Top 20 Interview Questions & Answers for Intensive Care Unit (ICU) Nurse Roles – 2025

Are you preparing for an interview for an intensive care unit (ICU) nurse role? This guide provides a comprehensive list of questions and answers that will help you demonstrate your skills, experience, and ability to handle high-pressure and critical situations. Here are the top 20 interview questions and answers for intensive care unit (ICU) nurse roles in 2025.

Behavioral Questions

• 1. Tell us about a time when you had to handle a difficult and demanding patient.
  A: As an ICU nurse, I frequently encounter patients who are overwhelmed, scared, and in pain. In one instance, I had a patient who was resistant to my care and aggressive towards me. I knew that I needed to stay calm and focus on finding out the cause of their behavior. After some gentle questioning and reassurance, I discovered that the patient was experiencing anxiety and discomfort due to a previous traumatic experience in a hospital. I was able to provide them with appropriate medication and emotional support, and we ended up building a positive rapport throughout their stay.
• 2. How do you handle conflicts with your coworkers?
  A: In my experience as an ICU nurse, communication and teamwork are essential. If conflicts arise, I make sure to address them promptly and professionally. I believe in active listening and seeking to understand others' perspectives. I also try to find a compromise or solution that benefits everyone and focuses on the well-being of our patients.
• 3. Describe a time when you had to make a critical decision quickly. How did it turn out?
  A: In the ICU, quick thinking is crucial, and I have had numerous instances where I had to make critical decisions under pressure. One particular case that stands out is when a patient's condition deteriorated rapidly, and I had to administer emergency medication and call for assistance. With my team's support and cooperation, we were able to stabilize the patient's condition before it became life-threatening.

Situational Questions

• 4. What would you do if you noticed a fellow nurse making a medication error?
  A: Medication errors can have serious consequences, so I would take immediate action to correct the mistake. I would approach the nurse privately and respectfully address the issue, offering to assist in any way I can. If necessary, I would also inform our supervisor to ensure the patient's safety and wellbeing.
• 5. You have a critically ill patient who is refusing treatment. How do you handle this situation?
  A: First, I would try to understand the reason behind the patient's refusal by talking to them calmly and patiently. I would also involve their family members and other healthcare professionals for support. If the patient's refusal persists, I would try to negotiate and find a solution that best meets their needs and respects their autonomy while still prioritizing their medical needs.
• 6. How do you handle a family member who is making demands that are not in the best interest of the patient?
  A: As an ICU nurse, I understand that family members may feel anxious and emotionally overwhelmed. I would listen to their concerns and provide them with factual information about their loved one's condition. However, I would also professionally communicate and enforce any treatment decisions made by the healthcare team, keeping the patient's best interests at the forefront.

Technical Questions

• 7. What do you understand by critical care nursing?
  A: Critical care nursing is a specialized field that requires registered nurses to provide advanced patient care to critically ill or unstable patients. This includes monitoring vital signs, administering medication, and managing life-support equipment.
• 8. How do you assess a patient's airway and breathing in an emergency situation?
  A: The initial assessment involves checking the patient's airway, breathing, and circulation (ABC) to determine their medical condition. For the airway, I would check for any obstructions by looking, listening, and feeling for breath sounds, and initiate measures to open and maintain a clear airway. For breathing, I would observe the patient's chest movements, rate, and depth of breathing, and administer oxygen if necessary.
• 9. What is the most common equipment used in an ICU, and how are you proficient in using it?
  A: Some of the most common equipment used in the ICU includes ventilators, infusion pumps, arterial lines, and central lines. I have extensive experience in using these devices and am proficient in their operation and maintenance. I also regularly attend trainings and education sessions to stay updated on the latest advancements and protocols.

Cultural Fit Questions

• 10. Why do you want to work as an ICU nurse?
  A: I have always been passionate about healthcare and making a positive impact on people's lives. As an ICU nurse, I am able to combine my skills with my passion and provide critical care to patients who need it the most. I want to work in a challenging and dynamic environment where I can continue learning and growing as a nurse.
• 11. What do you think is the most significant challenge for ICU nurses, and how do you handle it?
  A: The most significant challenge for ICU nurses is dealing with high levels of stress and emotions on a daily basis. It can be physically and mentally draining, and I have found that self-care, support from peers, and a positive mindset are crucial for managing these challenges. I also make sure to prioritize patient care and trust in my abilities to handle any situation that may arise.
• 12. How do you handle your own emotions when dealing with terminally ill patients?
  A: As an ICU nurse, it can be challenging to accept the limitations of medical interventions and patients' outcomes. However, it is essential to remain empathetic and professional while still providing the best possible care. I rely on my strong support system, engage in self-care activities, and remind myself that I am making a positive difference in my patients' lives, even if the outcome is not what we had hoped for.

Professional Development Questions

• 13. How do you stay updated on the latest healthcare advancements and protocols?
  A: I am committed to lifelong learning and continuously seek out opportunities to expand my knowledge and skills. This includes attending conferences, workshops, and educational sessions, as well as staying updated on current research and best practices in critical care nursing.
• 14. Can you give an example of a time when you implemented a new protocol or procedure in your workplace?
  A: In my previous role, I noticed that we lacked a standardized protocol for handling patient admissions and discharges. I took the initiative to research and develop a new protocol that included clear criteria for admission and discharge, as well as steps for communication and documentation. I presented it to my supervisor, and after a trial period, it was implemented hospital-wide.
• 15. How do you handle a situation where you are faced with unfamiliar equipment or procedures?
  A: In the field of medicine, advancements and innovations are constantly being made, and it is critical for healthcare professionals to adapt to these changes. Whenever I am faced with unfamiliar equipment or procedures, I make sure to consult manuals and other reliable resources, seek guidance from my superiors or colleagues, and participate in training and demonstrations to become proficient in using them.

Critical Thinking Questions

• 16. How do you prioritize your tasks and responsibilities in a high-stress environment like the ICU?
  A: In the ICU, where emergencies and critical situations are a regular occurrence, time management and prioritization are vital. I first assess the urgency and severity of the situation, consult with my team, and delegate tasks if necessary. I also make sure to communicate any changes or updates to my colleagues to ensure a coordinated effort.
• 17. Can you give an example of a time when you had to think creatively to solve a problem in the ICU?
  A: As an ICU nurse, I have encountered numerous situations where I had to find creative solutions to overcome challenges. One instance that stands out is when we were faced with severe staff shortages, and multiple critical patients needed assistance at the same time. I quickly organized a system where we divided the tasks and worked in tandem, and we were able to provide timely care to all patients.
• 18. What steps do you take to ensure patient safety and prevent errors?
  A: Patient safety is a top priority in the ICU, and I take several measures to prevent errors. These include double-checking medications, adhering to infection control protocols, documenting accurately and thoroughly, and practicing effective communication with my colleagues and patients.

Personal and Professional Goals

• 19. Where do you see yourself in five years as an ICU nurse?
  A: In five years, I see myself continuing to grow and excel in my role as an ICU nurse. I aim to become a resource person or mentor for new nurses and take on additional responsibilities, such as leading projects and committees. I also plan to further my education and become a certified critical care nurse.
• 20. What motivates and drives you as an ICU nurse?
  A: I am motivated by the opportunity to make a positive impact on my patients' lives, even in the most challenging and critical situations. Being able to support and comfort patients and their families during vulnerable times is what drives me to continually improve and provide the best possible care.