Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Section A — High-Level MCQs (10)
Question 1
A critically ill patient’s condition is deteriorating, and the nurse
notices conflicting information between monitor data and
clinical assessment. Which action best reflects skilled
communication in a healthy work environment?
A. Document findings and wait for the next physician round
B. Immediately communicate concerns using structured, clear
language to the team
C. Ask another nurse to confirm findings before speaking up
D. Adjust monitor settings and continue observation
Correct Answer: B
Rationale:
Clear, direct, and structured communication is essential to
prevent errors and promote patient safety. Skilled
communication requires nurses to speak up promptly when
patient deterioration is suspected.
A: Delays intervention.
C: May delay urgent communication.
D: Ignores the underlying issue.
Source: Morton & Thurman, Ch. 1
Question 2
The nurse is implementing evidence-based practice (EBP) when
, managing a critically ill patient. Which action best reflects this
concept?
A. Following unit routines without question
B. Integrating clinical expertise with current research and
patient preferences
C. Relying solely on physician orders
D. Using interventions based only on past experience
Correct Answer: B
Rationale:
EBP combines best research evidence, clinical expertise, and
patient values to guide care decisions.
A, C, D: Do not incorporate all EBP components.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse identifies a gap between current ICU practice and best
evidence but notes resistance from staff. Which is the most
likely barrier to EBP implementation?
A. Availability of clinical guidelines
B. Strong leadership support
C. Resistance to change among staff
D. Access to research databases
Correct Answer: C
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
1. Foundations of Critical Care
2. Special Populations
3. Special Situations
4. Cardiovascular System
,5. Respiratory System
6. Renal System
7. Nervous System
8. Gastrointestinal System
9. Endocrine System
• Key Disorders:
10. Hematologic & Immune
11. Integumentary System
12. Multisystem & Emergencies
CORE PRIORITIES (ALWAYS REMEMBER)
• ABCs: Airway, Breathing, Circulation
• Early recognition + rapid intervention
• Holistic care: patient + family
• Interprofessional collaboration
• Patient safety & ethical practice
,Section A — High-Level MCQs (10)
Question 1
A critically ill patient’s condition is deteriorating, and the nurse
notices conflicting information between monitor data and
clinical assessment. Which action best reflects skilled
communication in a healthy work environment?
A. Document findings and wait for the next physician round
B. Immediately communicate concerns using structured, clear
language to the team
C. Ask another nurse to confirm findings before speaking up
D. Adjust monitor settings and continue observation
Correct Answer: B
Rationale:
Clear, direct, and structured communication is essential to
prevent errors and promote patient safety. Skilled
communication requires nurses to speak up promptly when
patient deterioration is suspected.
A: Delays intervention.
C: May delay urgent communication.
D: Ignores the underlying issue.
Source: Morton & Thurman, Ch. 1
Question 2
The nurse is implementing evidence-based practice (EBP) when
, managing a critically ill patient. Which action best reflects this
concept?
A. Following unit routines without question
B. Integrating clinical expertise with current research and
patient preferences
C. Relying solely on physician orders
D. Using interventions based only on past experience
Correct Answer: B
Rationale:
EBP combines best research evidence, clinical expertise, and
patient values to guide care decisions.
A, C, D: Do not incorporate all EBP components.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse identifies a gap between current ICU practice and best
evidence but notes resistance from staff. Which is the most
likely barrier to EBP implementation?
A. Availability of clinical guidelines
B. Strong leadership support
C. Resistance to change among staff
D. Access to research databases
Correct Answer: C
