ANSWERS
The cpatient cwho chad csurgery cyesterday creports chis cchest cfeels ctight. cAssessment creveals crespiratory crate cof c29, cinspiratory
cwheezes, cstridor, cand can coxygenation csaturation cof c80%. cThe cnurse cwould cconsider cthis cpatient cto cbe cwhich cpriority cfor
ctransfer cto cthe cintensive ccare cunit c(ICU)?
1. cPriority c1
2. cPriority c2
3. cPriority c3
4. cPriority c4 c- cCORRECT cANS✔✔Answer: c1
Explanation: c1. cThis cpatient cis cexhibiting csigns cof can cacute crespiratory cevent cfor cwhich cintubation cor cother cintensive
ctreatment cmay cbe cnecessary. cPriority c1 cpatients care cacutely cill cand cneed cintensive ctreatment cand cmonitoring cnot cprovided
coutside cof cthe cICU.
2. cPriority c2 crefers cto cpatients cwho cneed cintensive cmonitoring cand cmay cpotentially cneed cadditional cinterventions. cThey care
ctypically cnot cevolving can cacute cevent cas cis cthe ccase cwith cthis cpatient.
3. cPriority c3 cpatients care ccritically cill cbut chave clittle cchance cof crecovery cfrom ctheir cillnesses. cLimits care cplaced con
ctherapeutic cinterventions cand cthey ccan cbe ccared cfor cin careas cother cthan cthe cICU cif cnecessary.
4. cPriority c4 cpatients chave cno csigns cor csymptoms cthat cindicate cintensive cmonitoring cor ctreatment care cnecessary.
The cdaughter cof ca cpatient cwho cis cdying cquestions cthe cplacement cof cher cfather con cthe cmedical-surgical ccare cunit c(MSCU).
cShe crequests che cbe cplaced cin cthe cintensive ccare cunit c(ICU) cbecause cof cconcern cher cfather cmay cnot creceive cclose
cobservation con ca cbusy chospital cunit. cWhich caction cis cindicated cby cthe cnurse?
1. cNotify cthe cintensive ccare cunit cof can cimpending ctransfer.
2. cTell cthe cdaughter cthat cher cfather cdoes cnot cmeet ccriteria cfor cplacement cin cthe cmore cexpensive cICU.
3. cDiscuss cthe ccare cthat ccan cbe cprovided con cthe cunit cwith cthe cfamily cmember.
4. cContact cthe cphysician. c- cCORRECT cANS✔✔Answer: c3
Explanation: c1. cThe cnurse ccannot cmake cthis ctransfer cdecision cindependently.
2. cTelling cthe cdaughter cthat cher cfather cdoes cnot cmeet ccriteria cfor ctransfer cis cnot ctherapeutic. cBringing cup cthe cissue cof ccost
cmay ccause cthe cdaughter cto coffer cto cpay cthe cdifference cbetween cthe ccosts cof cthe ctwo cunits. cThis cwould ccreate ca cserious
cethical cdilemma.
3. cThe cbest cinitial cresponse cis cto chelp cthe cdaughter cunderstand cthe clevel cof ccare cand cobservation cthat cwill cbe cprovided con
cthe cMSCU cto chelp cher cunderstand cthat cher cfather's ccare cwill cbe ca cpriority.
4. cThe cnurse cshould ctry cto cintervene cin cthis csituation cbefore cinvolving cthe cphysician.
A cnurse cwho cis ccontemplating ctaking ca cposition cin can cintensive ccare cunit cis creviewing cher cstrengths cand cweaknesses.
cWhich ccharacteristics cof cthe cnurse cwill cbe cof cthe cgreatest cbenefit cin cthe cintensive ccare cenvironment?
1. cFeels ccomfortable cin cever-changing csituations
2. cClosely cevaluates cthe cpros cand ccons cof ceach cdecision cfor ca clong cperiod cof ctime cbefore cmaking ca cdecision
3. cIs cquiet cand cintroverted
4. cIs cexcited cabout call cnew cexperiences c- cCORRECT cANS✔✔Answer: c1
Explanation: c1. cThe cnurse cin cthe cintensive ccare cunit cmust cbe copen cto cever-changing csituations. cThe cnurse cmust cbe
cflexible.
2. cThe crapid cchanges cin cthe cintensive ccare cunit cdo cnot callow cfor cextended ctime cwhen cconsidering cactions.
3. cA cquiet cand cintroverted cnurse cmay cnot cbe ca cgood cmatch cfor cthe chigh-paced, chigh-acuity ccare cunit cdue cto cthe cneed cfor
cteamwork cand cinteraction.
4. cExcitement cabout call cexperiences cis ca cbeneficial ccharacteristic cin chealthcare cbut cis cnot cthe cmost cimportant cfactor cfor cthis
ccare cunit.
The cregistered cnurse cis cworking cas ccharge cnurse con ca cbusy chigh-acuity ccare cunit. cUnexpectedly, ca ccoworker cbecomes cill
cand cneeds cto cleave. cThere cis ca cperiod cof ctime cin cwhich cthe cunit cis cshort cstaffed cwhile cthe cill ccoworker's creplacement
ctravels cin cto cwork. cWhat caction cby cthe ccharge cnurse cis cindicated?
, 1. cMake cno cchanges cuntil cthe creplacement cnurse carrives.
2. cAssign cthe cless cacute cpatients cto cbe ccared cfor cby cthe cunlicensed cassistive cpersonnel.
3. cAssign cthe cunlicensed cassistive cpersonnel cto cwatch cthe cmonitors cand ccall cfor chelp cif ca cpatient c"gets cinto ctrouble."
4. cContact cthe chouse csupervisor cand cask cfor ca cfloat cnurse cto cbe csent cto cthe cunit. c- cCORRECT cANS✔✔Answer: c4
Explanation: c1. cThe cunit cis cunderstaffed. cReplacement chelp cmust cbe cprovided. cIt cis cinappropriate cto cwait cfor cthe
creplacement cnurse.
2. cThe cunlicensed cassistive cpersonnel care conly cable cto cprovide ccare cunder cthe cdirect csupervision cof cthe cnurse.
3. cWatching cmonitors cis cnot cwithin cthe cjob cdescription cof cthe cunlicensed cassistive cpersonnel cand cis cnot cappropriate. cThe
cmanager cwould cbe cputting cboth cpatient csafety cand cthe cunlicensed cassistive cpersonnel cat crisk.
4. cThe cmanager cshould cobtain chelp cuntil cthe creplacement cnurse carrives. cContacting cthe chouse csupervisor cand casking cfor ca
ctemporary cfloat cnurse cis cthe cbest cintervention.
A crecent cnursing cschool cgraduate creports chaving can cinterview cwith ca cmagnet chospital. cWhen cpreparing cfor cthe cinterview,
cthe cgraduate cnurse cresearches cthe cconcept cof cmagnet cstatus. cWhich cperceptions cby cthe cnurse cindicate can cadequate
cunderstanding?
1. cMagnet cstatus cis can caccreditation cfrom cthe cNational cLeague cfor cNurses.
2. cMagnet cstatus cfacilities cpay csubstantial crecruitment cbonuses.
3. cMagnet cstatus cfacilities cpromote cthe cinterests cof cprofessional cnursing.
4. cMagnet cstatus chospitals cmust cestablish cnurse-to-patient cratios. c- cCORRECT cANS✔✔Answer: c3
Explanation: c1. cMagnet cstatus cis ca cdesignation cdeveloped cby cthe cAmerican cNurses cCredentialing cCenter.
2. cFacilities cwith cmagnet cdesignation cattract cnurses cbecause cof ctheir cwork cenvironment. cOften cthere cis cno cneed cto cpay
crecruitment cbonuses.
3. cMagnet cstatus cis cawarded cto chospitals cthat ccan cprove ctheir ccommitment cto cprofessional cnursing cpractices.
4. cNurse-to-patient cratios care cnot ca crequirement cfor cmagnet chospital cdesignation.
A cteam cof cnurses cwould clike cto cresearch coutcomes cof cintensive ccare cthat cexpand cbeyond cthose cthat care cnormally cstudied.
cThis cteam cwould crecognize cwhich coutcome cas cmost ccommonly cstudied?
1. cPatient ccomfort
2. cPatient cperceived cquality cof clife
3. cFunctional cstatus
4. cMortality c- cCORRECT cANS✔✔Answer: c4
Explanation: c1. cPatient ccomfort cis ca cvery cimportant coutcome, cbut cis cnot cthe cone cmost ccommonly cstudied.
2. cQuality cof clife cafter cintensive ccare cis ca cvery cimportant coutcome, cbut cis cnot cthe cone cmost ccommonly cstudied.
3. cFunctional cstatus cafter ctreatment cin cthe cintensive ccare cunit cis ca cvery cimportant coutcome, cbut cis cnot cthe cone cmost
ccommonly cstudied.
4. cMortality cis cthe cmost ccommonly cstudied coutcome cof cintensive ccare ctreatment.
A cnewly cemployed cnurse cis cworking cwith can cexperienced cregistered cnurse. cDuring cthe cshift, cthe cexperienced cnurse
croutinely caccesses ca ctablet ccomputer. cWhat cadvice cshould cthe cexperienced cRN coffer cthe cnewly clicensed cnurse cabout cthis
ctechnology?
1. c"Be ccareful cthat cyou cdon't cpay cmore cattention cto cthe ccomputer cthan cyou cdo cto cthe cpatient."
2. c"If cyou csend ca ccopy cof cyour cpatient's corder csheet cand clab cresults cto cthe ctablet, cit ccan csave cyou ctime cduring cthe cday."
3. c"I'll cshow cyou cwhere cthere care csome cstress-relieving cgames cyou ccan caccess cfrom cthis ctablet."
4. c"These ctablets care csuch ctime-savers. cI'll cshow cyou ca cfew cshortcuts cto chelp cyou cget cstarted." c- cCORRECT
cANS✔✔Answer: c1
Explanation: c1. cTechnology ccan cbe cintriguing cand ccan cdraw cthe cfocus caway cfrom cthe cpatient.
2. cIt cis cnot cappropriate cfor cthe cnurse cto cmake ca ccopy cof cthe cpatient's cmedical crecord cin cany cform.
3. cTablets care cfor cpatient ccare cuse, cnot cfor cgaming.
4. cThe cnurse cshould cnot cencourage cthe cnewly clicensed cnurse cto ctake cshortcuts.
A cnurse csays, c"I cworry cthat cthese cmachines cin cthe cintensive ccare cunit cinterfere cwith cmy cability cto cestablish ca ctherapeutic
crelationship cwith cmy cpatients." cWhat cresponse cby cthe cnurse cmanager cis cindicated?
1. c"Technology cimproves cour cpatient coutcomes."
2. c"I ccompletely cunderstand chow cyou cfeel."
3. c"There care cways cto cincrease cyour cinteraction cwith cyour cassigned cpatients."
4. c"These cfeelings cmay cbe ca csign cthat cthis cis cnot cthe cwork cenvironment cfor cyou." c- cCORRECT cANS✔✔Answer: c3
Explanation: c1. cTechnology cdoes cimprove coutcomes, cbut cthe cnurse chas cmore cimmediate cconcerns.
2. cTelling cthe cnurse cthat c"you cunderstand" chis cfeelings cdoes clittle cto cmeet chis cneed cfor ceducation.
3. cThe cuse cof ctechnology ccan clead cthe cnurse cto cfeel cdistanced cfrom cthe cpatient. cThere care cstrategies cthe cnurse ccan cuse
cto cpersonalize ccare. cHe cshould cbe creminded cthat cthe cuse cof cmachines cdoes cnot ctake caway cthe cneed cfor cnursing
cassessment cand ccare.
4. cIt cis cpremature cto cdecide cthat cthis cnurse cis cnot csuited cto cthe cintensive ccare cwork cenvironment.
A crecently chired cnurse chas cbeen coverheard csaying cshe cdoes cnot cneed cto ccheck cas cclosely con cher cassigned cpatients cas
cthere care cmany cmachines cthat cwill c"just cdo cit cfor cyou." cWhat caction cby cthe cnurse cmanager cis cindicated?
1. cThe cnurse cmanager cshould cplan ca cskills ccheck coff cfor cthe cnurse.
2. cThe cnurse cshould chave ca cnotation cplaced cin cher cfile cindicating ca clack cof cdue ccare cto cassigned cpatients.
3. cThe cmanager cshould cissue ca cverbal cwarning cto cthe cnurse.
4. cThe cnurse cmanager cshould cdiscuss cassessment cpriorities cwith cthe cnurse. c- cCORRECT cANS✔✔Answer: c4
Explanation: c1. cAt cthis ctime, cthe cnurse chas cnot cdemonstrated ca clack cof cclinical cability cand ca cskills ccheck coff cis cpremature.