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%
1) MCQ — Recall
Question: Which historical development most directly marked
the beginning of modern critical care nursing practice?
A. Introduction of patient satisfaction surveys
B. Establishment of specialized areas for continuous monitoring
of unstable patients
C. Replacement of all invasive monitoring with noninvasive
monitoring
D. Elimination of multidisciplinary team care
Correct Answer: B
Rationale: Modern critical care developed from the need to
concentrate severely ill patients in specialized units where
continuous monitoring, rapid intervention, and advanced
support could be provided.
Distractor Analysis:
, • A: Patient satisfaction is important but not a historical
foundation of critical care.
• C: Invasive monitoring was not eliminated; both invasive
and noninvasive methods remain important.
• D: Critical care depends on multidisciplinary team care.
Difficulty Rating: Easy
Learning Objective: Identify the historical foundation of critical
care nursing.
Chapter Reference: Unit I, Critical Care Nursing Practice
Clinical Significance: Understanding the origin of ICU care
supports appreciation of monitoring intensity, staffing needs,
and rapid response priorities.
2) MCQ — Recall
Question: Which role is most characteristic of an expanded-role
critical care nursing position?
A. Routine linen distribution
B. Bedside vital sign documentation only
C. Clinical nurse specialist or nurse practitioner practice
D. Nonclinical scheduling without patient contact
Correct Answer: C
, Rationale: Expanded-role positions in critical care include
advanced practice and expert clinical roles such as nurse
practitioner and clinical nurse specialist functions.
Distractor Analysis:
• A: Not a critical care nursing role.
• B: Too limited to describe expanded practice.
• D: This is an administrative function, not expanded critical
care nursing practice.
Difficulty Rating: Easy
Learning Objective: Distinguish expanded-role nursing
positions in critical care.
Chapter Reference: Unit I, Critical Care Nursing Practice
Clinical Significance: Expanded-role nurses improve assessment
depth, decision-making, and continuity of care in unstable
patients.
3) SATA — Recall
Question: Which of the following are recognized social
determinants of health? Select all that apply.
A. Economic stability
B. Education access and quality
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%
1) MCQ — Recall
Question: Which historical development most directly marked
the beginning of modern critical care nursing practice?
A. Introduction of patient satisfaction surveys
B. Establishment of specialized areas for continuous monitoring
of unstable patients
C. Replacement of all invasive monitoring with noninvasive
monitoring
D. Elimination of multidisciplinary team care
Correct Answer: B
Rationale: Modern critical care developed from the need to
concentrate severely ill patients in specialized units where
continuous monitoring, rapid intervention, and advanced
support could be provided.
Distractor Analysis:
, • A: Patient satisfaction is important but not a historical
foundation of critical care.
• C: Invasive monitoring was not eliminated; both invasive
and noninvasive methods remain important.
• D: Critical care depends on multidisciplinary team care.
Difficulty Rating: Easy
Learning Objective: Identify the historical foundation of critical
care nursing.
Chapter Reference: Unit I, Critical Care Nursing Practice
Clinical Significance: Understanding the origin of ICU care
supports appreciation of monitoring intensity, staffing needs,
and rapid response priorities.
2) MCQ — Recall
Question: Which role is most characteristic of an expanded-role
critical care nursing position?
A. Routine linen distribution
B. Bedside vital sign documentation only
C. Clinical nurse specialist or nurse practitioner practice
D. Nonclinical scheduling without patient contact
Correct Answer: C
, Rationale: Expanded-role positions in critical care include
advanced practice and expert clinical roles such as nurse
practitioner and clinical nurse specialist functions.
Distractor Analysis:
• A: Not a critical care nursing role.
• B: Too limited to describe expanded practice.
• D: This is an administrative function, not expanded critical
care nursing practice.
Difficulty Rating: Easy
Learning Objective: Distinguish expanded-role nursing
positions in critical care.
Chapter Reference: Unit I, Critical Care Nursing Practice
Clinical Significance: Expanded-role nurses improve assessment
depth, decision-making, and continuity of care in unstable
patients.
3) SATA — Recall
Question: Which of the following are recognized social
determinants of health? Select all that apply.
A. Economic stability
B. Education access and quality
