Test Bank for Priorities in Critical Care Nursing 9th
Edition Urden, Stacy, and Lough
, Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Which type of practitioner possesses extensive specialized knowledge and handles complex clinical and
system-related challenges?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
Correct Answer: B
Advanced practice nurses (APNs) hold comprehensive expertise in their specialty and address multifaceted clinical
and systemic concerns. Intensivists are physicians who treat critically ill patients. Registered nurses (RNs)
typically offer direct patient care. Clinical nurse leaders (CNLs) usually do not manage system-wide issues.
2. Which practitioner plays a key role in applying evidence-based care and implementing safety initiatives?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurse
d. Nurse practitioner
Correct Answer: A
Clinical nurse specialists (CNSs) utilize their clinical, educational, research, leadership, and advisory roles to
ensure care is evidence based and safety strategies are applied. While APNs manage clinical and system issues,
RNs mainly offer hands-on care. Nurse practitioners (NPs) deliver direct care to specific patient populations.
3. Which organization offers critical care nursing certification exams?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialists
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
Correct Answer: D
The American Association of Critical-Care Nurses (AACN) provides certification tests for RNs. The State Board
of Registered Nurses does not issue such certifications. The NACNS and SCCM also do not conduct certification
exams for nurses.
,4. What are the brief evidence-based summaries issued by AACN for bedside use called?
a. Critical care protocol
b. Practice policies
c. Evidence-based research
d. Practice alerts
Correct Answer: D
AACN distributes “practice alerts,” which are concise, evidence-supported guides for clinical use. While
evidence-based practice incorporates research, clinician expertise, and patient preferences, protocols and policies
are determined by each facility.
5. What term is used for a treatment that serves as an option to standard medical approaches?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
Correct Answer: A
“Alternative” therapies refer to those used instead of conventional medical care. “Complementary” treatments
support traditional methods. Holistic care emphasizes the connection between body, mind, and spirit.
Individualized care reflects personal patient needs and conditions.
6. Guided imagery and massage are examples of what kind of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
Correct Answer: C
Complementary therapies like massage and guided imagery are used alongside standard treatments. “Alternative”
means used instead of mainstream therapy. Holistic care focuses on complete mind-body-spirit health.
Individualized care addresses the unique needs of each patient.
7. A critically ill patient in a rural Montana ICU is being remotely monitored by urban-based nurses. What
is this practice called?
, a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
Correct Answer: B
Tele-ICU is a telemedicine approach where critical care experts in centralized locations assist remote hospitals.
While initially used for outpatient services, it's now also applied in ICUs with limited onsite specialists.
8. Which interprofessional practice core competency involves maintaining mutual respect and shared values
with professionals from other fields?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
Correct Answer: B
The values and ethics domain of interprofessional practice emphasizes mutual respect and shared values. Roles
and responsibilities refer to understanding and respecting each professional's function. Interprofessional
communication involves respectful, responsive dialogue, and teamwork focuses on collaborative patient care
planning.
9. Among critical care nursing interventions, which remains most prone to error?
a. Providing inappropriate care
b. Disruptive clinician behavior
c. Patient injuries from falls
d. Administering medications
Correct Answer: D
Medication administration is a frequent source of errors in critical care. While clinician behavior and patient falls
can lead to adverse events, safe medication delivery continues to be a key challenge.
10. A practitioner requests a patient update during a dressing change on another patient. What is the
nurse’s appropriate response?
a. Share the information
b. Decline due to HIPAA rules
c. Share since the patient is unresponsive
Edition Urden, Stacy, and Lough
, Chapter 01: Caring for the Critically Ill Patient
Urden: Priorities in Critical Care Nursing, 8th Edition
MULTIPLE CHOICE
1. Which type of practitioner possesses extensive specialized knowledge and handles complex clinical and
system-related challenges?
a. Registered nurses
b. Advanced practice nurses
c. Clinical nurse leaders
d. Intensivists
Correct Answer: B
Advanced practice nurses (APNs) hold comprehensive expertise in their specialty and address multifaceted clinical
and systemic concerns. Intensivists are physicians who treat critically ill patients. Registered nurses (RNs)
typically offer direct patient care. Clinical nurse leaders (CNLs) usually do not manage system-wide issues.
2. Which practitioner plays a key role in applying evidence-based care and implementing safety initiatives?
a. Clinical nurse specialist
b. Advanced practice nurse
c. Registered nurse
d. Nurse practitioner
Correct Answer: A
Clinical nurse specialists (CNSs) utilize their clinical, educational, research, leadership, and advisory roles to
ensure care is evidence based and safety strategies are applied. While APNs manage clinical and system issues,
RNs mainly offer hands-on care. Nurse practitioners (NPs) deliver direct care to specific patient populations.
3. Which organization offers critical care nursing certification exams?
a. State Board of Registered Nurses
b. National Association of Clinical Nurse Specialists
c. Society of Critical Care Medicine
d. American Association of Critical-Care Nurses
Correct Answer: D
The American Association of Critical-Care Nurses (AACN) provides certification tests for RNs. The State Board
of Registered Nurses does not issue such certifications. The NACNS and SCCM also do not conduct certification
exams for nurses.
,4. What are the brief evidence-based summaries issued by AACN for bedside use called?
a. Critical care protocol
b. Practice policies
c. Evidence-based research
d. Practice alerts
Correct Answer: D
AACN distributes “practice alerts,” which are concise, evidence-supported guides for clinical use. While
evidence-based practice incorporates research, clinician expertise, and patient preferences, protocols and policies
are determined by each facility.
5. What term is used for a treatment that serves as an option to standard medical approaches?
a. Alternative
b. Holistic
c. Complementary
d. Individualized
Correct Answer: A
“Alternative” therapies refer to those used instead of conventional medical care. “Complementary” treatments
support traditional methods. Holistic care emphasizes the connection between body, mind, and spirit.
Individualized care reflects personal patient needs and conditions.
6. Guided imagery and massage are examples of what kind of treatment?
a. Alternative therapy
b. Holistic care
c. Complementary care
d. Individualized care
Correct Answer: C
Complementary therapies like massage and guided imagery are used alongside standard treatments. “Alternative”
means used instead of mainstream therapy. Holistic care focuses on complete mind-body-spirit health.
Individualized care addresses the unique needs of each patient.
7. A critically ill patient in a rural Montana ICU is being remotely monitored by urban-based nurses. What
is this practice called?
, a. Tele-nursing
b. Tele-ICU
c. Tele-informatics
d. Tele-hospital
Correct Answer: B
Tele-ICU is a telemedicine approach where critical care experts in centralized locations assist remote hospitals.
While initially used for outpatient services, it's now also applied in ICUs with limited onsite specialists.
8. Which interprofessional practice core competency involves maintaining mutual respect and shared values
with professionals from other fields?
a. Interprofessional teamwork and team-based care
b. Values and ethics for interprofessional practice
c. Interprofessional communication
d. Roles and responsibilities for collaborative practice
Correct Answer: B
The values and ethics domain of interprofessional practice emphasizes mutual respect and shared values. Roles
and responsibilities refer to understanding and respecting each professional's function. Interprofessional
communication involves respectful, responsive dialogue, and teamwork focuses on collaborative patient care
planning.
9. Among critical care nursing interventions, which remains most prone to error?
a. Providing inappropriate care
b. Disruptive clinician behavior
c. Patient injuries from falls
d. Administering medications
Correct Answer: D
Medication administration is a frequent source of errors in critical care. While clinician behavior and patient falls
can lead to adverse events, safe medication delivery continues to be a key challenge.
10. A practitioner requests a patient update during a dressing change on another patient. What is the
nurse’s appropriate response?
a. Share the information
b. Decline due to HIPAA rules
c. Share since the patient is unresponsive
