SOLES INTRODUCTION TO CRITICAL CARE
NURSING 4 PRACTICE EXAM 2026 PREMIUM
QUESTIONS AND ACCURATE ANSWERS ONE
HUNDRED PERCENT
◉ The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing
competency.
d. patients' needs for energy and support..
Answer: Answer: C
The synergy model of practice states that the needs of patients and
families influence and drive
competencies of nurses. Nursing practice based on the synergy
model would involve tailored visiting to
meet the patient's and family's needs and the application of
alternative therapies if desired by the patient,
but that is not the primary focus of the model.
Page 6
,◉ The family of your critically ill patient tells you that they have not
spoken with the
physician in over 24 hours and that they have some questions they
want clarified. During morning
rounds, you convey this concern to the attending intensivist and
arrange a meeting with the family
at 4:00 PM. Which competency of critical care nursing does this
represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members.
Answer: Answer: C
Although one might consider that all of these competencies are
being addressed, communication and
collaboration with the family and physician best exemplify the
competency of collaboration
p. 6 | Fig 1-3 | Box 1
◉ The AACN Standards for Acute and Critical Care Nursing Practice
use what framework
, to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process.
Answer: Answer: D
The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill patients:
collect data, determine diagnoses, identify expected outcomes,
develop a plan of care, implement interventions, and evaluate care.
AACN promotes a healthy work environment, but this is not
included in its standards. The Joint Commission has established
National Patient Safety Goals, but these are not the AACN standards.
Page 6
◉ The charge nurse is responsible for making the patient
assignments on the critical care
unit. An experienced, certified nurse is assigned to care for the
acutely ill patient with sepsis who
also requires continuous renal replacement therapy and mechanical
ventilation. The nurse with less
NURSING 4 PRACTICE EXAM 2026 PREMIUM
QUESTIONS AND ACCURATE ANSWERS ONE
HUNDRED PERCENT
◉ The synergy model of practice focuses on
a. allowing unrestricted visiting for the patient 24 hours a day.
b. holistic and alternative therapies.
c. the needs of patients and their families, which drive nursing
competency.
d. patients' needs for energy and support..
Answer: Answer: C
The synergy model of practice states that the needs of patients and
families influence and drive
competencies of nurses. Nursing practice based on the synergy
model would involve tailored visiting to
meet the patient's and family's needs and the application of
alternative therapies if desired by the patient,
but that is not the primary focus of the model.
Page 6
,◉ The family of your critically ill patient tells you that they have not
spoken with the
physician in over 24 hours and that they have some questions they
want clarified. During morning
rounds, you convey this concern to the attending intensivist and
arrange a meeting with the family
at 4:00 PM. Which competency of critical care nursing does this
represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members.
Answer: Answer: C
Although one might consider that all of these competencies are
being addressed, communication and
collaboration with the family and physician best exemplify the
competency of collaboration
p. 6 | Fig 1-3 | Box 1
◉ The AACN Standards for Acute and Critical Care Nursing Practice
use what framework
, to guide critical care nursing practice?
a. Evidence-based practice
b. Healthy work environment
c. National Patient Safety Goals
d. Nursing process.
Answer: Answer: D
The AACN Standards for Acute and Critical Care Nursing Practice
delineate the nursing process as applied to critically ill patients:
collect data, determine diagnoses, identify expected outcomes,
develop a plan of care, implement interventions, and evaluate care.
AACN promotes a healthy work environment, but this is not
included in its standards. The Joint Commission has established
National Patient Safety Goals, but these are not the AACN standards.
Page 6
◉ The charge nurse is responsible for making the patient
assignments on the critical care
unit. An experienced, certified nurse is assigned to care for the
acutely ill patient with sepsis who
also requires continuous renal replacement therapy and mechanical
ventilation. The nurse with less
