Test Bank for Sole’s Introduction to Critical Care
Nursing 9th Edition by Makic and Morata
, Chapter 01: Overview of Critical Care Nursing
Introduction to Critical Care Nursing, 9th Edition
Multiple Choice
1. Which professional organization primarily supports the practice of critical care nursing?
o a. American Association of Critical-Care Nurses
o b. American Heart Association
o c. American Nurses Association
o d. Society of Critical Care Medicine
Answer: A
The American Association of Critical-Care Nurses (AACN) is the dedicated organization for critical
care nurses, offering professional support and representation. The American Heart Association
focuses on cardiovascular health, while the American Nurses Association supports nurses across all
specialties. The Society of Critical Care Medicine advocates for a multidisciplinary approach to
critical care led by an intensivist.
2. A nurse who has been working in a surgical intensive care unit for two years is interested in
obtaining certification. Which credential would be the most appropriate?
o a. ACNPC-AG
o b. CNML
o c. CCRN
o d. PCCN
Answer: C
The CCRN certification is suitable for bedside nurses caring for critically ill patients. The ACNPC-
AG certification applies to acute care nurse practitioners. The CNML credential is intended for
nurse managers or leaders in critical care. The PCCN certification is for nurses working in
progressive care, intermediate care, or step-down units.
3. The primary purpose of obtaining certification is to:
o a. Guarantee error-free patient care
o b. Prepare for graduate studies
, o c. Help the facility achieve magnet status
o d. Validate expertise in critical care nursing
Answer: D
Certification confirms a nurse’s knowledge and competence in critical care, promoting excellence in
the field. While certification provides assurance of a minimum level of knowledge, it does not
eliminate the possibility of errors. It is not a requirement for graduate school but demonstrates
professional dedication. Additionally, although hospitals with a high number of certified nurses may
attain magnet status, this is not the primary goal of certification.
4. The Synergy Model of nursing practice emphasizes:
o a. Unlimited patient visitation around the clock
o b. The use of holistic and alternative therapies
o c. Patient and family needs shaping nursing competencies
o d. Ensuring patients receive adequate energy and support
Answer: C
The Synergy Model asserts that nursing competencies should align with the specific needs of
patients and their families. While individualized visitation and alternative therapies may be
components of care, they are not the core focus of this model.
5. The family of a critically ill patient expresses concern that they have not spoken with the physician
in over 24 hours. During morning rounds, the nurse communicates this concern to the attending
intensivist and arranges a meeting at 4:00 PM. This action best represents which nursing
competency?
o a. Advocacy in ethical decision-making
o b. Clinical reasoning and judgment
o c. Collaboration with patients, families, and healthcare teams
o d. Facilitating learning for patients and families
Answer: C
While elements of all these competencies may be involved, the nurse’s communication and
coordination with both the physician and family primarily exemplify collaboration in patient care.
, 6. The AACN Standards for Acute and Critical Care Nursing Practice are guided by which framework?
o a. Evidence-based practice
o b. Healthy work environment principles
o c. National Patient Safety Goals
o d. The nursing process
Answer: D
The nursing process is the foundation for AACN standards, involving assessment, diagnosis,
outcome identification, planning, intervention, and evaluation. While AACN also promotes a healthy
work environment and evidence-based care, these are not the specific framework used for the
standards.
7. A charge nurse assigns a highly experienced, certified nurse to care for a critically ill patient
requiring mechanical ventilation and continuous renal replacement therapy, while a nurse with less
than a year of experience is assigned to two more stable patients. This approach reflects the
implementation of:
o a. Crew resource management principles
o b. National Patient Safety Goals
o c. The QSEN (Quality and Safety Education for Nurses) model
o d. The Synergy Model of Practice
Answer: D
This decision aligns with the Synergy Model, which matches nurse competencies to patient needs.
While crew resource management, National Patient Safety Goals, and QSEN focus on safety and
education, they do not specifically involve assigning nurses based on their expertise relative to
patient acuity.
8. The vision of the American Association of Critical-Care Nurses (AACN) is a healthcare system that
is primarily driven by:
o a. A positive and supportive work environment
o b. A multiprofessional team led by a critical care physician
o c. The needs of critically ill patients and their families
Nursing 9th Edition by Makic and Morata
, Chapter 01: Overview of Critical Care Nursing
Introduction to Critical Care Nursing, 9th Edition
Multiple Choice
1. Which professional organization primarily supports the practice of critical care nursing?
o a. American Association of Critical-Care Nurses
o b. American Heart Association
o c. American Nurses Association
o d. Society of Critical Care Medicine
Answer: A
The American Association of Critical-Care Nurses (AACN) is the dedicated organization for critical
care nurses, offering professional support and representation. The American Heart Association
focuses on cardiovascular health, while the American Nurses Association supports nurses across all
specialties. The Society of Critical Care Medicine advocates for a multidisciplinary approach to
critical care led by an intensivist.
2. A nurse who has been working in a surgical intensive care unit for two years is interested in
obtaining certification. Which credential would be the most appropriate?
o a. ACNPC-AG
o b. CNML
o c. CCRN
o d. PCCN
Answer: C
The CCRN certification is suitable for bedside nurses caring for critically ill patients. The ACNPC-
AG certification applies to acute care nurse practitioners. The CNML credential is intended for
nurse managers or leaders in critical care. The PCCN certification is for nurses working in
progressive care, intermediate care, or step-down units.
3. The primary purpose of obtaining certification is to:
o a. Guarantee error-free patient care
o b. Prepare for graduate studies
, o c. Help the facility achieve magnet status
o d. Validate expertise in critical care nursing
Answer: D
Certification confirms a nurse’s knowledge and competence in critical care, promoting excellence in
the field. While certification provides assurance of a minimum level of knowledge, it does not
eliminate the possibility of errors. It is not a requirement for graduate school but demonstrates
professional dedication. Additionally, although hospitals with a high number of certified nurses may
attain magnet status, this is not the primary goal of certification.
4. The Synergy Model of nursing practice emphasizes:
o a. Unlimited patient visitation around the clock
o b. The use of holistic and alternative therapies
o c. Patient and family needs shaping nursing competencies
o d. Ensuring patients receive adequate energy and support
Answer: C
The Synergy Model asserts that nursing competencies should align with the specific needs of
patients and their families. While individualized visitation and alternative therapies may be
components of care, they are not the core focus of this model.
5. The family of a critically ill patient expresses concern that they have not spoken with the physician
in over 24 hours. During morning rounds, the nurse communicates this concern to the attending
intensivist and arranges a meeting at 4:00 PM. This action best represents which nursing
competency?
o a. Advocacy in ethical decision-making
o b. Clinical reasoning and judgment
o c. Collaboration with patients, families, and healthcare teams
o d. Facilitating learning for patients and families
Answer: C
While elements of all these competencies may be involved, the nurse’s communication and
coordination with both the physician and family primarily exemplify collaboration in patient care.
, 6. The AACN Standards for Acute and Critical Care Nursing Practice are guided by which framework?
o a. Evidence-based practice
o b. Healthy work environment principles
o c. National Patient Safety Goals
o d. The nursing process
Answer: D
The nursing process is the foundation for AACN standards, involving assessment, diagnosis,
outcome identification, planning, intervention, and evaluation. While AACN also promotes a healthy
work environment and evidence-based care, these are not the specific framework used for the
standards.
7. A charge nurse assigns a highly experienced, certified nurse to care for a critically ill patient
requiring mechanical ventilation and continuous renal replacement therapy, while a nurse with less
than a year of experience is assigned to two more stable patients. This approach reflects the
implementation of:
o a. Crew resource management principles
o b. National Patient Safety Goals
o c. The QSEN (Quality and Safety Education for Nurses) model
o d. The Synergy Model of Practice
Answer: D
This decision aligns with the Synergy Model, which matches nurse competencies to patient needs.
While crew resource management, National Patient Safety Goals, and QSEN focus on safety and
education, they do not specifically involve assigning nurses based on their expertise relative to
patient acuity.
8. The vision of the American Association of Critical-Care Nurses (AACN) is a healthcare system that
is primarily driven by:
o a. A positive and supportive work environment
o b. A multiprofessional team led by a critical care physician
o c. The needs of critically ill patients and their families
