Critical Care Nursing
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
1. Which organization is most directly associated with
developing clinical practice guidelines for critically ill
patients?
A. American Nurses Association (ANA)
B. Society of Critical Care Medicine (SCCM)
C. National Institutes of Health (NIH)
D. World Health Organization (WHO)
Answer: B
Rationale: SCCM is a leading body in critical care that
develops evidence-based guidelines for ICU practice.
,2. A nurse functioning in an expanded-role position in critical
care is most likely to:
A. Perform only bedside care
B. Prescribe medications independently
C. Take on specialized responsibilities beyond traditional
bedside care
D. Avoid involvement in interdisciplinary teams
Answer: C
Rationale: Expanded roles include advanced skills,
leadership, education, and specialized clinical functions.
3. Which SDOH domain includes access to healthcare
services?
A. Economic Stability
B. Education Access
C. Health Care Access and Quality
D. Social Context
Answer: C
Rationale: This domain specifically addresses availability
and quality of healthcare services.
4. Evidence-based practice (EBP) integrates:
A. Tradition and intuition
B. Research, clinical expertise, and patient preferences
C. Physician preference only
D. Institutional policies only
, Answer: B
Rationale: EBP combines best evidence, clinician
expertise, and patient values.
5. Which tool helps standardize clinical decision-making in
critical care?
A. Narrative charting
B. Algorithm
C. Personal judgment
D. Informal discussion
Answer: B
Rationale: Algorithms provide structured, step-by-step
clinical guidance.
6. Tele-ICU primarily improves patient care by:
A. Reducing nurse workload to zero
B. Eliminating bedside care
C. Providing remote monitoring and expert consultation
D. Replacing physicians
Answer: C
Rationale: Tele-ICU enhances care through remote
surveillance and expert input.
7. Rapid Response Teams (RRTs) are activated to:
A. Replace ICU staff
, B. Respond to early signs of patient deterioration
C. Perform routine assessments
D. Conduct discharge planning
Answer: B
Rationale: RRTs intervene early to prevent cardiac arrest
or ICU transfer.
8. Compassion fatigue in nurses is best described as:
A. Physical injury from workload
B. Emotional exhaustion from prolonged caregiving
C. Lack of clinical skills
D. Poor time management
Answer: B
Rationale: It results from continuous exposure to patient
suffering.
9. Alarm fatigue occurs when:
A. Alarms are too loud
B. Staff become desensitized to frequent alarms
C. Equipment fails
D. Patients disable monitors
Answer: B
Rationale: Excessive alarms lead to reduced
responsiveness and safety risks.
10th Edition
Author(s)Linda D. Urden;
Kathleen M. Stacy; Mary E.
Lough; Kimberly Sanchez
1. Which organization is most directly associated with
developing clinical practice guidelines for critically ill
patients?
A. American Nurses Association (ANA)
B. Society of Critical Care Medicine (SCCM)
C. National Institutes of Health (NIH)
D. World Health Organization (WHO)
Answer: B
Rationale: SCCM is a leading body in critical care that
develops evidence-based guidelines for ICU practice.
,2. A nurse functioning in an expanded-role position in critical
care is most likely to:
A. Perform only bedside care
B. Prescribe medications independently
C. Take on specialized responsibilities beyond traditional
bedside care
D. Avoid involvement in interdisciplinary teams
Answer: C
Rationale: Expanded roles include advanced skills,
leadership, education, and specialized clinical functions.
3. Which SDOH domain includes access to healthcare
services?
A. Economic Stability
B. Education Access
C. Health Care Access and Quality
D. Social Context
Answer: C
Rationale: This domain specifically addresses availability
and quality of healthcare services.
4. Evidence-based practice (EBP) integrates:
A. Tradition and intuition
B. Research, clinical expertise, and patient preferences
C. Physician preference only
D. Institutional policies only
, Answer: B
Rationale: EBP combines best evidence, clinician
expertise, and patient values.
5. Which tool helps standardize clinical decision-making in
critical care?
A. Narrative charting
B. Algorithm
C. Personal judgment
D. Informal discussion
Answer: B
Rationale: Algorithms provide structured, step-by-step
clinical guidance.
6. Tele-ICU primarily improves patient care by:
A. Reducing nurse workload to zero
B. Eliminating bedside care
C. Providing remote monitoring and expert consultation
D. Replacing physicians
Answer: C
Rationale: Tele-ICU enhances care through remote
surveillance and expert input.
7. Rapid Response Teams (RRTs) are activated to:
A. Replace ICU staff
, B. Respond to early signs of patient deterioration
C. Perform routine assessments
D. Conduct discharge planning
Answer: B
Rationale: RRTs intervene early to prevent cardiac arrest
or ICU transfer.
8. Compassion fatigue in nurses is best described as:
A. Physical injury from workload
B. Emotional exhaustion from prolonged caregiving
C. Lack of clinical skills
D. Poor time management
Answer: B
Rationale: It results from continuous exposure to patient
suffering.
9. Alarm fatigue occurs when:
A. Alarms are too loud
B. Staff become desensitized to frequent alarms
C. Equipment fails
D. Patients disable monitors
Answer: B
Rationale: Excessive alarms lead to reduced
responsiveness and safety risks.
