NURS 332 MIDTERM | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE NCLEX NURSING
STUDY GUIDE 2026/2027
Complex high acuity patients - ANS ✔✔-diverse health challenges and underlying chronic illness
-acute exacerbation
-acuity (serious to critical illness)
Registered nurses in high acuity - ANS ✔✔-analyze clinical situations
-make decisions based on the analysis
-rapidly intervene to ensure optimum patient outcomes
-prevention of complications is a primary goal
Priority setting in clinical settings - ANS ✔✔Nursing process- assessment is a key starting point
Intensive care units - ANS ✔✔-1960
-needed a special type of care, critical care medicine came at that time and became a specialty
Intermediate medical care - ANS ✔✔intended for patients needing close observation but not in
need of life-saving, critical interventions
Priority 1 - ANS ✔✔acutely ill patients requiring life saving critical interventions - MI, Resp
distress, allergies, car accident
Priority 2 - ANS ✔✔seriously ill patients possibly in need of immediate medical interventions -
Pain, injuries, amputations
Priority 3 - ANS ✔✔critically ill patients who will not likely recover from their disorders- kidney
disease, early cancer
,Priority 4 - ANS ✔✔patients who might be terminally ill - stage 4 cancer, n stage heart disease
The RN in high acuity settings - ANS ✔✔-continual assessment of the patients status
-additional education required
-higher nursing surveillance = less mortality and complications
Advantages of ICU - ANS ✔✔-close monitoring of the pt
-provides programs to diagnose patient disorders
-source of readily available reference information
Disadvantage of ICU - ANS ✔✔-dependant on it
-depersonalization of the pt
-over load
-over reliance
-nurse/caregiver burn out
Cultural competence - ANS ✔✔-self awareness of ones own thought and feelings about other
with different backgrounds
-self awareness can improve: knowledge, understanding, respect and acceptance
Crash model - ANS ✔✔Culture
Respect
Assess and affirm
Sensitivity and self awareness
Humility
, Causes of nursing burnout - ANS ✔✔-patient overload
-nursing shortages
-long work hours
-loss of concentration
-feelings of powerlessness
Educational needs of patients and families - ANS ✔✔-information about patient progress
-informed decision making
-acknowledgment of the past
-optimal learning environment
-support
Barriers to learning for the patient - ANS ✔✔-condition
-communication barriers
-pain
-medications
Transfer anxiety - ANS ✔✔can result from movement to a less acute care unit
ICU visitation - ANS ✔✔Benefits:
-reduced incidence of cardiovascular complications
-decreased mortality
-reduced anxiety levels
Family present during CPR - ANS ✔✔-family to grasp the seriousness of the patients illness
STUDY GUIDE 2026/2027
Complex high acuity patients - ANS ✔✔-diverse health challenges and underlying chronic illness
-acute exacerbation
-acuity (serious to critical illness)
Registered nurses in high acuity - ANS ✔✔-analyze clinical situations
-make decisions based on the analysis
-rapidly intervene to ensure optimum patient outcomes
-prevention of complications is a primary goal
Priority setting in clinical settings - ANS ✔✔Nursing process- assessment is a key starting point
Intensive care units - ANS ✔✔-1960
-needed a special type of care, critical care medicine came at that time and became a specialty
Intermediate medical care - ANS ✔✔intended for patients needing close observation but not in
need of life-saving, critical interventions
Priority 1 - ANS ✔✔acutely ill patients requiring life saving critical interventions - MI, Resp
distress, allergies, car accident
Priority 2 - ANS ✔✔seriously ill patients possibly in need of immediate medical interventions -
Pain, injuries, amputations
Priority 3 - ANS ✔✔critically ill patients who will not likely recover from their disorders- kidney
disease, early cancer
,Priority 4 - ANS ✔✔patients who might be terminally ill - stage 4 cancer, n stage heart disease
The RN in high acuity settings - ANS ✔✔-continual assessment of the patients status
-additional education required
-higher nursing surveillance = less mortality and complications
Advantages of ICU - ANS ✔✔-close monitoring of the pt
-provides programs to diagnose patient disorders
-source of readily available reference information
Disadvantage of ICU - ANS ✔✔-dependant on it
-depersonalization of the pt
-over load
-over reliance
-nurse/caregiver burn out
Cultural competence - ANS ✔✔-self awareness of ones own thought and feelings about other
with different backgrounds
-self awareness can improve: knowledge, understanding, respect and acceptance
Crash model - ANS ✔✔Culture
Respect
Assess and affirm
Sensitivity and self awareness
Humility
, Causes of nursing burnout - ANS ✔✔-patient overload
-nursing shortages
-long work hours
-loss of concentration
-feelings of powerlessness
Educational needs of patients and families - ANS ✔✔-information about patient progress
-informed decision making
-acknowledgment of the past
-optimal learning environment
-support
Barriers to learning for the patient - ANS ✔✔-condition
-communication barriers
-pain
-medications
Transfer anxiety - ANS ✔✔can result from movement to a less acute care unit
ICU visitation - ANS ✔✔Benefits:
-reduced incidence of cardiovascular complications
-decreased mortality
-reduced anxiety levels
Family present during CPR - ANS ✔✔-family to grasp the seriousness of the patients illness
