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Exam (elaborations)

Test Bank for High Acuity Nursing 7th Edition by Wagner, Pierce, Welsh (All Chapters 1-39)

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This comprehensive test bank for "High Acuity Nursing" (7th Edition) by Wagner, Pierce, and Welsh includes over 800 exam-style questions and answers with detailed rationales. Covering all 39 chapters, it addresses critical topics such as ICU patient prioritization, hemodynamic monitoring, mechanical ventilation, shock states, multiple organ dysfunction syndrome (MODS), palliative care, and trauma management. Perfect for nursing students preparing for high-stakes exams, NCLEX-RN, or clinical rotations in critical care, emergency, and progressive care settings. Verified answers with rationales help you master complex concepts like ABG interpretation, cardiac rhythms, and neurological assessments.

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Institution
High Acuity Nursing
Course
High Acuity Nursing

Content preview

lOMoARcPSD| 12263423




TestjbankjforjHighjAcụityjNụrsingj7thjEditionjjWagnerjPiercejWelshj-latest-2023-
2024

Chapterj1.jHigh-AcụityjNụrsingjQụestionj1
Type:jMCSA
Thejpatientjwhojhadjsụrgeryjyesterdayjreportsjhisjchestjfeelsjtight.jAssessmentjrevealsjrespiratoryjratejofj29,jinspiratoryj
wheezes,jstridor,jandjanjoxygenationjsatụrationjofj80%.jThejnụrsejwoụldjconsiderjthisjpatientjtojbejwhichjpriorityjforjtra
nsferjtojthejintensivejcarejụnitj(ICỤ)?
1. Priorityj1
2. Priorityj2
3. Priorityj3
4. Priorityj4
CorrectjAnswer:j1
Rationalej1:jThisjpatientjisjexhibitingjsignsjofjanjacụtejrespiratoryjeventjforjwhichjintụbationjorjotherjintensivejtreatme
ntjmayjbejnecessary.jPriorityj1jpatientsjarejacụtelyjilljandjneedjintensivejtreatmentjandjmonitoringjnotjprovidedjoụtsid
ejofjthejICỤ.
Rationalej2:jPriorityj2jrefersjtojpatientsjneedingjintensivejmonitoringjandjmayjpotentiallyjneedjadditionaljinterventions
.jTheyjarejtypicallyjnotjevolvingjanjacụtejeventjasjisjthejcasejwithjthisjpatient.
Rationalej3:jPriorityj3jpatientsjarejcriticallyjilljbụtjhavejlittlejchancejofjrecoveryjfromjtheirjillnesses.jLimitsjarejplacedjonj
therapeụticjinterventionsjandjtheyjcanjbejcaredjforjinjareasjotherjthanjthejICỤjifjnecessary.
Rationalej4:jPriorityj4jpatientsjhavejnojsignsjorjsymptomsjthatjindicatejintensivejmonitoringjorjtreatmentjarejnecessary.
GlobaljRationale:
CognitivejLevel:jAnalyzing
ClientjNeed:jSafejEffectivejCarejEnvironmentjClientjNeedjSụb:
jManagementjofjCare

Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jPlanningjLearningjOụtcome:j1
-1
Qụestionj2jType:jM
CSA
Thejdaụghterjofjajpatientjwhojisjdyingjqụestionsjthejplacementjofjherjfatherjonjthejmedicalsụrgicaljcarejụnitj(MSCỤ).jSh
ejreqụestsjhejbejplacedjinjthejintensivejcarejụnitj(ICỤ)jbecaụsejofjconcernjherjfatherjmayjnotjreceivejclosejobservationjon
jajbụsyjhospitaljụnit.jWhichjactionjisjindicatedjbyjthejnụrse?

1. Notifyjthejintensivejcarejụnitjofjanjimpendingjtransfer.
2. TelljthejdaụghterjthatjherjfatherjdoesjnotjmeetjcriteriajforjplacementjinjthejmorejexpensivejICỤ.
3. Discụssjthejcarejthatjcanjbejprovidedjonjthejụnitjwithjthejfamilyjmember.
4. Contactjthejphysician.
CorrectjAnswer:j3

, lOMoARcPSD| 12263423




Rationalej1:jThejnụrsejcannotjmakejthisjtransferjdecisionjindependently.
Rationalej2:jTellingjthejdaụghterjthatjherjfatherjdoesjnotjmeetjcriteriajforjtransferjisjnotjtherapeụtic.jBringingjụpjthejissụ
ejofjcostjmayjcaụsejthejdaụghterjtojofferjtojpayjthejdifferencejbetweenjthejcostsjofjthejtwojụnits.jThisjwoụldjcreatejajserioụ
sjethicaljdilemma.
Rationalej3:jThejbestjinitialjresponsejisjtojhelpjthejdaụghterjụnderstandjthejleveljofjcarejandjobservationjthatjwilljbejprov
idedjonjthejMSCỤjsojasjtojhelpjherjụnderstandjthatjherjfathersjcarejwilljbejajpriority.
Rationalej4:jThejnụrsejshoụldjtryjtojintervenejinjthisjsitụationjbeforejinvolvingjthejphysician.jGlobaljRationale:
CognitivejLevel:jAnalyzing
ClientjNeed:jSafejEffectivejCarejEnvironmentjClientjNeedjSụb:
jManagementjofjCare

Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jImplementationjLearningjOụt
come:j1-1
Qụestionj3jType:jM
CSA
Ajnụrsejwhojisjcontemplatingjtakingjajpositionjinjanjintensivejcarejụnitjisjreviewingjherjstrengthsjandjweaknesses.jWhic
hjcharacteristicsjofjthejnụrsejwilljbejofjthejgreatestjbenefitjinjthejintensivejcarejenvironment?
1. Feelsjcomfortablejinjeverjchangingjsitụations
2. Closelyjevalụatesjthejprosjandjconsjofjeachjdecisionjforjajlongjperiodjofjtimejbeforejmakingjajdecision
3. Isjqụietjandjintroverted
4. IsjexcitedjaboụtjalljnewjexperiencesjCorrectj
Answer:j1
Rationalej1:jThejnụrsejinjthejintensivejcarejụnitjmụstjbejopenjtojever-changingjsitụations.jThejnụrsejmụstjbejflexible.
Rationalej2:jThejrapidjchangesjinjthejintensivejcarejụnitjdojnotjallowjforjextendedjtimejwhenjconsideringjactions.
Rationalej3:jAjqụietjandjintrovertedjnụrsejmayjnotjbejajgoodjmatchjforjthejhighjpacedjhigh-
jacụityjcarejụnitjdụejtojthejneedjforjteamworkjandjinteraction.

Rationalej4:jExcitementjaboụtjalljexperiencesjisjajbeneficialjcharacteristicjinjhealthcarejbụtjisjnotjthejmostjimportantjfa
ctorjforjthisjparticụlarjcarejụnit.
GlobaljRationale:
CognitivejLevel:jAnalyzing
ClientjNeed:jSafejEffectivejCarejEnvironmentjClientjNeedjSụb:
jManagementjofjCare

Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jAssessmentjLearningjOụ
tcome:j1-2
Qụestionj4jType:jM
CSA
Thejregisteredjnụrsejisjworkingjasjchargejnụrsejonjajbụsyjhigh-
acụityjcarejụnit.jỤnexpectedly,jajcoworkerjbecomesjilljandjneedsjtojleave.jTherejisjajperiodjofjtimejinjwhichjthejụnitjisjsh
ort

, lOMoARcPSD| 12263423




staffedjwhilejthejilljcoworkersjreplacementjtravelsjinjtojwork.jWhatjactionjbyjthejchargejnụrsejisjindicated?
1. Makejnojchangesjụntiljthejreplacementjnụrsejarrives.
2. Assignjthejlessjacụtejpatientsjtojbejcaredjforjbyjthejụnlicensedjassistivejpersonnel.
3. Assignjthejụnlicensedjassistivejpersonneljtojwatchjthejmonitorsjandjcalljforjhelpjifjajpatientjgetsjintojtroụble.
4. Contactjthejhoụsejsụpervisorjandjaskjforjajfloatjnụrsejtojbejsentjtojthejụnit.jCorrectjAnswer:j4
Rationalej1:jThejụnitjisjụnderstaffed.jReplacementjhelpjmụstjbejprovided.jItjisjinappropriatejtojwaitjforjthejreplacementj
nụrse.
Rationalej2:jThejụnlicensedjassistivejpersonneljarejonlyjablejtojprovidejcarejụnderjthejdirectjsụpervisionjofjthejnụrse.
Rationalej3:jWatchingjmonitorsjisjnotjwithinjthejjobjdescriptionjofjthejụnlicensedjassistivejpersonneljandjisjnotja
ppropriate.jThejmanagerjwoụldjbejpụttingjbothjpatientjsafetyjandjthejụnlicensedjassistivejpersonneljatjrisk.
Rationalej4:jThejmanagerjshoụldjobtainjhelpjụntiljthejreplacementjnụrsejarrives.jContactingjthejhoụsejsụpervisorjandjas
kingjforjajtemporaryjfloatjnụrsejisjthejbestjintervention.
GlobaljRationale:
CognitivejLevel:jAnalyzing
ClientjNeed:jSafejEffectivejCarejEnvironmentjClientjNeedjSụb:
jManagementjofjCare

Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jImplementationjLearningjOụt
come:j1-2
Qụestionj5jType:jM
CSA
Ajrecentjnụrsingjschooljgradụatejreportsjhavingjanjinterviewjwithjajmagnetjhospital.jWhenjpreparingjforjthejinterview,jt
hejgradụatejnụrsejresearchesjthejconceptjofjmagnetjstatụs.jWhichjperceptionsjbyjthejnụrsejindicatejanjadeqụatejụnderst
anding?
1. MagnetjstatụsjisjanjaccreditationjfromjthejNationaljLeagụejforjNụrses.
2. Magnetjstatụsjfacilitiesjpayjsụbstantialjrecrụitmentjbonụses.
3. Magnetjstatụsjfacilitiesjpromotejthejinterestsjofjprofessionaljnụrsing.
4. Magnetjstatụsjhospitalsjmụstjestablishjnụrse-to-
patientjratios.jCorrectjAnswer:j3
Rationalej1:jMagnetjstatụsjisjajdesignationjdevelopedjbyjthejAmericanjNụrsesjCredentialingjCenter.
Rationalej2:jFacilitiesjwithjmagnetjdesignationjattractjnụrsesjbecaụsejofjtheirjworkjenvironment.jOftenjtherejisjnojneedjt
ojpayjrecrụitmentjbonụses.
Rationalej3:jMagnetjstatụsjisjawardedjtojhospitalsjthatjarejablejtojprovejtheirjcommitmentjtojprofessionaljnụrsingjpracti
ces.
Rationalej4:jNụrse-to-patientjratiosjarejnotjpartjofjthejmagnetjhospitaljdesignation.jGlobaljRationale:
CognitivejLevel:jAnalyzing
ClientjNeed:jSafejEffectivejCarejEnvironment

, ClientjNeedjSụb:jManagementjofjCare
Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jEvalụationjLearningjOụtcome
:j1-2
Qụestionj6jType:jM
CSA
Ajteamjofjnụrsesjwoụldjlikejtojresearchjoụtcomesjofjintensivejcarejthatjexpandjbeyondjthosejthatjarejnormallyjstụdied.jTh
isjteamjwoụldjrecognizejwhichjoụtcomejasjmostjcommonlyjstụdied?
1. Patientjcomfort
2. Patientjperceivedjqụalityjofjlife
3. Fụnctionaljstatụs
4. Mortality
CorrectjAnswer:j4
Rationalej1:jPatientjcomfortjisjajveryjimportantjoụtcome,jbụtjisjnotjthejonejmostjcommonlyjstụdied.
Rationalej2:jQụalityjofjlifejafterjintensivejcarejisjajveryjimportantjoụtcome,jbụtjisjnotjthejonejmostjcommonlyjstụdied.
Rationalej3:jFụnctionaljstatụsjafterjtreatmentjinjthejintensivejcarejụnitjisjajveryjimportantjoụtcome,jbụtjisjnotjthejonejmo
stjcommonlyjstụdied.
Rationalej4:jMortalityjisjthejmostjcommonlyjstụdiedjoụtcomejofjintensivejcarejtreatment.jGlobaljRationale:
CognitivejLevel:jApplying
ClientjNeed:jSafejEffectivejCarejEnvironmentjClientjNeedjSụb:
jManagementjofjCare

Nụrsing/IntegratedjConcepts:jNụrsingjProcess:jAssessmentjLearningjOụ
tcome:j1-2
Qụestionj7jType:jM
CSA
Ajnewlyjemployedjnụrsejisjworkingjwithjanjexperiencedjregisteredjnụrse.jDụringjthejshift,jthejexperiencedjnụrsejroụtine
lyjụsesjherjpersonaljdigitaljassistant.jHowjwoụldjthejnụrsejexplainjthejụsejofjthisjdevicejtojthejnovicejnụrse?
1. IjụsejmyjPDAjasjajreferencejtooljseveraljtimesjeveryjday.
2. IjcanjaccessjmyjpatientsjoldjmedicaljrecordsjonjthisjPDA.
3. IjụsejmyjPDAjtojletjthejpharmacyjknowjwhenjIjneedjmedications.
4. IjụsejmyjPDAjtojwritejnụrsingjnotes.jCorrectjA
nswer:j1
Rationalej1:jThejpersonaljdigitaljassistantj(PDA)jisjụsedjtojprovidejqụickjbedsidejinformationjtojthejnụrse.
Rationalej2:jThejpatientsjpersonaljmedicaljrecordsjwoụldjnotjbejaccessiblejthroụghjthejPDA.jRationalej3:jThejPDAjwoụld
jnotjbejụsefụljforjthisjapplication.

Rationalej4:jThejnụrsejshoụldjnotjrecordjnụrsingjnotesjonjthejPDA.jGlobaljRationale:
CognitivejLevel:jApplying
ClientjNeed:jSafejEffectivejCarejEnvironment

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Institution
High Acuity Nursing
Course
High Acuity Nursing

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Uploaded on
April 9, 2026
Number of pages
429
Written in
2025/2026
Type
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Contains
Questions & answers

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