical care delivery.
Question 2
Bloom Level: Recall
Difficulty: Easy
Question Type: MCQ
Learning Objective: Differentiate advanced practice nursing
roles.
Question
Which nurse is functioning in an advanced practice role?
A. Charge nurse
B. Staff nurse
C. Clinical Nurse Specialist
D. Unit secretary
Correct Answer: C
Rationale
Clinical Nurse Specialists possess graduate-level preparation
and provide expert clinical consultation, leadership, education,
and research support.
, Distractor Analysis
A. Charge nurses coordinate unit activities but are not
necessarily advanced practice nurses.
B. Staff nurses provide direct care.
D. Unit secretaries are non-nursing personnel.
Clinical Significance
Understanding advanced practice roles promotes appropriate
utilization of expertise within the ICU.
Question 3
Bloom Level: Comprehension
Difficulty: Moderate
Question Type: SATA
Learning Objective: Recognize Social Determinants of Health
(SDOH).
Question
Which factors are recognized Social Determinants of Health?
(Select all that apply.)
A. Education access
B. Economic stability
C. Neighborhood environment
D. Genetic mutations only
E. Healthcare access
Correct Answers: A, B, C, E