NURS424 High Acuity Exam 1 Chapter
Review Quizzes & Rationales 2022
The ICU nurse receives a call from the medical-surgical unit requesting transfer of a
patient to the ICU. The patient is in acute respiratory failure and requires mechanical
ventilation. He will require vasoactive drugs to help manage his profound
hypotension. based on the SCCM prioritization model, what is this patient's priority
for ICU placement?
A. Priority 1
B. Priority 2
C. Priority 3
D. Priority 4 - Priority 1
This patient is unstable and requires treatment and monitoring that cannot be provided
outside the ICU (new mechanical ventilation and vasoactive infusions). This condition
meets the criteria for Priority 1 admission
A nurse is interviewing for a position in a community hospital. Hospital brochures
describe a Level III ICU. Which statement describes the resources that the nurse
would expect in this hospital?
A. Those working in the ICU have specialty training and use specialized equipment to
care for a wide variety of client illness and injuries
B. Staff and equipment in the unit are capable of providing comprehensive care for
clients with a variety of illnesses and injuries.
C. Staff in the unit can provide initial stabilization of patients for transfer to more
advanced care
D. The hospital is a teaching facility with sophisticated equipment and providers
expertise. - Staff in the unit can provide initial stabilization of patients for transfer to
more advanced care
A Level III ICU provides initial stabilization of patients
,A hospital has been working to achieve Magnet status. Which statements by an ICU
nurse reflect the benefits of Magnet status? (Select all that apply.)
A. "I feel more ownership in the decisions being made to run the unit."
B. "I don't have a supervise UAPs anymore"
C. "It would be so much easier to work here if the physicians were friendlier"
D. "Taking care of one less patient each shift makes such a difference."
E. "Our pay raise makes working here worth all the stress" - "I feel more ownership in
the decisions being made to run the unit."
"Taking care of one less patient each shift makes such a difference."
1. Nurses who work in Magnet hospitals are more involved in decision making, which
increases their ownership of the decisions.
2. Improved nurse-patient ratios are a benefit of work toward Magnet status
In the middle of a shift a nurse comes to the manager to discuss the acuity level and
number of patients he has been assigned. Which statement would the manager
interpret as indicating the nurse needs further education about nurse-patient ratios?
A. "I cannot provide the amount of care that all these clients need"
B. "Our professional organizations would not approve of exceeding their
recommended ratios."
C. "Is there someone who can be called in to help me with this client load?"
D. I am worried I'm going to miss something with one of these clients." - "Our
professional organizations would not approve of exceeding their recommended
ratios."
AACN and AMSN do not set recommended ratios.
New, fairly complex monitoring devices have been purchased to replace current
monitors in the ICU. How should the nurse manager plan to introduce this equipment
to the unit?
A. Have one device placed in one room and rotate nurses through caring for clients on
the monitor.
,B. Require that all nurses caring for patients on this monitor have extensive training
on its use.
C. Have all the old monitors replaced with the new devices so that nurses can learn by
using the equipment.
D. Tell the nurses to focus on how to use the monitor when caring for clients for the
first few days. - Require that all nurses caring for patients on this monitor have
extensive training on its use.
All nurses who will use this equipment must be trained in its use before caring for a
patient on the monitor.
What is the best advice that an experienced ICU nurse can offer to new nurses on how
to remain focused on the patient?
A." Learn about the equipment before caring for the client"
B. "Don't come to work in the ICU until you are proficient in all the equipment we
use"
C. "Try to arrange equipment so that you have ample opportunity to use the power of
your touch with the patient."
D. "Until you are comfortable with equipment, ask to be assigned with another nurse."
- "Try to arrange equipment so that you have ample opportunity to use the power of
your touch with the patient."
Touch helps to personalize the patient for the nurse. Touch also helps to reduce
anxiety in the patient.
A coworker has become increasingly withdrawn from social activities on the unit. She
is often late for work and is ambivalent about warnings from the nurse manager. She
has become hostile and negative about proposed changes in the unit. The nurse should
recognize that the coworker is exhibiting symptoms of which condition?
A. Burnout
B. Stress
C. Job dissatisfaction
D. Conflict - Burnout
, Ambivalence, withdrawal, hostility, and negativity are all symptoms of burnout.
The nurse manager has made a commitment to improve the health of the ICU work
environment. Which activities will help meet that goal? (Select all that apply.)
A. Make every effort to assign patients so that their needs match the nurse's strengths.
B. Set up a program in which a "nurse of the day" is chosen and honored each day.
C. Engage the hospital nurse executive in efforts to improve the health of the entire
environment.
D. Role-model successful collaboration with health-care providers.
E. Communicate in a clear and effective manner - A. Make every effort to assign
patients so that their needs match the nurse's strengths.
C. Engage the hospital nurse executive in efforts to improve the health of the entire
environment.
E. Communicate in a clear and effective manner.
A. Matching patient need to nurse strength reflects appropriate staffing, which is one
of the AACN standards for a healthy work environment.
C. The manager should demonstrate and encourage authentic leadership, embracing
healthy living and environmental strategies.
E. Skilled communication is one of the AACN standards for a healthy work
environment.
The hospital is planning to implement a CPOE system. One of the nurses says, "I don't
see how that is going to help." Which statement by another nurse is a good response to
this concern?
A. "You are right, these systems often contribute to medication errors."
B. "I heard that these systems can cause drug-drug interactions"
C. "Actually, hospitals that have used these systems generally see error reduction."
D. The systems may help prevent errors, but they are way too expensive for use in
most hospitals." - "Actually, hospitals that have used these systems generally see error
reduction."
CPOE systems have been found to reduce error.
Review Quizzes & Rationales 2022
The ICU nurse receives a call from the medical-surgical unit requesting transfer of a
patient to the ICU. The patient is in acute respiratory failure and requires mechanical
ventilation. He will require vasoactive drugs to help manage his profound
hypotension. based on the SCCM prioritization model, what is this patient's priority
for ICU placement?
A. Priority 1
B. Priority 2
C. Priority 3
D. Priority 4 - Priority 1
This patient is unstable and requires treatment and monitoring that cannot be provided
outside the ICU (new mechanical ventilation and vasoactive infusions). This condition
meets the criteria for Priority 1 admission
A nurse is interviewing for a position in a community hospital. Hospital brochures
describe a Level III ICU. Which statement describes the resources that the nurse
would expect in this hospital?
A. Those working in the ICU have specialty training and use specialized equipment to
care for a wide variety of client illness and injuries
B. Staff and equipment in the unit are capable of providing comprehensive care for
clients with a variety of illnesses and injuries.
C. Staff in the unit can provide initial stabilization of patients for transfer to more
advanced care
D. The hospital is a teaching facility with sophisticated equipment and providers
expertise. - Staff in the unit can provide initial stabilization of patients for transfer to
more advanced care
A Level III ICU provides initial stabilization of patients
,A hospital has been working to achieve Magnet status. Which statements by an ICU
nurse reflect the benefits of Magnet status? (Select all that apply.)
A. "I feel more ownership in the decisions being made to run the unit."
B. "I don't have a supervise UAPs anymore"
C. "It would be so much easier to work here if the physicians were friendlier"
D. "Taking care of one less patient each shift makes such a difference."
E. "Our pay raise makes working here worth all the stress" - "I feel more ownership in
the decisions being made to run the unit."
"Taking care of one less patient each shift makes such a difference."
1. Nurses who work in Magnet hospitals are more involved in decision making, which
increases their ownership of the decisions.
2. Improved nurse-patient ratios are a benefit of work toward Magnet status
In the middle of a shift a nurse comes to the manager to discuss the acuity level and
number of patients he has been assigned. Which statement would the manager
interpret as indicating the nurse needs further education about nurse-patient ratios?
A. "I cannot provide the amount of care that all these clients need"
B. "Our professional organizations would not approve of exceeding their
recommended ratios."
C. "Is there someone who can be called in to help me with this client load?"
D. I am worried I'm going to miss something with one of these clients." - "Our
professional organizations would not approve of exceeding their recommended
ratios."
AACN and AMSN do not set recommended ratios.
New, fairly complex monitoring devices have been purchased to replace current
monitors in the ICU. How should the nurse manager plan to introduce this equipment
to the unit?
A. Have one device placed in one room and rotate nurses through caring for clients on
the monitor.
,B. Require that all nurses caring for patients on this monitor have extensive training
on its use.
C. Have all the old monitors replaced with the new devices so that nurses can learn by
using the equipment.
D. Tell the nurses to focus on how to use the monitor when caring for clients for the
first few days. - Require that all nurses caring for patients on this monitor have
extensive training on its use.
All nurses who will use this equipment must be trained in its use before caring for a
patient on the monitor.
What is the best advice that an experienced ICU nurse can offer to new nurses on how
to remain focused on the patient?
A." Learn about the equipment before caring for the client"
B. "Don't come to work in the ICU until you are proficient in all the equipment we
use"
C. "Try to arrange equipment so that you have ample opportunity to use the power of
your touch with the patient."
D. "Until you are comfortable with equipment, ask to be assigned with another nurse."
- "Try to arrange equipment so that you have ample opportunity to use the power of
your touch with the patient."
Touch helps to personalize the patient for the nurse. Touch also helps to reduce
anxiety in the patient.
A coworker has become increasingly withdrawn from social activities on the unit. She
is often late for work and is ambivalent about warnings from the nurse manager. She
has become hostile and negative about proposed changes in the unit. The nurse should
recognize that the coworker is exhibiting symptoms of which condition?
A. Burnout
B. Stress
C. Job dissatisfaction
D. Conflict - Burnout
, Ambivalence, withdrawal, hostility, and negativity are all symptoms of burnout.
The nurse manager has made a commitment to improve the health of the ICU work
environment. Which activities will help meet that goal? (Select all that apply.)
A. Make every effort to assign patients so that their needs match the nurse's strengths.
B. Set up a program in which a "nurse of the day" is chosen and honored each day.
C. Engage the hospital nurse executive in efforts to improve the health of the entire
environment.
D. Role-model successful collaboration with health-care providers.
E. Communicate in a clear and effective manner - A. Make every effort to assign
patients so that their needs match the nurse's strengths.
C. Engage the hospital nurse executive in efforts to improve the health of the entire
environment.
E. Communicate in a clear and effective manner.
A. Matching patient need to nurse strength reflects appropriate staffing, which is one
of the AACN standards for a healthy work environment.
C. The manager should demonstrate and encourage authentic leadership, embracing
healthy living and environmental strategies.
E. Skilled communication is one of the AACN standards for a healthy work
environment.
The hospital is planning to implement a CPOE system. One of the nurses says, "I don't
see how that is going to help." Which statement by another nurse is a good response to
this concern?
A. "You are right, these systems often contribute to medication errors."
B. "I heard that these systems can cause drug-drug interactions"
C. "Actually, hospitals that have used these systems generally see error reduction."
D. The systems may help prevent errors, but they are way too expensive for use in
most hospitals." - "Actually, hospitals that have used these systems generally see error
reduction."
CPOE systems have been found to reduce error.
