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)
1) MCQ | Recall | Easy
,A nurse reviewing the history of critical care nursing correctly
identifies the earliest major driver of modern intensive care
units as:
A. National board certification requirements
B. Advances in mechanical ventilation and continuous
monitoring
C. Magnet recognition status
D. Tele-ICU adoption
Correct answer: B
Rationale: Critical care evolved largely from advances in
respiratory support, invasive monitoring, and the need for
concentrated care of unstable patients.
Distractor analysis:
A: Certification followed the specialty’s development.
C: Magnet recognition is a later quality framework, not an
origin point.
D: Tele-ICU is a contemporary technology, not an early
driver.
Difficulty: Easy
Learning objective: Identify historical factors that led to the
development of critical care nursing.
Chapter reference: Unit I, Chapter 1, Critical Care Nursing
Practice
Clinical significance: Understanding origins helps nurses
,appreciate why intensive monitoring, rapid response, and
specialty expertise are central to ICU practice.
2) MCQ | Recall | Easy
Which organization is most directly associated with the
specialty of critical care nursing in the United States?
A. SCCM
B. AACN
C. AMA
D. CDC
Correct answer: B
Rationale: The American Association of Critical-Care Nurses is
the primary nursing organization representing critical care
nurses.
Distractor analysis:
A: SCCM is an interdisciplinary critical care organization.
C: AMA represents physicians broadly.
D: CDC is a public health agency, not a specialty nursing
organization.
Difficulty: Easy
Learning objective: Distinguish major professional
organizations relevant to critical care nursing.
Chapter reference: Unit I, Chapter 1, Professional Organizations
Clinical significance: Professional organizations shape
, standards, advocacy, education, and evidence-based practice in
ICU settings.
3) MCQ | Comprehension | Moderate
A nurse asks why evidence-based practice is essential in critical
care. The best answer is:
A. It replaces clinical judgment with protocols
B. It standardizes care regardless of patient differences
C. It integrates research, clinical expertise, and patient values
D. It reduces the need for interprofessional collaboration
Correct answer: C
Rationale: Evidence-based practice combines best available
evidence with expert judgment and the patient’s goals and
values.
Distractor analysis:
A: EBP supports, not replaces, clinical judgment.
B: Care must still be individualized.
D: EBP often requires collaboration across disciplines.
Difficulty: Moderate
Learning objective: Explain the components of evidence-based
nursing practice.
Chapter reference: Unit I, Chapter 1, Evidence-Based Nursing
Practice