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 critical care nurse is caring for a patient with septic shock
whose condition is rapidly deteriorating. The nurse immediately
notifies the provider, collaborates with respiratory therapy, and
initiates institutional sepsis interventions. Which AACN healthy
work environment standard is BEST demonstrated by the
nurse’s actions?
A. Appropriate Staffing
B. Skilled Communication
C. Meaningful Recognition
D. Authentic Leadership
Correct Answer: B
Rationale:
Skilled communication involves clear, timely, and effective
exchange of clinical information among team members to
promote patient safety and optimal outcomes. In critical care
settings, rapid communication during patient deterioration is
essential. Appropriate staffing focuses on adequate personnel
resources, meaningful recognition emphasizes
acknowledgment of contributions, and authentic leadership
involves leadership behaviors supporting healthy
environments.
,Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Critical
Care Nursing Practice
Question 2
A critically ill patient’s family asks why the patient’s nurse
displays “CCRN” credentials on the identification badge. Which
response by the nurse is MOST appropriate?
A. “It means I completed orientation in the intensive care unit.”
B. “It identifies me as a certified critical care nurse with
specialized knowledge.”
C. “It allows me to prescribe emergency medications
independently.”
D. “It means I am functioning as the charge nurse today.”
Correct Answer: B
Rationale:
Certification validates specialized knowledge and expertise in
critical care nursing practice. The textbook emphasizes that
certification benefits patients, families, nurses, and employers
through improved confidence, competence, and quality care.
Certification does not grant prescriptive authority or indicate
charge nurse status.
Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Value of
Certification
, Question 3
The nurse manager is implementing evidence-based practice
(EBP) changes in the ICU to reduce catheter-associated
infections. Which nurse statement indicates a barrier to EBP
implementation?
A. “Research findings should guide our nursing interventions.”
B. “I do not have enough time to review current evidence.”
C. “Evidence-based care improves patient outcomes.”
D. “Unit collaboration is important during practice changes.”
Correct Answer: B
Rationale:
Lack of time is a commonly identified barrier to evidence-based
practice implementation in critical care settings. The other
statements support EBP principles and collaboration.
Recognizing barriers is important when promoting evidence-
based care changes.
Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Barriers
to Implementation
Question 4
A nurse preceptor observes a newly hired ICU nurse
independently changing infusion pump settings without
verifying the medication order with another nurse as required
A Holistic Approach
12th Edition
Author(s)Patricia Gonce Morton; Paul
Thurman
TEST BANK
Section A — High-Level MCQs
,Question 1
A critical care nurse is caring for a patient with septic shock
whose condition is rapidly deteriorating. The nurse immediately
notifies the provider, collaborates with respiratory therapy, and
initiates institutional sepsis interventions. Which AACN healthy
work environment standard is BEST demonstrated by the
nurse’s actions?
A. Appropriate Staffing
B. Skilled Communication
C. Meaningful Recognition
D. Authentic Leadership
Correct Answer: B
Rationale:
Skilled communication involves clear, timely, and effective
exchange of clinical information among team members to
promote patient safety and optimal outcomes. In critical care
settings, rapid communication during patient deterioration is
essential. Appropriate staffing focuses on adequate personnel
resources, meaningful recognition emphasizes
acknowledgment of contributions, and authentic leadership
involves leadership behaviors supporting healthy
environments.
,Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Critical
Care Nursing Practice
Question 2
A critically ill patient’s family asks why the patient’s nurse
displays “CCRN” credentials on the identification badge. Which
response by the nurse is MOST appropriate?
A. “It means I completed orientation in the intensive care unit.”
B. “It identifies me as a certified critical care nurse with
specialized knowledge.”
C. “It allows me to prescribe emergency medications
independently.”
D. “It means I am functioning as the charge nurse today.”
Correct Answer: B
Rationale:
Certification validates specialized knowledge and expertise in
critical care nursing practice. The textbook emphasizes that
certification benefits patients, families, nurses, and employers
through improved confidence, competence, and quality care.
Certification does not grant prescriptive authority or indicate
charge nurse status.
Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Value of
Certification
, Question 3
The nurse manager is implementing evidence-based practice
(EBP) changes in the ICU to reduce catheter-associated
infections. Which nurse statement indicates a barrier to EBP
implementation?
A. “Research findings should guide our nursing interventions.”
B. “I do not have enough time to review current evidence.”
C. “Evidence-based care improves patient outcomes.”
D. “Unit collaboration is important during practice changes.”
Correct Answer: B
Rationale:
Lack of time is a commonly identified barrier to evidence-based
practice implementation in critical care settings. The other
statements support EBP principles and collaboration.
Recognizing barriers is important when promoting evidence-
based care changes.
Source:
Critical Care Nursing: A Holistic Approach – Chapter 1: Barriers
to Implementation
Question 4
A nurse preceptor observes a newly hired ICU nurse
independently changing infusion pump settings without
verifying the medication order with another nurse as required
