NUR 445 Exam 1 Prep |
Cardiovascular, Respiratory,
Endocrine & Shock Study Guide
latest updates!!! 2026-2027|highly
graded a+ with quiz & answers
What is the difference between a small hospital ICU and a large hospital ICU? -
CORRECT ANSWERS-The size, resources available, specialized units, etc.
What must the nurse caring for the high acuity patient be able to do? - CORRECT
ANSWERS-Analyze critical situations, make decisions based on their analysis, and
rapidly intervene to ensure optimal outcomes
Who is the only member of the healthcare team who is at the bedside and frequently
coordinates patient care? - CORRECT ANSWERS-The nurse
Who detects early signs of an impending complication with the patient? - CORRECT
ANSWERS-The nurse
What is one of the primary goals for the acute care nurse? - CORRECT ANSWERS-the
prevention of complications
What changes led to decreased job satisfaction and nurses leaving practice in the high
acuity environment? - CORRECT ANSWERS-Schedules, staffing, floating outside the
specialty, hospital restructuring, etc.
What really should be considered when making decisions about nursing staffing
patterns? - CORRECT ANSWERS-The needs of the patient and the skill mix of the
nursing staff
What should the first principle of staffing be? - CORRECT ANSWERS-provide safe and
effective patient care
What does the ANCC award hospitals magnet status for? - CORRECT ANSWERS-If
they are able to create working environments that are successful in recruiting and
retaining professional nurses
,Which patients are often stereotyped as not being candidates for aggressive treatment?
- CORRECT ANSWERS-Oncology patients
Who must "goals of care" be discussed with? - CORRECT ANSWERS-With the patient
and their family, allowing ample time for meaningful discussion
What is a major advantage of having technology available in the high acuity
environment? - CORRECT ANSWERS-The patient's status can be monitored
continuously
What is a major criticism of nurses who work in high acuity environments? - CORRECT
ANSWERS-they are too technologically oriented
What is alarm fatigue? - CORRECT ANSWERS-When the number and frequency of
alarms becomes overwhelming, it can result in delayed alarm responses and deliberate
alarm deactivations
What does working in a healthy environment increase? - CORRECT ANSWERS-job
satisfaction and provides a buffer against stress and burnout
Which professional organization made a commitment to promote healthy work
environments that support quality patient care and high levels of nurse satisfaction? -
CORRECT ANSWERS-American Association of Critical Care Nurses
What are some standards of healthy work environments? - CORRECT ANSWERS-
Skilled communication, true collaboration, efficient decision making, appropriate
staffing, meaningful recognition, and authentic leadership
Who are the gatekeepers of patient safety? - CORRECT ANSWERS-high acuity nurses
What is burnout? - CORRECT ANSWERS-Feelings of personal/professional frustration,
job dissatisfaction, job insecurity, emotion/physical exertion, emotional exhaustion,
depersonalization, reduced personal accomplishments, lack of control, overworked,
insufficient awards, conflicting values
What are some symptoms of burnout? - CORRECT ANSWERS-Withdrawal, risk taking,
ambivalence, decreased productivity, contemplating career change, increased use of
caffeine/alcohol/nicotine, chronic fatigue, frequent minor ailments, sleep changes,
appetite change, sexual difficulty, attempts to blame others, stereotyping patients,
nightmares, depression, hostility, negativism, loss of tolerance, decreased ability to
make decisions, poor judgement, lack of initiative, forgetfulness
What can serve as a buffer against the negative effects of stress? - CORRECT
ANSWERS-a positive social climate characterized by strong managerial support and
cohesiveness among the staff
, What are critical incident stress debriefings? - CORRECT ANSWERS-structured group
discussions occurring within several days following a crisis, designed to address
symptoms of stress, assess the need for follow-up, and provide a sense of closure
What is TJC? - CORRECT ANSWERS-The Joint Commission
What is the TJCs mission? - CORRECT ANSWERS-to continuously improve the safety
and quality of care provided to the public through the provision of healthcare
accreditation that supports process improvement in healthcare organizations
What are the national patient safety goals? - CORRECT ANSWERS-patient identifiers,
staff communication, medication safety, alarm safety, infection prevention, risk
identification, and timeout
What are some factors that inhibit learning and barriers to communication for the high
acuity patient? - CORRECT ANSWERS-Fatigue, barriers to communication, pain, drugs
What takes precedence over the need to know and understand? - CORRECT
ANSWERS-physiologic needs
What are some of the educational needs of ICU patients and families? - CORRECT
ANSWERS-current info about patient progress, informed decision making,
acknowledgement of past, optimal learning environment, orientation to routines and
care, motivation
What is transfer anxiety? - CORRECT ANSWERS-transferring to a less acute unit
creates anxiety as they move to an unfamiliar environment
What are some components of ICU patient and family centered care? - CORRECT
ANSWERS-Open visitation, inclusion in decision making, education about healthcare,
and inclusion of families in designing comfortable spaces
What is reduced for the ICU patient when the family is at the bedside? - CORRECT
ANSWERS-anxiety and hallucinations
How can the family help the ICU patient and nursing staff? - CORRECT ANSWERS-
they can comfort patients in ways not open to staff, as well as provide info to help the
nurse individualize care
Historically, why have families been restricted from the ICU? - CORRECT ANSWERS-
Harmful physiological consequences, interferes with time nurses need to spend caring
for patients, delays in care
What are some advantages to having family present during CPR? - CORRECT
ANSWERS-Family grasps seriousness of condition, sees firsthand everything was done
Cardiovascular, Respiratory,
Endocrine & Shock Study Guide
latest updates!!! 2026-2027|highly
graded a+ with quiz & answers
What is the difference between a small hospital ICU and a large hospital ICU? -
CORRECT ANSWERS-The size, resources available, specialized units, etc.
What must the nurse caring for the high acuity patient be able to do? - CORRECT
ANSWERS-Analyze critical situations, make decisions based on their analysis, and
rapidly intervene to ensure optimal outcomes
Who is the only member of the healthcare team who is at the bedside and frequently
coordinates patient care? - CORRECT ANSWERS-The nurse
Who detects early signs of an impending complication with the patient? - CORRECT
ANSWERS-The nurse
What is one of the primary goals for the acute care nurse? - CORRECT ANSWERS-the
prevention of complications
What changes led to decreased job satisfaction and nurses leaving practice in the high
acuity environment? - CORRECT ANSWERS-Schedules, staffing, floating outside the
specialty, hospital restructuring, etc.
What really should be considered when making decisions about nursing staffing
patterns? - CORRECT ANSWERS-The needs of the patient and the skill mix of the
nursing staff
What should the first principle of staffing be? - CORRECT ANSWERS-provide safe and
effective patient care
What does the ANCC award hospitals magnet status for? - CORRECT ANSWERS-If
they are able to create working environments that are successful in recruiting and
retaining professional nurses
,Which patients are often stereotyped as not being candidates for aggressive treatment?
- CORRECT ANSWERS-Oncology patients
Who must "goals of care" be discussed with? - CORRECT ANSWERS-With the patient
and their family, allowing ample time for meaningful discussion
What is a major advantage of having technology available in the high acuity
environment? - CORRECT ANSWERS-The patient's status can be monitored
continuously
What is a major criticism of nurses who work in high acuity environments? - CORRECT
ANSWERS-they are too technologically oriented
What is alarm fatigue? - CORRECT ANSWERS-When the number and frequency of
alarms becomes overwhelming, it can result in delayed alarm responses and deliberate
alarm deactivations
What does working in a healthy environment increase? - CORRECT ANSWERS-job
satisfaction and provides a buffer against stress and burnout
Which professional organization made a commitment to promote healthy work
environments that support quality patient care and high levels of nurse satisfaction? -
CORRECT ANSWERS-American Association of Critical Care Nurses
What are some standards of healthy work environments? - CORRECT ANSWERS-
Skilled communication, true collaboration, efficient decision making, appropriate
staffing, meaningful recognition, and authentic leadership
Who are the gatekeepers of patient safety? - CORRECT ANSWERS-high acuity nurses
What is burnout? - CORRECT ANSWERS-Feelings of personal/professional frustration,
job dissatisfaction, job insecurity, emotion/physical exertion, emotional exhaustion,
depersonalization, reduced personal accomplishments, lack of control, overworked,
insufficient awards, conflicting values
What are some symptoms of burnout? - CORRECT ANSWERS-Withdrawal, risk taking,
ambivalence, decreased productivity, contemplating career change, increased use of
caffeine/alcohol/nicotine, chronic fatigue, frequent minor ailments, sleep changes,
appetite change, sexual difficulty, attempts to blame others, stereotyping patients,
nightmares, depression, hostility, negativism, loss of tolerance, decreased ability to
make decisions, poor judgement, lack of initiative, forgetfulness
What can serve as a buffer against the negative effects of stress? - CORRECT
ANSWERS-a positive social climate characterized by strong managerial support and
cohesiveness among the staff
, What are critical incident stress debriefings? - CORRECT ANSWERS-structured group
discussions occurring within several days following a crisis, designed to address
symptoms of stress, assess the need for follow-up, and provide a sense of closure
What is TJC? - CORRECT ANSWERS-The Joint Commission
What is the TJCs mission? - CORRECT ANSWERS-to continuously improve the safety
and quality of care provided to the public through the provision of healthcare
accreditation that supports process improvement in healthcare organizations
What are the national patient safety goals? - CORRECT ANSWERS-patient identifiers,
staff communication, medication safety, alarm safety, infection prevention, risk
identification, and timeout
What are some factors that inhibit learning and barriers to communication for the high
acuity patient? - CORRECT ANSWERS-Fatigue, barriers to communication, pain, drugs
What takes precedence over the need to know and understand? - CORRECT
ANSWERS-physiologic needs
What are some of the educational needs of ICU patients and families? - CORRECT
ANSWERS-current info about patient progress, informed decision making,
acknowledgement of past, optimal learning environment, orientation to routines and
care, motivation
What is transfer anxiety? - CORRECT ANSWERS-transferring to a less acute unit
creates anxiety as they move to an unfamiliar environment
What are some components of ICU patient and family centered care? - CORRECT
ANSWERS-Open visitation, inclusion in decision making, education about healthcare,
and inclusion of families in designing comfortable spaces
What is reduced for the ICU patient when the family is at the bedside? - CORRECT
ANSWERS-anxiety and hallucinations
How can the family help the ICU patient and nursing staff? - CORRECT ANSWERS-
they can comfort patients in ways not open to staff, as well as provide info to help the
nurse individualize care
Historically, why have families been restricted from the ICU? - CORRECT ANSWERS-
Harmful physiological consequences, interferes with time nurses need to spend caring
for patients, delays in care
What are some advantages to having family present during CPR? - CORRECT
ANSWERS-Family grasps seriousness of condition, sees firsthand everything was done
