NUR 445 Exam 1 2025 ACTUAL EXAM COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
What are some characteristics of a second degree AV block (Mobitz I or
Wenckebach)? - ANS✅✅PR interval lengthens with each beat until QRS is
dropped or missing
RR irregular
Atrial > ventricular
What cause a second degree AV block (Mobitz I or Wenckebach)? -
ANS✅✅hypoxemia, MI, heart disease, rheumatic fever, vagal stimulation,
electrolyte imbalance, drugs
How is a second degree AV block (Mobitz 1 or Wenckebach) treated? -
ANS✅✅atropine, dopamine, epinephrine, temporary pacemaker, permanent
pacemaker, withhold digitalis
Second Degree Heart Block (Mobitz I/Wenckebach) - ANS✅✅
What are some characteristics of a second degree AV block (Mobitz II)? -
ANS✅✅constantly dropping QRS complex
RR irregular
Atrial > ventricular
,How is a second degree AV block (Mobitz II) treated? - ANS✅✅atropine,
dopamine, epinephrine, temporary pacemaker, permanent pacemaker
What are some characteristics of a third degree AV block (complete block)? -
ANS✅✅No relationship between P and QRS, as they are paced by separate
pacemakers
QRS may be widened
What is the difference between a small hospital ICU and a large hospital ICU? -
ANS✅✅The size, resources available, specialized units, etc.
What must the nurse caring for the high acuity patient be able to do? -
ANS✅✅Analyze critical situations, make decisions based on their analysis,
and rapidly intervene to ensure optimal outcomes
Who is the only member of the healthcare team who is at the bedside and
frequently coordinates patient care? - ANS✅✅The nurse
Who detects early signs of an impending complication with the patient? -
ANS✅✅The nurse
What is one of the primary goals for the acute care nurse? - ANS✅✅the
prevention of complications
,What changes led to decreased job satisfaction and nurses leaving practice in the
high acuity environment? - ANS✅✅Schedules, staffing, floating outside the
specialty, hospital restructuring, etc.
What really should be considered when making decisions about nursing staffing
patterns? - ANS✅✅The needs of the patient and the skill mix of the nursing
staff
What should the first principle of staffing be? - ANS✅✅provide safe and
effective patient care
What does the ANCC award hospitals magnet status for? - ANS✅✅If they are
able to create working environments that are successful in recruiting and
retaining professional nurses
Which patients are often stereotyped as not being candidates for aggressive
treatment? - ANS✅✅Oncology patients
Who must "goals of care" be discussed with? - ANS✅✅With the patient and
their family, allowing ample time for meaningful discussion
What is a major advantage of having technology available in the high acuity
environment? - ANS✅✅The patient's status can be monitored continuously
What is a major criticism of nurses who work in high acuity environments? -
ANS✅✅they are too technologically oriented
, What is alarm fatigue? - ANS✅✅When the number and frequency of alarms
becomes overwhelming, it can result in delayed alarm responses and deliberate
alarm deactivations
What does working in a healthy environment increase? - ANS✅✅job
satisfaction and provides a buffer against stress and burnout
Which professional organization made a commitment to promote healthy work
environments that support quality patient care and high levels of nurse
satisfaction? - ANS✅✅American Association of Critical Care Nurses
What are some standards of healthy work environments? - ANS✅✅Skilled
communication, true collaboration, efficient decision making, appropriate
staffing, meaningful recognition, and authentic leadership
Who are the gatekeepers of patient safety? - ANS✅✅high acuity nurses
What is burnout? - ANS✅✅Feelings of personal/professional frustration, job
dissatisfaction, job insecurity, emotion/physical exertion, emotional exhaustion,
depersonalization, reduced personal accomplishments, lack of control,
overworked, insufficient awards, conflicting values
What are some symptoms of burnout? - ANS✅✅Withdrawal, risk taking,
ambivalence, decreased productivity, contemplating career change, increased
use of caffeine/alcohol/nicotine, chronic fatigue, frequent minor ailments, sleep
changes, appetite change, sexual difficulty, attempts to blame others,
stereotyping patients, nightmares, depression, hostility, negativism, loss of
tolerance, decreased ability to make decisions, poor judgement, lack of initiative,
forgetfulness
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
What are some characteristics of a second degree AV block (Mobitz I or
Wenckebach)? - ANS✅✅PR interval lengthens with each beat until QRS is
dropped or missing
RR irregular
Atrial > ventricular
What cause a second degree AV block (Mobitz I or Wenckebach)? -
ANS✅✅hypoxemia, MI, heart disease, rheumatic fever, vagal stimulation,
electrolyte imbalance, drugs
How is a second degree AV block (Mobitz 1 or Wenckebach) treated? -
ANS✅✅atropine, dopamine, epinephrine, temporary pacemaker, permanent
pacemaker, withhold digitalis
Second Degree Heart Block (Mobitz I/Wenckebach) - ANS✅✅
What are some characteristics of a second degree AV block (Mobitz II)? -
ANS✅✅constantly dropping QRS complex
RR irregular
Atrial > ventricular
,How is a second degree AV block (Mobitz II) treated? - ANS✅✅atropine,
dopamine, epinephrine, temporary pacemaker, permanent pacemaker
What are some characteristics of a third degree AV block (complete block)? -
ANS✅✅No relationship between P and QRS, as they are paced by separate
pacemakers
QRS may be widened
What is the difference between a small hospital ICU and a large hospital ICU? -
ANS✅✅The size, resources available, specialized units, etc.
What must the nurse caring for the high acuity patient be able to do? -
ANS✅✅Analyze critical situations, make decisions based on their analysis,
and rapidly intervene to ensure optimal outcomes
Who is the only member of the healthcare team who is at the bedside and
frequently coordinates patient care? - ANS✅✅The nurse
Who detects early signs of an impending complication with the patient? -
ANS✅✅The nurse
What is one of the primary goals for the acute care nurse? - ANS✅✅the
prevention of complications
,What changes led to decreased job satisfaction and nurses leaving practice in the
high acuity environment? - ANS✅✅Schedules, staffing, floating outside the
specialty, hospital restructuring, etc.
What really should be considered when making decisions about nursing staffing
patterns? - ANS✅✅The needs of the patient and the skill mix of the nursing
staff
What should the first principle of staffing be? - ANS✅✅provide safe and
effective patient care
What does the ANCC award hospitals magnet status for? - ANS✅✅If they are
able to create working environments that are successful in recruiting and
retaining professional nurses
Which patients are often stereotyped as not being candidates for aggressive
treatment? - ANS✅✅Oncology patients
Who must "goals of care" be discussed with? - ANS✅✅With the patient and
their family, allowing ample time for meaningful discussion
What is a major advantage of having technology available in the high acuity
environment? - ANS✅✅The patient's status can be monitored continuously
What is a major criticism of nurses who work in high acuity environments? -
ANS✅✅they are too technologically oriented
, What is alarm fatigue? - ANS✅✅When the number and frequency of alarms
becomes overwhelming, it can result in delayed alarm responses and deliberate
alarm deactivations
What does working in a healthy environment increase? - ANS✅✅job
satisfaction and provides a buffer against stress and burnout
Which professional organization made a commitment to promote healthy work
environments that support quality patient care and high levels of nurse
satisfaction? - ANS✅✅American Association of Critical Care Nurses
What are some standards of healthy work environments? - ANS✅✅Skilled
communication, true collaboration, efficient decision making, appropriate
staffing, meaningful recognition, and authentic leadership
Who are the gatekeepers of patient safety? - ANS✅✅high acuity nurses
What is burnout? - ANS✅✅Feelings of personal/professional frustration, job
dissatisfaction, job insecurity, emotion/physical exertion, emotional exhaustion,
depersonalization, reduced personal accomplishments, lack of control,
overworked, insufficient awards, conflicting values
What are some symptoms of burnout? - ANS✅✅Withdrawal, risk taking,
ambivalence, decreased productivity, contemplating career change, increased
use of caffeine/alcohol/nicotine, chronic fatigue, frequent minor ailments, sleep
changes, appetite change, sexual difficulty, attempts to blame others,
stereotyping patients, nightmares, depression, hostility, negativism, loss of
tolerance, decreased ability to make decisions, poor judgement, lack of initiative,
forgetfulness
