10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
QUESTION 1
,Chapter Reference: Unit I – Foundations of Critical Care Nursing
Topic: History and Contemporary Critical Care Practice
Cognitive Level: Recall
Difficulty: Easy
Learning Objective: Identify factors contributing to the
development of modern critical care units.
Clinical Significance: Understanding the evolution of critical
care helps nurses appreciate current ICU structures and
standards.
Question:
Which historical event significantly contributed to the
development of modern intensive care units?
A. Development of outpatient surgery centers
B. Polio epidemics requiring prolonged ventilatory support
C. Establishment of hospice care programs
D. Introduction of electronic health records
Correct Answer: B
Rationale: The polio epidemics of the 1950s created a need for
centralized care of patients requiring prolonged mechanical
ventilation, leading to the creation of specialized intensive care
units.
Distractor Analysis:
A: Occurred later and did not drive ICU development.
, C: Hospice focuses on end-of-life care rather than
intensive monitoring.
D: EHRs improved documentation but did not create ICUs.
QUESTION 2
Chapter Reference: Critical Care Nursing Roles
Cognitive Level: Comprehension
Difficulty: Easy
Learning Objective: Differentiate among critical care nursing
roles.
Clinical Significance: Role clarity promotes effective team
functioning.
Question:
Which activity best reflects the role of a critical care nurse?
A. Diagnosing medical disorders independently
B. Managing complex physiologic responses and coordinating
care
C. Performing surgical procedures without supervision
D. Prescribing medications independently
Correct Answer: B
Rationale: Critical care nurses continuously assess, monitor,
and coordinate care for patients with life-threatening
conditions.
, Distractor Analysis:
A: Medical diagnosis is typically a physician or advanced
practice role.
C: Outside nursing scope.
D: Requires advanced practice authority.
QUESTION 3
Chapter Reference: Advanced Practice Nurses
Cognitive Level: Recall
Difficulty: Easy
Learning Objective: Identify expanded-role nursing positions.
Clinical Significance: Understanding advanced roles improves
collaboration.
Question:
Which nurse typically has authority to diagnose illnesses and
prescribe medications?
A. Staff RN
B. Charge Nurse
C. Nurse Practitioner
D. Clinical Nurse Assistant
Correct Answer: C