Critical Care Nursing: Diagnosis and Management 10th Edition Test Bank

Critical Care Nursing: Diagnosis and
Management (10th Edition)

Unit I: Foundations of Critical Care Nursing

Chapter 1: Critical Care Nursing Practice
Exam Revision Test Bank

EXAM BLUEPRINT
Content Area Weight
History and Evolution of
5%
Critical Care
Critical Care Nursing Roles 10%
Advanced Practice Nursing 5%
Social Determinants of Health
10%
(SDOH)
Evidence-Based Practice 10%
Patient-Centered & Holistic
10%
Care
Complementary Therapies 5%
Technology and Tele-ICU 10%

,Interprofessional
10%
Collaboration
Rapid Response Teams 10%
Quality & Safety 10%
Healthy Work Environment 5%



1. MCQ — History of Critical Care
A nurse educator is teaching newly hired ICU nurses about the
development of critical care as a specialty. Which event most
directly contributed to the establishment of modern critical
care units?
A. The introduction of home health nursing
B. The need for close monitoring of postoperative and
respiratory failure patients
C. The creation of outpatient specialty clinics
D. The replacement of bedside nursing by telehealth
Correct Answer: B
Rationale: Critical care units evolved to provide intensive
monitoring and treatment for unstable patients, especially
those with respiratory failure, shock, and complex
postoperative needs requiring continuous observation and
rapid intervention.

,Distractor Analysis:
A is incorrect because home health nursing developed
separately.
C is incorrect because outpatient clinics do not define ICU
development.
D is incorrect because telehealth did not replace bedside critical
care.
Difficulty: Easy
Bloom’s Level: Recall
Learning Objective: Identify major drivers in the historical
development of critical care nursing.
Chapter Reference: Chapter 1: Critical Care Nursing Practice
Clinical Significance: Understanding ICU origins supports
appreciation of why continuous surveillance and rapid response
are central to critical care.
2. SATA — Contemporary Critical Care and Nursing Roles
Which responsibilities are consistent with the role of the critical
care nurse? Select all that apply.
A. Continuous physiologic assessment
B. Independent interpretation of subtle deterioration trends
C. Providing care only after physician rounds
D. Coordinating interprofessional communication
E. Administering complex vasoactive infusions
F. Limiting family involvement in all cases

, Correct Answers: A, B, D, E
Rationale: Critical care nurses continuously assess unstable
patients, recognize deterioration early, coordinate
communication, and manage high-risk therapies such as
vasoactive medications.
Distractor Analysis:
C is incorrect because ICU nursing requires proactive care, not
delayed action.
F is incorrect because family involvement is often an important
component of patient-centered ICU care.
Difficulty: Moderate
Bloom’s Level: Comprehension
Learning Objective: Describe core responsibilities of the critical
care nurse in contemporary ICU practice.
Chapter Reference: Chapter 1: Critical Care Nursing Practice
Clinical Significance: Accurate role understanding improves
team function, surveillance, and patient safety.
3. MCQ — Expanded-Role Nursing Positions
Which nurse role is most likely to provide direct expert
consultation on complex ICU nursing practice issues, integrate
evidence into bedside care, and support staff development?
A. Bedside nursing assistant
B. Clinical nurse specialist