Essentials of Nursing Critically Ill Adults Second Edition Samantha Freeman , Claire Burns,
Gregory Bleakley
Chapters 1-17
Chapter 1
The History and Development of Critical Care Nursing
1. What disease caused the development of critical care services?
a. Polio
b. Spanish flu
c. Tuberculosis
d. Diphtheria
Ans: A
2. What was the name of the publication that triggered the most recent significant development
in UK critical care services?
a. Critical Care Services
b. Critical to Success
c. ITU Steps
d. The Copenhagen report
Ans: B
3. How is the level of care defined for, „Patients requiring more detailed observation or
intervention, including support for a single failing organ system or post-operative care and those
“stepping down” from higher levels of care?‟
,a. Level 0
b. Level 1
c. Level 3
d. Level 2
Ans: C
4. Which type of research is at the top of the hierarchy of evidence?
a. Cohort studies
b. Critically appraised topics
c. Randomised controlled trials
d. Systematic review
Ans: D
5. What can cause unconscious bias?
a. Personal views being influenced by background
b. Personal views are influenced by our experiences
c. Making quick judgements and assessments of patients without realising
d. All of these
Ans: D
Chapter 2
Humanising Critical Care
1. Which of the following is an example of humanising behaviours?
,a. Physical touch
b. Loss of control
c. Isolation from family and friends
d. Loss of ability to communicate
Ans: A
2. What is the biggest barrier to communication in the critical care unit?
a. The staff
b. The equipment
c. Sedation
d. Illness
Ans: C
3. What is Step 3 of the WHO analgesic ladder?
a. Non-opioid analgesic
b. Weak opioid
c. Strong opioid
d. NSAID
Ans: C
4. Sedation can be used to ______
a. Reduce anxiety
, b. Control agitation
c. For amnesia during neuromuscular blockade
d. All of these
Ans: D
5. What is the name of the first clinically validated scale to measure sedation levels?
a. The Waterlow Scale
b. The Ramsey Scale
c. The TISS Scale
d. The APACHE Score
Ans: B
Chapter 3
The Critical Care Continuum
1. What is the name of the hospital-wide critical care service?
a. Critical Care Outreach
b. Critical Care Steps
c. Critical Care Continuum
d. Critical Care Success
Ans: A
2. What are the aims of critical care outreach?