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 ICU nurse asks why certification in critical care
nursing is encouraged by the institution. Which statement by
the nurse manager reflects the value of certification described
in the text?
A. Certification allows nurses to independently prescribe ICU
medications
B. Certification is associated with improved patient outcomes
and professional credibility
C. Certification replaces the need for annual competency
validation
D. Certification guarantees promotion into leadership roles
Correct Answer: B
Rationale:
Certification in critical care nursing is associated with improved
patient outcomes, enhanced professional credibility, and
validation of specialized knowledge. It demonstrates
commitment to excellence in practice. Certification does not
grant prescriptive authority, replace competency assessments,
or guarantee advancement.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
An ICU nurse caring for a mechanically ventilated patient
notices a sudden decrease in urine output and increasing
restlessness. Which action best demonstrates holistic critical
care nursing practice?
A. Focus solely on documenting intake and output trends
B. Assess physiologic changes while also considering
psychological and family needs
C. Notify the provider immediately without additional
assessment
D. Delegate all emotional support responsibilities to social
services
Correct Answer: B
Rationale:
Holistic critical care nursing addresses physiologic,
psychological, emotional, spiritual, and family-centered needs.
Comprehensive assessment and support are central
components of holistic ICU care. Documentation and provider
notification may be necessary but do not alone reflect holistic
practice.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
The ICU charge nurse is implementing evidence-based practice
(EBP) on the unit. Which nursing action best reflects EBP?
A. Using interventions solely based on personal experience
B. Applying current best evidence together with clinical
expertise and patient preferences
C. Following physician preferences regardless of supporting
evidence
D. Avoiding changes to established ICU routines
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinician expertise, and patient values/preferences to guide
care decisions. Reliance solely on tradition or personal
experience does not reflect EBP principles.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse reviews a randomized controlled trial addressing
prevention of ventilator-associated complications. According to
levels of evidence, this study design provides which type of
evidence?
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 ICU nurse asks why certification in critical care
nursing is encouraged by the institution. Which statement by
the nurse manager reflects the value of certification described
in the text?
A. Certification allows nurses to independently prescribe ICU
medications
B. Certification is associated with improved patient outcomes
and professional credibility
C. Certification replaces the need for annual competency
validation
D. Certification guarantees promotion into leadership roles
Correct Answer: B
Rationale:
Certification in critical care nursing is associated with improved
patient outcomes, enhanced professional credibility, and
validation of specialized knowledge. It demonstrates
commitment to excellence in practice. Certification does not
grant prescriptive authority, replace competency assessments,
or guarantee advancement.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
,Question 2
An ICU nurse caring for a mechanically ventilated patient
notices a sudden decrease in urine output and increasing
restlessness. Which action best demonstrates holistic critical
care nursing practice?
A. Focus solely on documenting intake and output trends
B. Assess physiologic changes while also considering
psychological and family needs
C. Notify the provider immediately without additional
assessment
D. Delegate all emotional support responsibilities to social
services
Correct Answer: B
Rationale:
Holistic critical care nursing addresses physiologic,
psychological, emotional, spiritual, and family-centered needs.
Comprehensive assessment and support are central
components of holistic ICU care. Documentation and provider
notification may be necessary but do not alone reflect holistic
practice.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
The ICU charge nurse is implementing evidence-based practice
(EBP) on the unit. Which nursing action best reflects EBP?
A. Using interventions solely based on personal experience
B. Applying current best evidence together with clinical
expertise and patient preferences
C. Following physician preferences regardless of supporting
evidence
D. Avoiding changes to established ICU routines
Correct Answer: B
Rationale:
Evidence-based practice integrates the best current evidence,
clinician expertise, and patient values/preferences to guide
care decisions. Reliance solely on tradition or personal
experience does not reflect EBP principles.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
A nurse reviews a randomized controlled trial addressing
prevention of ventilator-associated complications. According to
levels of evidence, this study design provides which type of
evidence?
