10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
Unit I. Foundations of Critical Care Nursing — Exam Blueprint
(20 Items)
Cognitive Level % Items
Recall 15% 3
Comprehension 15% 3
Application 35% 7
Analysis 25% 5
,Cognitive Level % Items
Evaluation/Judgment 10% 2
Major Concepts Covered
Critical care history and contemporary practice; nursing roles
and advanced practice; SDOH and equity; professional
accountability and organizations; evidence-based practice;
holistic care and complementary therapies; technology and
tele-ICU; interprofessional collaboration and rapid response;
care management tools; quality, safety, and regulation;
compassion fatigue, alarm fatigue, incivility, bullying, workplace
violence; healthy work environment.
1) MCQ — Recall
Learning Objective: Identify the primary focus of contemporary
critical care nursing.
Chapter Reference: Unit I, Chapter 1: Critical Care Nursing
Practice
Difficulty: Easy
Clinical Significance: Clear role definition supports consistent
ICU care delivery.
Question: Which statement best describes contemporary
critical care nursing practice?
A. It is limited to managing mechanically ventilated patients
B. It focuses only on physician-directed interventions
,C. It integrates advanced assessment, evidence-based
interventions, collaboration, and patient/family-centered care
D. It is primarily concerned with emergency department
throughput
Correct Answer: C
Rationale: Contemporary critical care nursing is broad,
dynamic, and includes advanced assessment, timely
intervention, evidence-based practice, interprofessional
collaboration, and holistic patient/family-centered care.
Distractor Analysis:
A. Incorrect — Critical care includes far more than ventilation.
B. Incorrect — Nurses practice with autonomy and
collaboration, not only physician direction.
D. Incorrect — ED flow is not the primary definition of ICU
nursing.
2) MCQ — Recall
Learning Objective: Recognize the purpose of the American
Association of Critical-Care Nurses (AACN).
Chapter Reference: Unit I, Chapter 1
Difficulty: Easy
Clinical Significance: Professional organizations support
standards, education, and advocacy.
Question: What is a primary role of AACN?
A. Licensing critical care nurses
, B. Setting hospital reimbursement rates
C. Promoting excellence in acute and critical care nursing
practice through education, advocacy, and standards
D. Replacing state boards of nursing
Correct Answer: C
Rationale: AACN supports professional development, practice
standards, research, and advocacy.
Distractor Analysis:
A. Incorrect — AACN does not license nurses.
B. Incorrect — It does not determine reimbursement rates.
D. Incorrect — State boards regulate licensure.
3) MCQ — Recall
Learning Objective: Identify a common domain of social
determinants of health (SDOH).
Chapter Reference: Unit I, Chapter 1
Difficulty: Easy
Clinical Significance: SDOH screening helps reduce inequities in
outcomes.
Question: Which option is a social determinant of health
domain?
A. Genetic mutation
B. Health care access and quality
C. Blood type
D. Pulmonary compliance