Critical Care Nursing
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A newly hired critical care nurse asks why certification is
emphasized in the ICU. Which response by the preceptor best
reflects the value of certification described in critical care
nursing practice?
A. Certification primarily replaces years of clinical experience
B. Certification demonstrates validated specialty knowledge
and commitment to quality care
C. Certification allows independent medical decision-making in
critical care
D. Certification guarantees lower patient mortality regardless of
staffing conditions
Correct Answer: B
Rationale:
Certification reflects specialty expertise, professional
commitment, and validation of knowledge in critical care
nursing practice. It supports quality care and professional
growth.
• A is incorrect because certification does not replace
experience.
• C is incorrect because nursing certification does not
expand scope of practice into independent medical
management.
• D is incorrect because outcomes are multifactorial and
certification alone does not guarantee outcomes.
,Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
The nurse leader is reviewing initiatives designed to improve
patient outcomes in the ICU. Which intervention best reflects
evidence-based practice (EBP)?
A. Continuing interventions because they have historically been
used in the unit
B. Implementing changes solely on physician preference
C. Integrating current evidence, clinical expertise, and patient
values into care decisions
D. Standardizing care without evaluating patient outcomes
Correct Answer: C
Rationale:
EBP combines best available evidence, clinician expertise, and
patient preferences to guide decisions.
• A reflects tradition-based practice.
• B excludes interdisciplinary evidence integration.
• D omits outcome evaluation and individualization.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
An ICU nurse proposes changing sedation practices after
reviewing current literature. Which action represents the
highest level of evidence when evaluating practice change?
A. Expert opinion
B. Descriptive study
C. Systematic review of multiple studies
D. Individual case report
Correct Answer: C
Rationale:
Higher levels of evidence generally come from systematic
evaluation of multiple studies rather than isolated reports or
opinions.
• A and D represent lower levels.
• B provides limited strength compared with synthesis of
evidence.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
The nurse identifies resistance during implementation of a new
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A newly hired critical care nurse asks why certification is
emphasized in the ICU. Which response by the preceptor best
reflects the value of certification described in critical care
nursing practice?
A. Certification primarily replaces years of clinical experience
B. Certification demonstrates validated specialty knowledge
and commitment to quality care
C. Certification allows independent medical decision-making in
critical care
D. Certification guarantees lower patient mortality regardless of
staffing conditions
Correct Answer: B
Rationale:
Certification reflects specialty expertise, professional
commitment, and validation of knowledge in critical care
nursing practice. It supports quality care and professional
growth.
• A is incorrect because certification does not replace
experience.
• C is incorrect because nursing certification does not
expand scope of practice into independent medical
management.
• D is incorrect because outcomes are multifactorial and
certification alone does not guarantee outcomes.
,Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 2
The nurse leader is reviewing initiatives designed to improve
patient outcomes in the ICU. Which intervention best reflects
evidence-based practice (EBP)?
A. Continuing interventions because they have historically been
used in the unit
B. Implementing changes solely on physician preference
C. Integrating current evidence, clinical expertise, and patient
values into care decisions
D. Standardizing care without evaluating patient outcomes
Correct Answer: C
Rationale:
EBP combines best available evidence, clinician expertise, and
patient preferences to guide decisions.
• A reflects tradition-based practice.
• B excludes interdisciplinary evidence integration.
• D omits outcome evaluation and individualization.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
, Question 3
An ICU nurse proposes changing sedation practices after
reviewing current literature. Which action represents the
highest level of evidence when evaluating practice change?
A. Expert opinion
B. Descriptive study
C. Systematic review of multiple studies
D. Individual case report
Correct Answer: C
Rationale:
Higher levels of evidence generally come from systematic
evaluation of multiple studies rather than isolated reports or
opinions.
• A and D represent lower levels.
• B provides limited strength compared with synthesis of
evidence.
Source:
Critical Care Nursing: A Holistic Approach, 12th Edition –
Chapter 1: Critical Care Nursing Practice
Question 4
The nurse identifies resistance during implementation of a new
