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 — 10 High-Level MCQs
Question 1
A critically ill patient’s condition rapidly deteriorates despite
multiple interventions. The nurse initiates a multidisciplinary
meeting to align care goals with the patient’s values. Which
concept is the nurse primarily applying?
A. Task-oriented care
B. Holistic critical care practice
C. Disease-centered management
D. Protocol-driven intervention
Correct Answer: B
Rationale:
Holistic critical care focuses on integrating physiologic,
psychological, social, and spiritual needs, including
patient/family values in decision-making.
A, C, and D focus narrowly on disease or tasks without
incorporating the patient’s overall context.
Source: Morton & Thurman, Ch. 1
Question 2
The ICU nurse identifies inconsistent use of an evidence-based
ventilator bundle among staff. What is the nurse’s priority
action to promote evidence-based practice (EBP)?
, A. Report noncompliance to administration
B. Educate staff on current evidence and outcomes
C. Develop a new protocol independently
D. Ignore variation unless harm occurs
Correct Answer: B
Rationale:
Education and dissemination of evidence are key strategies to
promote EBP adoption.
A may create resistance; C lacks collaboration; D delays
improvement and risks patient harm.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse questions a long-standing ICU practice that lacks
supporting research. Which level of evidence is considered the
strongest to guide practice change?
A. Expert opinion
B. Case study
C. Randomized controlled trial
D. Descriptive study
Correct Answer: C
Rationale:
Randomized controlled trials provide high-level evidence for
clinical decision-making.
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 — 10 High-Level MCQs
Question 1
A critically ill patient’s condition rapidly deteriorates despite
multiple interventions. The nurse initiates a multidisciplinary
meeting to align care goals with the patient’s values. Which
concept is the nurse primarily applying?
A. Task-oriented care
B. Holistic critical care practice
C. Disease-centered management
D. Protocol-driven intervention
Correct Answer: B
Rationale:
Holistic critical care focuses on integrating physiologic,
psychological, social, and spiritual needs, including
patient/family values in decision-making.
A, C, and D focus narrowly on disease or tasks without
incorporating the patient’s overall context.
Source: Morton & Thurman, Ch. 1
Question 2
The ICU nurse identifies inconsistent use of an evidence-based
ventilator bundle among staff. What is the nurse’s priority
action to promote evidence-based practice (EBP)?
, A. Report noncompliance to administration
B. Educate staff on current evidence and outcomes
C. Develop a new protocol independently
D. Ignore variation unless harm occurs
Correct Answer: B
Rationale:
Education and dissemination of evidence are key strategies to
promote EBP adoption.
A may create resistance; C lacks collaboration; D delays
improvement and risks patient harm.
Source: Morton & Thurman, Ch. 1
Question 3
A nurse questions a long-standing ICU practice that lacks
supporting research. Which level of evidence is considered the
strongest to guide practice change?
A. Expert opinion
B. Case study
C. Randomized controlled trial
D. Descriptive study
Correct Answer: C
Rationale:
Randomized controlled trials provide high-level evidence for
clinical decision-making.
