1
NR
NR 446/ NR446 EXAM 2: COLLABORATIVE
HEALTHCARE REVIEW | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS) (2025/ 2026)
1. Who is in charge of the overall staffing responsibilities for
the unit?: - Charge nurses
- First-level managers
- Middle-level managers
2. How is the flexibility for the worker regarding centralized
staffing?: - Not flexible at all
3. Which staffing type is more cost-effective?: - Centralized
staffing is more cost-effective
4. What are some negatives regarding Decentralized
staffing?: - Creates favoritism
- time consuming
- expensive for whole organization
5. Who maintains control of the staffing with Decentralized
staffing?: -
Mangers maintain control
NR 446
,6. What categories does the critical indicator patient
classification system utilize to determine level acuity for
a patient?: - bathing - diet
- intravenous fluids
- Medications
- Positioning
7. What does the Summative task Patient classification
system require nurses to do?: Note the frequency of the
following:
- specific activities
- treatments - procedures
8. What assessment requirements classify a patient as a level
1 acuity?: - Q4H Vs
- A&O X 4
9. What assessment requirements classify a patient as a level
2 acuity?: - Q4H
VS
10. What assessment requirements classify a patient as a
level 3 acuity?: - Q2H VS
- Delirium/ Altered mental status
11. What assessment requirements classify a patient as a
level 4 acuity?: -
Unstable VS (determined by order parameters)
,12. What Respiratory requirements classify a patient as a
level 1 acuity?: -
Stable on Room Air (RA)
13. What Respiratory requirements classify a patient as a
level 2 acuity?: -
Oxygen </= 2 Liters (2L) NC
14. What Respiratory requirements classify a patient as a
level 3 acuity?: - Oxygen > 2 L via NC
- Tracheostomy
15. What Respiratory requirements classify a patient as a
level 4 acuity?: - Oxygen via Mask
- Cannot maintain secretions independently
16. What Cardiac requirements classify a patient as a level 1
acuity?: - VS r/t to cardiac (determined by order parameters)
17. What Cardiac requirements classify a patient as a level 2
acuity?: - Low-Grade Temp (98.7-100.3F)
-
Pa
ce
ma
ker/
AIC
D-
, HR
>
130
18. What Cardiac requirements classify a patient as a level 3
acuity?: - Change in BP
- Temp > 100.3 F
19. What Cardiac requirements classify a patient as a level 4
acuity?: - Unstable rhythm
- Atrial fibrillation
- PE
20. What Medication requirements classify a patient as a
level 1 acuity?: - PO/ IVPB
- Blood glucose w/n Normal Ranges
21. What Medication requirements classify a patient as a
level 2 acuity?: - TPN/ Heparin infusion
- Blood glucose requires notifying provider
- Blood draws from a PICC Line
- Dialysis
22. What Medication requirements classify a patient as a
level 3 acuity?: - CBI - 1 unit of blood transfusion - Fluid bolus
for BP
23. What Medication requirements classify a patient as a
level 4 acuity?: - > 1 blood transfusion - Chemotherapy
NR
NR 446/ NR446 EXAM 2: COLLABORATIVE
HEALTHCARE REVIEW | QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS) (2025/ 2026)
1. Who is in charge of the overall staffing responsibilities for
the unit?: - Charge nurses
- First-level managers
- Middle-level managers
2. How is the flexibility for the worker regarding centralized
staffing?: - Not flexible at all
3. Which staffing type is more cost-effective?: - Centralized
staffing is more cost-effective
4. What are some negatives regarding Decentralized
staffing?: - Creates favoritism
- time consuming
- expensive for whole organization
5. Who maintains control of the staffing with Decentralized
staffing?: -
Mangers maintain control
NR 446
,6. What categories does the critical indicator patient
classification system utilize to determine level acuity for
a patient?: - bathing - diet
- intravenous fluids
- Medications
- Positioning
7. What does the Summative task Patient classification
system require nurses to do?: Note the frequency of the
following:
- specific activities
- treatments - procedures
8. What assessment requirements classify a patient as a level
1 acuity?: - Q4H Vs
- A&O X 4
9. What assessment requirements classify a patient as a level
2 acuity?: - Q4H
VS
10. What assessment requirements classify a patient as a
level 3 acuity?: - Q2H VS
- Delirium/ Altered mental status
11. What assessment requirements classify a patient as a
level 4 acuity?: -
Unstable VS (determined by order parameters)
,12. What Respiratory requirements classify a patient as a
level 1 acuity?: -
Stable on Room Air (RA)
13. What Respiratory requirements classify a patient as a
level 2 acuity?: -
Oxygen </= 2 Liters (2L) NC
14. What Respiratory requirements classify a patient as a
level 3 acuity?: - Oxygen > 2 L via NC
- Tracheostomy
15. What Respiratory requirements classify a patient as a
level 4 acuity?: - Oxygen via Mask
- Cannot maintain secretions independently
16. What Cardiac requirements classify a patient as a level 1
acuity?: - VS r/t to cardiac (determined by order parameters)
17. What Cardiac requirements classify a patient as a level 2
acuity?: - Low-Grade Temp (98.7-100.3F)
-
Pa
ce
ma
ker/
AIC
D-
, HR
>
130
18. What Cardiac requirements classify a patient as a level 3
acuity?: - Change in BP
- Temp > 100.3 F
19. What Cardiac requirements classify a patient as a level 4
acuity?: - Unstable rhythm
- Atrial fibrillation
- PE
20. What Medication requirements classify a patient as a
level 1 acuity?: - PO/ IVPB
- Blood glucose w/n Normal Ranges
21. What Medication requirements classify a patient as a
level 2 acuity?: - TPN/ Heparin infusion
- Blood glucose requires notifying provider
- Blood draws from a PICC Line
- Dialysis
22. What Medication requirements classify a patient as a
level 3 acuity?: - CBI - 1 unit of blood transfusion - Fluid bolus
for BP
23. What Medication requirements classify a patient as a
level 4 acuity?: - > 1 blood transfusion - Chemotherapy
