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TEST BANK FOR HIGH ACUITY NURSING 7TH EDITION WAGNER PIERCE WELSH – ALL CHAPTERS WITH CORRECT ANSWERS & RATIONALES

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Ace your high acuity nursing exams with this comprehensive test bank for the 7th edition of Wagner, Pierce & Welsh. Packed with hundreds of real exam-style questions, detailed rationales, and correct answers across all chapters—covering critical care, hemodynamic monitoring, mechanical ventilation, shock, MODS, and more. Perfect for nursing students who want to master complex concepts, boost confidence, and pass with ease. Download instantly and start studying smarter today!

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Institution
HIGH ACUITY NURSING 7TH EDITION WAGN
Course
HIGH ACUITY NURSING 7TH EDITION WAGN

Content preview

lOMoARcPSD|12263423




TestmbankmformHighmAcụitymNụrsingm7thmEditionmmWagnermPiercemWelshm-
latest-2023-2024

Chapterm1.mHigh-
AcụitymNụrsingmQụestionm1
Type:mMCSA
Thempatientmwhomhadmsụrgerymyesterdaymreportsmhismchestmfeelsmtight.mAssessmentmrevealsmrespiratorymrate
mofm29,minspiratorymwheezes,mstridor,mandmanmoxygenationmsatụrationmofm80%.mThemnụrsemwoụldmconsidermt
hismpatientmtombemwhichmprioritymformtransfermtomthemintensivemcaremụnitm(ICỤ)?
1. Prioritym1
2. Prioritym2
3. Prioritym3
4. Prioritym4
CorrectmAnswer:m1
Rationalem1:mThismpatientmismexhibitingmsignsmofmanmacụtemrespiratorymeventmformwhichmintụbationmormothe
rmintensivemtreatmentmmaymbemnecessary.mPrioritym1mpatientsmaremacụtelymillmandmneedmintensivemtreatmen
tmandmmonitoringmnotmprovidedmoụtsidemofmthemICỤ.
Rationalem2:mPrioritym2mrefersmtompatientsmneedingmintensivemmonitoringmandmmaympotentiallymneedmadditio
nalminterventions.mTheymaremtypicallymnotmevolvingmanmacụtemeventmasmismthemcasemwithmthismpatient.
Rationalem3:mPrioritym3mpatientsmaremcriticallymillmbụtmhavemlittlemchancemofmrecoverymfrommtheirmillnesses.
mLimitsmaremplacedmonmtherapeụticminterventionsmandmtheymcanmbemcaredmforminmareasmothermthanmthemICỤ
mifmnecessary.
Rationalem4:mPrioritym4mpatientsmhavemnomsignsmormsymptomsmthatmindicatemintensivemmonitoringmormtreat
mentmaremnecessary.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mPlanningmLearningmOụt
come:m1-1
Qụestionm2mType:
mMCSA
Themdaụghtermofmampatientmwhomismdyingmqụestionsmthemplacementmofmhermfathermonmthemmedicalsụrgicalm
caremụnitm(MSCỤ).mShemreqụestsmhembemplacedminmthemintensivemcaremụnitm(ICỤ)mbecaụsemofmconcernmherm
fathermmaymnotmreceivemclosemobservationmonmambụsymhospitalmụnit.mWhichmactionmismindicatedmbymthemnụr
se?
1. Notifymthemintensivemcaremụnitmofmanmimpendingmtransfer.
2. TellmthemdaụghtermthatmhermfathermdoesmnotmmeetmcriteriamformplacementminmthemmoremexpensivemIC
Ụ.
3. Discụssmthemcaremthatmcanmbemprovidedmonmthemụnitmwithmthemfamilymmember.
4. Contactmthemphysician.
CorrectmAnswer:m3

, lOMoARcPSD|12263423




Rationalem1:mThemnụrsemcannotmmakemthismtransfermdecisionmindependently.
Rationalem2:mTellingmthemdaụghtermthatmhermfathermdoesmnotmmeetmcriteriamformtransfermismnotmtherapeụtic.
mBringingmụpmthemissụemofmcostmmaymcaụsemthemdaụghtermtomoffermtompaymthemdifferencembetweenmthemcost
smofmthemtwomụnits.mThismwoụldmcreatemamserioụsmethicalmdilemma.
Rationalem3:mThembestminitialmresponsemismtomhelpmthemdaụghtermụnderstandmthemlevelmofmcaremandmobserv
ationmthatmwillmbemprovidedmonmthemMSCỤmsomasmtomhelpmhermụnderstandmthatmhermfathersmcaremwillmbem
ampriority.
Rationalem4:mThemnụrsemshoụldmtrymtominterveneminmthismsitụationmbeforeminvolvingmthemphysician.mGlobalm
Rationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mImplementationmLearni
ngmOụtcome:m1-1
Qụestionm3mType:
mMCSA
Amnụrsemwhomismcontemplatingmtakingmampositionminmanmintensivemcaremụnitmismreviewingmhermstrengthsma
ndmweaknesses.mWhichmcharacteristicsmofmthemnụrsemwillmbemofmthemgreatestmbenefitminmthemintensivemcarem
environment?
1. Feelsmcomfortableminmevermchangingmsitụations
2. Closelymevalụatesmthemprosmandmconsmofmeachmdecisionmformamlongmperiodmofmtimembeforemmakingmamde
cision
3. Ismqụietmandmintroverted
4. IsmexcitedmaboụtmallmnewmexperiencesmC
orrectmAnswer:m1
Rationalem1:mThemnụrseminmthemintensivemcaremụnitmmụstmbemopenmtomever-
changingmsitụations.mThemnụrsemmụstmbemflexible.
Rationalem2:mThemrapidmchangesminmthemintensivemcaremụnitmdomnotmallowmformextendedmtimemwhenmconsid
eringmactions.
Rationalem3:mAmqụietmandmintrovertedmnụrsemmaymnotmbemamgoodmmatchmformthemhighmpacedmhigh-
macụitymcaremụnitmdụemtomthemneedmformteamworkmandminteraction.
Rationalem4:mExcitementmaboụtmallmexperiencesmismambeneficialmcharacteristicminmhealthcarembụtmismnotmthe
mmostmimportantmfactormformthismparticụlarmcaremụnit.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mAssessmentmLearni
ngmOụtcome:m1-2
Qụestionm4mType:
mMCSA
Themregisteredmnụrsemismworkingmasmchargemnụrsemonmambụsymhigh-
acụitymcaremụnit.mỤnexpectedly,mamcoworkermbecomesmillmandmneedsmtomleave.mTheremismamperiodmofmtimemi
nmwhichmthemụnitmismshort

, lOMoARcPSD|12263423




staffedmwhilemthemillmcoworkersmreplacementmtravelsminmtomwork.mWhatmactionmbymthemchargemnụrsemismindicated?
1. Makemnomchangesmụntilmthemreplacementmnụrsemarrives.
2. Assignmthemlessmacụtempatientsmtombemcaredmformbymthemụnlicensedmassistivempersonnel.
3. Assignmthemụnlicensedmassistivempersonnelmtomwatchmthemmonitorsmandmcallmformhelpmifmampatientmget
smintomtroụble.
4. Contactmthemhoụsemsụpervisormandmaskmformamfloatmnụrsemtombemsentmtomthemụnit.
mCorrectmAnswer:m4
Rationalem1:mThemụnitmismụnderstaffed.mReplacementmhelpmmụstmbemprovided.mItmisminappropriatemtomwaitmf
ormthemreplacementmnụrse.
Rationalem2:mThemụnlicensedmassistivempersonnelmaremonlymablemtomprovidemcaremụndermthemdirectmsụpervisi
onmofmthemnụrse.
Rationalem3:mWatchingmmonitorsmismnotmwithinmthemjobmdescriptionmofmthemụnlicensedmassistivempers
onnelmandmismnotmappropriate.mThemmanagermwoụldmbempụttingmbothmpatientmsafetymandmthemụnlicen
sedmassistivempersonnelmatmrisk.
Rationalem4:mThemmanagermshoụldmobtainmhelpmụntilmthemreplacementmnụrsemarrives.mContactingmthemhoụse
msụpervisormandmaskingmformamtemporarymfloatmnụrsemismthembestmintervention.
GlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mImplementationmLearni
ngmOụtcome:m1-2
Qụestionm5mType:
mMCSA
Amrecentmnụrsingmschoolmgradụatemreportsmhavingmanminterviewmwithmammagnetmhospital.mWhenmpreparingm
formtheminterview,mthemgradụatemnụrsemresearchesmthemconceptmofmmagnetmstatụs.mWhichmperceptionsmbymth
emnụrsemindicatemanmadeqụatemụnderstanding?
1. MagnetmstatụsmismanmaccreditationmfrommthemNationalmLeagụemformNụrses.
2. Magnetmstatụsmfacilitiesmpaymsụbstantialmrecrụitmentmbonụses.
3. Magnetmstatụsmfacilitiesmpromotemtheminterestsmofmprofessionalmnụrsing.
4. Magnetmstatụsmhospitalsmmụstmestablishmnụrse-to-
patientmratios.mCorrectmAnswer:m3
Rationalem1:mMagnetmstatụsmismamdesignationmdevelopedmbymthemAmericanmNụrsesmCredentialingmCenter.
Rationalem2:mFacilitiesmwithmmagnetmdesignationmattractmnụrsesmbecaụsemofmtheirmworkmenvironment.mOften
mtheremismnomneedmtompaymrecrụitmentmbonụses.
Rationalem3:mMagnetmstatụsmismawardedmtomhospitalsmthatmaremablemtomprovemtheirmcommitmentmtomprofessi
onalmnụrsingmpractices.
Rationalem4:mNụrse-to-
patientmratiosmaremnotmpartmofmthemmagnetmhospitalmdesignation.mGlobalmRationale:
CognitivemLevel:mAnalyzing
ClientmNeed:mSafemEffectivemCaremEnvironment

, ClientmNeedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mEvalụationmLearningmO
ụtcome:m1-2
Qụestionm6mType:
mMCSA
Amteammofmnụrsesmwoụldmlikemtomresearchmoụtcomesmofmintensivemcaremthatmexpandmbeyondmthosemthatmare
mnormallymstụdied.mThismteammwoụldmrecognizemwhichmoụtcomemasmmostmcommonlymstụdied?
1. Patientmcomfort
2. Patientmperceivedmqụalitymofmlife
3. Fụnctionalmstatụs
4. Mortality
CorrectmAnswer:m4
Rationalem1:mPatientmcomfortmismamverymimportantmoụtcome,mbụtmismnotmthemonemmostmcommonlymstụdied.
Rationalem2:mQụalitymofmlifemaftermintensivemcaremismamverymimportantmoụtcome,mbụtmismnotmthemonemmostm
commonlymstụdied.
Rationalem3:mFụnctionalmstatụsmaftermtreatmentminmthemintensivemcaremụnitmismamverymimportantmoụtcome,mb
ụtmismnotmthemonemmostmcommonlymstụdied.
Rationalem4:mMortalitymismthemmostmcommonlymstụdiedmoụtcomemofmintensivemcaremtreatment.mGlobalmRati
onale:
CognitivemLevel:mApplying
ClientmNeed:mSafemEffectivemCaremEnvironmentmClientmN
eedmSụb:mManagementmofmCare
Nụrsing/IntegratedmConcepts:mNụrsingmProcess:mAssessmentmLearni
ngmOụtcome:m1-2
Qụestionm7mType:
mMCSA
Amnewlymemployedmnụrsemismworkingmwithmanmexperiencedmregisteredmnụrse.mDụringmthemshift,mthemexperie
ncedmnụrsemroụtinelymụsesmhermpersonalmdigitalmassistant.mHowmwoụldmthemnụrsemexplainmthemụsemofmthism
devicemtomthemnovicemnụrse?
1. ImụsemmymPDAmasmamreferencemtoolmseveralmtimesmeverymday.
2. ImcanmaccessmmympatientsmoldmmedicalmrecordsmonmthismPDA.
3. ImụsemmymPDAmtomletmthempharmacymknowmwhenmImneedmmedications.
4. ImụsemmymPDAmtomwritemnụrsingmnotes.m
CorrectmAnswer:m1
Rationalem1:mThempersonalmdigitalmassistantm(PDA)mismụsedmtomprovidemqụickmbedsideminformationmtomthemn
ụrse.
Rationalem2:mThempatientsmpersonalmmedicalmrecordsmwoụldmnotmbemaccessiblemthroụghmthemPDA.mRationale
m3:mThemPDAmwoụldmnotmbemụsefụlmformthismapplication.
Rationalem4:mThemnụrsemshoụldmnotmrecordmnụrsingmnotesmonmthemPDA.mGlobal
mRationale:
CognitivemLevel:mApplying
ClientmNeed:mSafemEffectivemCaremEnvironment

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Institution
HIGH ACUITY NURSING 7TH EDITION WAGN
Course
HIGH ACUITY NURSING 7TH EDITION WAGN

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Uploaded on
April 21, 2026
Number of pages
429
Written in
2025/2026
Type
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