Full Test Bank - Critical Care
Nursing: Diagnosis And
Management 10th Edition
By Linda D. Urden, 2026
Update Version
1 MCQ Paper 1: Questions
Question 1: In relation to the drug sugammadex:
a It is recommended for immediate reversal of vecuronium. b
It can effectively reverse cisatracurium.
c 16mg/kg is recommended intravenously for the immediate reversal of
rocuronium.
d It is an α-cyclodextrin that encapsulates aminosteroid neuromuscular
blocking agents.
e Sugammadex may be effective in treating rocuronium-induced
anaphylaxis.
i
, Critical Care MCQs — A Companion for Intensive Care Exams
Question 2: For patients with coronary artery stents
undergoing non-cardiac surgery:
a Non-urgent surgery should be delayed in the immediate post-stent
period.
b Drug-eluting stents (DES) have reduced restenosis rates at 1 year, when
compared to bare metal stents (BMS).
c Bare metal stents (BMS) require 4-6 months of clopidogrel therapy.
d Dual antiplatelet therapy is associated with an increased perioperative
mortality. e Biocompatible stents (e.g. Genous™ R-stent) require peri-
operative bridging therapy.
Question 3: Regarding The Royal College of Anaesthetists’
4th National Audit Project (NAP4):
a Airway complications in intensive care resulted in death or disability in
less than 20% of cases.
b End-tidal CO2 monitoring (capnography) is not always necessary for
intubation.
c A difficult airway trolley is recommended for all intensive care units. d
Regular audit of airway complications should occur.
e Transfer of an intubated patient is deemed low risk for airway
complications.
ii
,Question 4: In relation to a potential ‘can’t intubate,
can’t ventilate (CICV) scenario’ in anaesthesia practice:
a It is estimated to occur in 0.01 to 2.0 per 100,000 cases.
b Jet ventilation is required for cricothyroidotomy with a cannula of >4mm
diameter.
c Over 90% of CICV situations are preventable.
d Fixation error may lead to loss of situational awareness and poor decision
making.
e Cricothyroidotomy skills are retained for only a short period.
Question 5: In quinine sulphate overdose:
a The QTc interval shortens. b Temporary deafness can occur. c Amiodarone
is the anti-arrhythmic of choice for ventricular tachycardia (VT) with a pulse.
d Quinine induces insulin release. e Continuous veno-venous haemofiltration
(CVVH) will remove quinine.
Question 6: The pre-test heparin-
induced thrombocytopenia (HIT) score:
a Has four categories. b
Has a maximum score of 4.
ii
i
,
Nursing: Diagnosis And
Management 10th Edition
By Linda D. Urden, 2026
Update Version
1 MCQ Paper 1: Questions
Question 1: In relation to the drug sugammadex:
a It is recommended for immediate reversal of vecuronium. b
It can effectively reverse cisatracurium.
c 16mg/kg is recommended intravenously for the immediate reversal of
rocuronium.
d It is an α-cyclodextrin that encapsulates aminosteroid neuromuscular
blocking agents.
e Sugammadex may be effective in treating rocuronium-induced
anaphylaxis.
i
, Critical Care MCQs — A Companion for Intensive Care Exams
Question 2: For patients with coronary artery stents
undergoing non-cardiac surgery:
a Non-urgent surgery should be delayed in the immediate post-stent
period.
b Drug-eluting stents (DES) have reduced restenosis rates at 1 year, when
compared to bare metal stents (BMS).
c Bare metal stents (BMS) require 4-6 months of clopidogrel therapy.
d Dual antiplatelet therapy is associated with an increased perioperative
mortality. e Biocompatible stents (e.g. Genous™ R-stent) require peri-
operative bridging therapy.
Question 3: Regarding The Royal College of Anaesthetists’
4th National Audit Project (NAP4):
a Airway complications in intensive care resulted in death or disability in
less than 20% of cases.
b End-tidal CO2 monitoring (capnography) is not always necessary for
intubation.
c A difficult airway trolley is recommended for all intensive care units. d
Regular audit of airway complications should occur.
e Transfer of an intubated patient is deemed low risk for airway
complications.
ii
,Question 4: In relation to a potential ‘can’t intubate,
can’t ventilate (CICV) scenario’ in anaesthesia practice:
a It is estimated to occur in 0.01 to 2.0 per 100,000 cases.
b Jet ventilation is required for cricothyroidotomy with a cannula of >4mm
diameter.
c Over 90% of CICV situations are preventable.
d Fixation error may lead to loss of situational awareness and poor decision
making.
e Cricothyroidotomy skills are retained for only a short period.
Question 5: In quinine sulphate overdose:
a The QTc interval shortens. b Temporary deafness can occur. c Amiodarone
is the anti-arrhythmic of choice for ventricular tachycardia (VT) with a pulse.
d Quinine induces insulin release. e Continuous veno-venous haemofiltration
(CVVH) will remove quinine.
Question 6: The pre-test heparin-
induced thrombocytopenia (HIT) score:
a Has four categories. b
Has a maximum score of 4.
ii
i
,
