Exam 1 Complex Patient – ICU Care, Safety,
Communication & Nursing Priorities|Verified Questions
with A+ Graded Rationales Latest Updated 2026
What are solutions for a overwhelmed client in the ICU?
- Orient the client and family to the equipment used for care to decrease stress
- Keep wires and tubing untangled and out of the way
- Increase natural light in the room
- Turn off artificial lights when not needed and close the room door to block light from hallways.
EPICS stands for
evaluate, plan, involve, communicate, and support
How is a drawback issue fixed?
it is important to identify a specific healthcare provider as the one who provides all orders,
directing those with suggestions to speak directly with the designated person instead of having
multiple responses
Whats the handoff protocal?
“I PASS the BATON”
I = Introduction—introducing yourself and your role/job
P = Patient—name, identifiers, age, sex, and location
A = Assessment—presenting chief complaint, vital signs, symptoms, and diagnosis
S = Situation—current status/circumstances, including code status, level of uncertainty, recent
changes, and response to treatment
S = Safety Concerns—critical lab values/reports, socio-economic factors, allergies, and alerts
(falls, isolation, etc.)
the
B = Background—Share comorbidities, previous episodes, current medications, and family
history.
, A = Actions—What actions were taken or are required? Provide a brief rationale.
T = Timing—Inform the level of urgency, explicit timing, and prioritization of actions.
O = Ownership—Who is responsible (nurse/doctor/team)? Include the client/family
responsibilities.
N = Next—What will happen next? Anticipated changes? What is the plan? Are there
contingency plans?
After hearing the alarms for the infusion pump, telemetry monitor, and ventilator sound, the
nurse enters the room of a client with a complex health alteration. In which order should the
nurse complete the listed actions? Place the actions in order from first to last.
Feel for a carotid pulse.
Assess the intravenous (IV) site.
Check the endotracheal tube.
Check the infusion pump alarm and address any issues as needed.
Assess the client's level of consciousness and activity.
Observe the rise and fall of the chest during ventilation.
Check the telemetry alarm and address any issues as needed.
Check the ventilator alarm and address any issues as needed.
Assess the client's level of consciousness and activity.
Check the endotracheal tube.
Observe the rise and fall of the chest during ventilation.
Feel for a carotid pulse.
Check the ventilator alarm and address any issues as needed.
Check the telemetry alarm and address any issues as needed.
Communication & Nursing Priorities|Verified Questions
with A+ Graded Rationales Latest Updated 2026
What are solutions for a overwhelmed client in the ICU?
- Orient the client and family to the equipment used for care to decrease stress
- Keep wires and tubing untangled and out of the way
- Increase natural light in the room
- Turn off artificial lights when not needed and close the room door to block light from hallways.
EPICS stands for
evaluate, plan, involve, communicate, and support
How is a drawback issue fixed?
it is important to identify a specific healthcare provider as the one who provides all orders,
directing those with suggestions to speak directly with the designated person instead of having
multiple responses
Whats the handoff protocal?
“I PASS the BATON”
I = Introduction—introducing yourself and your role/job
P = Patient—name, identifiers, age, sex, and location
A = Assessment—presenting chief complaint, vital signs, symptoms, and diagnosis
S = Situation—current status/circumstances, including code status, level of uncertainty, recent
changes, and response to treatment
S = Safety Concerns—critical lab values/reports, socio-economic factors, allergies, and alerts
(falls, isolation, etc.)
the
B = Background—Share comorbidities, previous episodes, current medications, and family
history.
, A = Actions—What actions were taken or are required? Provide a brief rationale.
T = Timing—Inform the level of urgency, explicit timing, and prioritization of actions.
O = Ownership—Who is responsible (nurse/doctor/team)? Include the client/family
responsibilities.
N = Next—What will happen next? Anticipated changes? What is the plan? Are there
contingency plans?
After hearing the alarms for the infusion pump, telemetry monitor, and ventilator sound, the
nurse enters the room of a client with a complex health alteration. In which order should the
nurse complete the listed actions? Place the actions in order from first to last.
Feel for a carotid pulse.
Assess the intravenous (IV) site.
Check the endotracheal tube.
Check the infusion pump alarm and address any issues as needed.
Assess the client's level of consciousness and activity.
Observe the rise and fall of the chest during ventilation.
Check the telemetry alarm and address any issues as needed.
Check the ventilator alarm and address any issues as needed.
Assess the client's level of consciousness and activity.
Check the endotracheal tube.
Observe the rise and fall of the chest during ventilation.
Feel for a carotid pulse.
Check the ventilator alarm and address any issues as needed.
Check the telemetry alarm and address any issues as needed.
