Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
Commented [h1]:
,Question 1
A newly hired critical care nurse asks why certification is
encouraged in the intensive care unit (ICU). Which statement
by the experienced ICU nurse reflects the value of certification
to patient care?
A. “Certification mainly benefits nurses seeking promotion
opportunities.”
B. “Certification demonstrates specialized knowledge
associated with improved patient outcomes.”
C. “Certification allows nurses to independently prescribe ICU
therapies.”
D. “Certification replaces the need for continuing education.”
Correct Answer: B
Rationale:
Certification reflects specialized critical care knowledge and
competence that contribute to improved patient outcomes and
professional credibility. Promotion opportunities may occur but
are not the primary patient-centered value. Critical care nurses
do not independently prescribe therapies within nursing scope
of practice. Continuing education remains necessary even after
certification.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
The charge nurse is implementing evidence-based practice
(EBP) in the ICU. Which action best reflects appropriate use of
EBP?
A. Following unit traditions regardless of research findings
B. Applying interventions supported by current evidence and
clinical expertise
C. Using only physician preference to guide patient care
decisions
D. Avoiding changes in practice until all staff agree
Correct Answer: B
Rationale:
EBP integrates current research evidence, clinical expertise, and
patient considerations to improve outcomes. Unit traditions
alone may not reflect best practices. Physician preference alone
does not constitute EBP. Waiting for unanimous staff
agreement may delay implementation of evidence-supported
interventions.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
An ICU nurse identifies a research article describing findings
, from multiple randomized controlled trials regarding
prevention of ventilator-associated complications. Which level
of evidence does this represent?
A. Expert opinion
B. Single descriptive study
C. Systematic review of randomized controlled trials
D. Case report
Correct Answer: C
Rationale:
Systematic reviews of randomized controlled trials represent
high-level evidence because they synthesize multiple rigorous
studies. Expert opinion and case reports provide lower levels of
evidence. Single descriptive studies are less robust than
systematic reviews.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
The ICU educator notes resistance among staff nurses during
implementation of a new evidence-based protocol. Which
factor is a common barrier to EBP implementation?
A. Excessive availability of research resources
B. Adequate staffing and time for education
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
Commented [h1]:
,Question 1
A newly hired critical care nurse asks why certification is
encouraged in the intensive care unit (ICU). Which statement
by the experienced ICU nurse reflects the value of certification
to patient care?
A. “Certification mainly benefits nurses seeking promotion
opportunities.”
B. “Certification demonstrates specialized knowledge
associated with improved patient outcomes.”
C. “Certification allows nurses to independently prescribe ICU
therapies.”
D. “Certification replaces the need for continuing education.”
Correct Answer: B
Rationale:
Certification reflects specialized critical care knowledge and
competence that contribute to improved patient outcomes and
professional credibility. Promotion opportunities may occur but
are not the primary patient-centered value. Critical care nurses
do not independently prescribe therapies within nursing scope
of practice. Continuing education remains necessary even after
certification.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
The charge nurse is implementing evidence-based practice
(EBP) in the ICU. Which action best reflects appropriate use of
EBP?
A. Following unit traditions regardless of research findings
B. Applying interventions supported by current evidence and
clinical expertise
C. Using only physician preference to guide patient care
decisions
D. Avoiding changes in practice until all staff agree
Correct Answer: B
Rationale:
EBP integrates current research evidence, clinical expertise, and
patient considerations to improve outcomes. Unit traditions
alone may not reflect best practices. Physician preference alone
does not constitute EBP. Waiting for unanimous staff
agreement may delay implementation of evidence-supported
interventions.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 3
An ICU nurse identifies a research article describing findings
, from multiple randomized controlled trials regarding
prevention of ventilator-associated complications. Which level
of evidence does this represent?
A. Expert opinion
B. Single descriptive study
C. Systematic review of randomized controlled trials
D. Case report
Correct Answer: C
Rationale:
Systematic reviews of randomized controlled trials represent
high-level evidence because they synthesize multiple rigorous
studies. Expert opinion and case reports provide lower levels of
evidence. Single descriptive studies are less robust than
systematic reviews.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
The ICU educator notes resistance among staff nurses during
implementation of a new evidence-based protocol. Which
factor is a common barrier to EBP implementation?
A. Excessive availability of research resources
B. Adequate staffing and time for education
