Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A newly licensed nurse asks the critical care nurse why
certification is encouraged in the intensive care unit (ICU).
Which response by the experienced nurse is most accurate?
A. Certification guarantees advancement into management
positions
B. Certification demonstrates specialized knowledge in critical
care nursing
C. Certification replaces the need for continuing education
requirements
D. Certification allows nurses to independently prescribe
medications in the ICU
Correct Answer: B
Rationale:
Certification in critical care nursing validates specialized clinical
knowledge and expertise in caring for critically ill patients. The
textbook emphasizes that certification benefits patients,
nurses, and employers through improved competence and
professional credibility. Certification does not guarantee
promotion, replace continuing education, or grant prescriptive
authority.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
The ICU charge nurse is implementing evidence-based practice
(EBP) changes related to central line infection prevention.
Which action best reflects evidence-based critical care nursing?
A. Using interventions solely because senior nurses prefer them
B. Applying interventions supported by current research and
clinical expertise
C. Following physician preferences regardless of supporting
evidence
D. Implementing new practices only after adverse events occur
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient values to improve outcomes. ICU
nurses use EBP to support safe, high-quality care. Reliance
solely on tradition or provider preference does not reflect
evidence-based care.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
A critical care nurse identifies that staff members resist
implementing a new evidence-based sedation protocol. Which
factor represents a common barrier to EBP implementation?
, A. Availability of strong research evidence
B. Effective interdisciplinary collaboration
C. Resistance to change in clinical practice
D. Supportive nursing leadership
Correct Answer: C
Rationale:
The textbook identifies resistance to change as a major barrier
to implementing evidence-based practice in critical care
environments. Other barriers may include limited time, lack of
resources, and insufficient knowledge regarding research
appraisal. Strong evidence, collaboration, and supportive
leadership promote implementation rather than hinder it.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse manager evaluates the ICU work environment using
healthy work environment standards. Which situation best
demonstrates skilled communication?
A. Nurses independently changing care plans without
discussion
B. Team members withholding concerns to avoid conflict
C. Staff openly discussing patient concerns during
interdisciplinary rounds
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A newly licensed nurse asks the critical care nurse why
certification is encouraged in the intensive care unit (ICU).
Which response by the experienced nurse is most accurate?
A. Certification guarantees advancement into management
positions
B. Certification demonstrates specialized knowledge in critical
care nursing
C. Certification replaces the need for continuing education
requirements
D. Certification allows nurses to independently prescribe
medications in the ICU
Correct Answer: B
Rationale:
Certification in critical care nursing validates specialized clinical
knowledge and expertise in caring for critically ill patients. The
textbook emphasizes that certification benefits patients,
nurses, and employers through improved competence and
professional credibility. Certification does not guarantee
promotion, replace continuing education, or grant prescriptive
authority.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
The ICU charge nurse is implementing evidence-based practice
(EBP) changes related to central line infection prevention.
Which action best reflects evidence-based critical care nursing?
A. Using interventions solely because senior nurses prefer them
B. Applying interventions supported by current research and
clinical expertise
C. Following physician preferences regardless of supporting
evidence
D. Implementing new practices only after adverse events occur
Correct Answer: B
Rationale:
Evidence-based practice integrates current best evidence,
clinical expertise, and patient values to improve outcomes. ICU
nurses use EBP to support safe, high-quality care. Reliance
solely on tradition or provider preference does not reflect
evidence-based care.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
A critical care nurse identifies that staff members resist
implementing a new evidence-based sedation protocol. Which
factor represents a common barrier to EBP implementation?
, A. Availability of strong research evidence
B. Effective interdisciplinary collaboration
C. Resistance to change in clinical practice
D. Supportive nursing leadership
Correct Answer: C
Rationale:
The textbook identifies resistance to change as a major barrier
to implementing evidence-based practice in critical care
environments. Other barriers may include limited time, lack of
resources, and insufficient knowledge regarding research
appraisal. Strong evidence, collaboration, and supportive
leadership promote implementation rather than hinder it.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse manager evaluates the ICU work environment using
healthy work environment standards. Which situation best
demonstrates skilled communication?
A. Nurses independently changing care plans without
discussion
B. Team members withholding concerns to avoid conflict
C. Staff openly discussing patient concerns during
interdisciplinary rounds
