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 Items)
Question 1
A critically ill patient’s family expresses confusion about
conflicting information from the care team. Which nursing
action best reflects skilled communication in a healthy work
environment?
A. Provide only written materials to avoid miscommunication
B. Clarify information using clear, consistent language and
verify understanding
C. Defer all explanations to the physician
D. Limit communication to reduce family anxiety
Correct Answer: B
Rationale:
Skilled communication requires clear, accurate, and consistent
information exchange with verification of understanding.
A: Written material alone is insufficient.
C: Nurses are responsible for communication within scope.
D: Limiting communication increases anxiety.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse notices repeated delays in implementing evidence-
based interventions due to unit culture resistance. Which
barrier to EBP implementation is most evident?
, A. Lack of clinical expertise
B. Organizational resistance to change
C. Patient acuity variability
D. Inadequate assessment skills
Correct Answer: B
Rationale:
Organizational resistance is a major barrier to EBP adoption.
A/D: Not indicated in scenario.
C: Not related to implementation barriers.
Source: Morton & Thurman, Ch. 1
Question 3
A patient in the ICU shows subtle deterioration. The nurse
promptly escalates care despite unclear diagnostic findings.
Which NGN clinical judgment step is demonstrated?
A. Evaluate outcomes
B. Generate solutions
C. Recognize cues
D. Prioritize hypotheses
Correct Answer: C
Rationale:
Recognizing early subtle changes reflects cue recognition.
B/D: Occur after recognition.
A: Occurs after interventions.
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 Items)
Question 1
A critically ill patient’s family expresses confusion about
conflicting information from the care team. Which nursing
action best reflects skilled communication in a healthy work
environment?
A. Provide only written materials to avoid miscommunication
B. Clarify information using clear, consistent language and
verify understanding
C. Defer all explanations to the physician
D. Limit communication to reduce family anxiety
Correct Answer: B
Rationale:
Skilled communication requires clear, accurate, and consistent
information exchange with verification of understanding.
A: Written material alone is insufficient.
C: Nurses are responsible for communication within scope.
D: Limiting communication increases anxiety.
Source: Morton & Thurman, Ch. 1
Question 2
A nurse notices repeated delays in implementing evidence-
based interventions due to unit culture resistance. Which
barrier to EBP implementation is most evident?
, A. Lack of clinical expertise
B. Organizational resistance to change
C. Patient acuity variability
D. Inadequate assessment skills
Correct Answer: B
Rationale:
Organizational resistance is a major barrier to EBP adoption.
A/D: Not indicated in scenario.
C: Not related to implementation barriers.
Source: Morton & Thurman, Ch. 1
Question 3
A patient in the ICU shows subtle deterioration. The nurse
promptly escalates care despite unclear diagnostic findings.
Which NGN clinical judgment step is demonstrated?
A. Evaluate outcomes
B. Generate solutions
C. Recognize cues
D. Prioritize hypotheses
Correct Answer: C
Rationale:
Recognizing early subtle changes reflects cue recognition.
B/D: Occur after recognition.
A: Occurs after interventions.
