TEST BANK
High-Acuity Nursing
Kathleen Wagner, Melanie Hardin-Pierce, Darlene Welsh, & Karen Johnson
7th Edition
,Table of Contents
Chapter 1 High-Acuity Nursing 1
Chapter 2 Holistic Care of the Patient and Family 21
Chapter 3 Palliative and End-of-life Care 41
Chapter 4 The Older Adult High-Acuity Patient 61
Chapter 5 Acute Pain Management 81
Chapter 6 Nutrition Support 101
Chapter 7 Mechanical Ventilation 121
Chapter 8 Basic Hemodynamic Monitoring 141
Chapter 9 Basic Cardiac Rhythm Monitoring 161
Chapter 10 Complex Wound Management 181
Chapter 11 Determinants and Assessment of Pulmonary Function 201
Chapter 12 Alterations in Pulmonary Function 221
Chapter 13 Determinants and Assessment of Cardiac Function 241
Chapter 14 Alterations in Cardiac Function 261
Chapter 15 Alterations in Myocardial Tissue Perfusion 281
Chapter 16 Determinants and Assessment of Cerebral Function 301
Chapter 17 Mentation and Sensory Motor Complications of Acute Illness 321
Chapter 18 Acute Stroke Injury 341
Chapter 19 Traumatic Brain Injury 361
Chapter 20 Acute Spinal Cord Injury 381
Chapter 21 Determinants and Assessment of Gastrointestinal Function 401
Chapter 22 Alterations in Gastrointestinal Function 420
Chapter 23 Alterations in Liver Function 440
Chapter 24 Alterations in Pancreatic Function 459
Chapter 25 Determinants and Assessment of Fluid and Electrolyte Balance 479
Chapter 26 Alterations in Fluid and Electrolyte Balance 498
Chapter 27 Alterations in Kidney Function 517
Chapter 28 Determinants and Assessment of Hematologic Function 537
Chapter 29 Alterations in Red Blood Cell Function and Hemostasis 557
Chapter 30 Alterations in White Blood Cell Function and Oncologic Emergencies 577
Chapter 31 Determinants and Assessment of Nutrition and Metabolic Function 597
Chapter 32 Metabolic Response to Stress 617
Chapter 33 Diabetic Crises 636
Chapter 34 Determinants and Assessment of Oxygenation 656
Chapter 35 Multiple Trauma 676
Chapter 36 Acute Burn Injury 696
Chapter 37 Shock States 716
Chapter 38 Multiple Organ Dysfunction Syndrome 736
,Chapter 39 Solid Organ and Hematopoietic Stem Cell Transplantation 755
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
High Acuity Nursing, 7e (Wagner)
Chapter 1 High-Acuity Nursing
1) The patient who had surgery yesterday reports his chest feels tight. Assessment reveals
respiratory rate of 29, inspiratory wheezes, stridor, and an oxygenation saturation of 80%. The
nurse would consider this patient to be which priority for transfer to the intensive care unit
(ICU)?
1. Priority 1
2. Priority 2
3. Priority 3
4. Priority 4
Answer: 1
Explanation: 1. This patient is exhibiting signs of an acute respiratory event for which intubation
or other intensive treatment may be necessary. Priority 1 patients are acutely ill and need
intensive treatment and monitoring not provided outside of the ICU.
2. Priority 2 refers to patients who need intensive monitoring and may potentially need additional
interventions. They are typically not evolving an acute event as is the case with this patient.
3. Priority 3 patients are critically ill but have little chance of recovery from their illnesses.
Limits are placed on therapeutic interventions and they can be cared for in areas other than the
ICU if necessary.
4. Priority 4 patients have no signs or symptoms that indicate intensive monitoring or treatment
are necessary.
Page Ref: 2
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: I.A.11 Examine nursing roles in assuring coordination,
integration, and continuity of care. | AACN Essential Competencies: IX.11 Provide nursing care
based on evidence that contributes to safe and high-quality patient outcomes within healthcare
microsystems. | NLN Competencies: Context and Environment: Practice: Apply professional
standards; show accountability for nursing judgment and actions; develop advocacy skills. |
Nursing/Integrated Concepts: Nursing Process: Planning
LO & MNL LO: LO01: Describe the various healthcare environments in which high-acuity
clients receive care.
______________________________________________________________________________________________
1|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
2) The daughter of a patient who is dying questions the placement of her father on the medical-
surgical care unit (MSCU). She requests he be placed in the intensive care unit (ICU) because of
concern her father may not receive close observation on a busy hospital unit. Which action is
indicated by the nurse?
1. Notify the intensive care unit of an impending transfer.
2. Tell the daughter that her father does not meet criteria for placement in the more expensive
ICU.
3. Discuss the care that can be provided on the unit with the family member.
4. Contact the physician.
Answer: 3
Explanation: 1. The nurse cannot make this transfer decision independently.
2. Telling the daughter that her father does not meet criteria for transfer is not therapeutic.
Bringing up the issue of cost may cause the daughter to offer to pay the difference between the
costs of the two units. This would create a serious ethical dilemma.
3. The best initial response is to help the daughter understand the level of care and observation
that will be provided on the MSCU to help her understand that her father's care will be a priority.
4. The nurse should try to intervene in this situation before involving the physician.
Page Ref: 2
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: I.A.11 Examine nursing roles in assuring coordination,
integration, and continuity of care. | AACN Essential Competencies: IX.11 Provide nursing care
based on evidence that contributes to safe and high-quality patient outcomes within healthcare
microsystems. | NLN Competencies: Context and Environment: Practice: Apply professional
standards; show accountability for nursing judgment and actions; develop advocacy skills. |
Nursing/Integrated Concepts: Nursing Process: Implementation
LO & MNL LO: LO01: Describe the various healthcare environments in which high-acuity
clients receive care.
______________________________________________________________________________________________
2|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
3) A nurse who is contemplating taking a position in an intensive care unit is reviewing her
strengths and weaknesses. Which characteristics of the nurse will be of the greatest benefit in the
intensive care environment?
1. Feels comfortable in ever-changing situations
2. Closely evaluates the pros and cons of each decision for a long period of time before making a
decision
3. Is quiet and introverted
4. Is excited about all new experiences
Answer: 1
Explanation: 1. The nurse in the intensive care unit must be open to ever-changing situations.
The nurse must be flexible.
2. The rapid changes in the intensive care unit do not allow for extended time when considering
actions.
3. A quiet and introverted nurse may not be a good match for the high-paced, high-acuity care
unit due to the need for teamwork and interaction.
4. Excitement about all experiences is a beneficial characteristic in healthcare but is not the most
important factor for this care unit.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.B.1 Demonstrate awareness of own strengths and limitations
as a team member. | AACN Essential Competencies: II.8 Promote achievement of safe and
quality outcomes of care for diverse populations. | NLN Competencies: Context and
Environment: Practice: Apply professional standards; show accountability for nursing judgment
and actions; develop advocacy skills. | Nursing/Integrated Concepts: Nursing Process:
Assessment
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
3|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
4) The registered nurse is working as charge nurse on a busy high-acuity care unit.
Unexpectedly, a coworker becomes ill and needs to leave. There is a period of time in which the
unit is short staffed while the ill coworker's replacement travels in to work. What action by the
charge nurse is indicated?
1. Make no changes until the replacement nurse arrives.
2. Assign the less acute patients to be cared for by the unlicensed assistive personnel.
3. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient
"gets into trouble."
4. Contact the house supervisor and ask for a float nurse to be sent to the unit.
Answer: 4
Explanation: 1. The unit is understaffed. Replacement help must be provided. It is inappropriate
to wait for the replacement nurse.
2. The unlicensed assistive personnel are only able to provide care under the direct supervision of
the nurse.
3. Watching monitors is not within the job description of the unlicensed assistive personnel and
is not appropriate. The manager would be putting both patient safety and the unlicensed assistive
personnel at risk.
4. The manager should obtain help until the replacement nurse arrives. Contacting the house
supervisor and asking for a temporary float nurse is the best intervention.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.A.2 Describe scopes of practice and roles of healthcare team
members. | AACN Essential Competencies: II.1 Apply leadership concepts, skills, and decision
making in the provision of high-quality nursing care, healthcare team coordination, and the
oversight and accountability for care delivery in a variety of settings. | NLN Competencies:
Context and Environment: Knowledge: Scope of practice considerations | Nursing/Integrated
Concepts: Nursing Process: Implementation
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
4|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
5) A recent nursing school graduate reports having an interview with a magnet hospital. When
preparing for the interview, the graduate nurse researches the concept of magnet status. Which
perceptions by the nurse indicate an adequate understanding?
1. Magnet status is an accreditation from the National League for Nurses.
2. Magnet status facilities pay substantial recruitment bonuses.
3. Magnet status facilities promote the interests of professional nursing.
4. Magnet status hospitals must establish nurse-to-patient ratios.
Answer: 3
Explanation: 1. Magnet status is a designation developed by the American Nurses Credentialing
Center.
2. Facilities with magnet designation attract nurses because of their work environment. Often
there is no need to pay recruitment bonuses.
3. Magnet status is awarded to hospitals that can prove their commitment to professional nursing
practices.
4. Nurse-to-patient ratios are not a requirement for magnet hospital designation.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.A.10 Identify system barriers and facilitators of effective
team functioning. | AACN Essential Competencies: II.1 Apply leadership concepts, skills, and
decision making in the provision of high-quality nursing care, healthcare team coordination, and
the oversight and accountability for care delivery in a variety of settings. | NLN Competencies:
Context and Environment: Knowledge: Accreditation standards | Nursing/Integrated Concepts:
Nursing Process: Evaluation
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
5|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
6) A team of nurses would like to research outcomes of intensive care that expand beyond those
that are normally studied. This team would recognize which outcome as most commonly
studied?
1. Patient comfort
2. Patient perceived quality of life
3. Functional status
4. Mortality
Answer: 4
Explanation: 1. Patient comfort is a very important outcome, but is not the one most commonly
studied.
2. Quality of life after intensive care is a very important outcome, but is not the one most
commonly studied.
3. Functional status after treatment in the intensive care unit is a very important outcome, but is
not the one most commonly studied.
4. Mortality is the most commonly studied outcome of intensive care treatment.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: III.A.2 Describe EBP to include the components of research
evidence, clinical expertise, and patient/family values. | AACN Essential Competencies: III.1
Explain the interrelationships among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Practice: Design quality research studies as appropriate. |
Nursing/Integrated Concepts: Nursing Process: Assessment
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
6|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
, ______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
7) A newly employed nurse is working with an experienced registered nurse. During the shift,
the experienced nurse routinely accesses a tablet computer. What advice should the experienced
RN offer the newly licensed nurse about this technology?
1. "Be careful that you don't pay more attention to the computer than you do to the patient."
2. "If you send a copy of your patient's order sheet and lab results to the tablet, it can save you
time during the day."
3. "I'll show you where there are some stress-relieving games you can access from this tablet."
4. "These tablets are such time-savers. I'll show you a few shortcuts to help you get started."
Answer: 1
Explanation: 1. Technology can be intriguing and can draw the focus away from the patient.
2. It is not appropriate for the nurse to make a copy of the patient's medical record in any form.
3. Tablets are for patient care use, not for gaming.
4. The nurse should not encourage the newly licensed nurse to take shortcuts.
Page Ref: 7
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and
standardized practices that support safety and quality. | AACN Essential Competencies: IV.1
Demonstrate skills in using patient care technologies, information systems, and communication
devices that support safe nursing practices. | NLN Competencies: Quality and Safety: Practice:
Use technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing Process:
Implementation
LO & MNL LO: LO03: Examine the use of technology in high-acuity environments.
______________________________________________________________________________________________
7|Page
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High-Acuity Nursing
Kathleen Wagner, Melanie Hardin-Pierce, Darlene Welsh, & Karen Johnson
7th Edition
,Table of Contents
Chapter 1 High-Acuity Nursing 1
Chapter 2 Holistic Care of the Patient and Family 21
Chapter 3 Palliative and End-of-life Care 41
Chapter 4 The Older Adult High-Acuity Patient 61
Chapter 5 Acute Pain Management 81
Chapter 6 Nutrition Support 101
Chapter 7 Mechanical Ventilation 121
Chapter 8 Basic Hemodynamic Monitoring 141
Chapter 9 Basic Cardiac Rhythm Monitoring 161
Chapter 10 Complex Wound Management 181
Chapter 11 Determinants and Assessment of Pulmonary Function 201
Chapter 12 Alterations in Pulmonary Function 221
Chapter 13 Determinants and Assessment of Cardiac Function 241
Chapter 14 Alterations in Cardiac Function 261
Chapter 15 Alterations in Myocardial Tissue Perfusion 281
Chapter 16 Determinants and Assessment of Cerebral Function 301
Chapter 17 Mentation and Sensory Motor Complications of Acute Illness 321
Chapter 18 Acute Stroke Injury 341
Chapter 19 Traumatic Brain Injury 361
Chapter 20 Acute Spinal Cord Injury 381
Chapter 21 Determinants and Assessment of Gastrointestinal Function 401
Chapter 22 Alterations in Gastrointestinal Function 420
Chapter 23 Alterations in Liver Function 440
Chapter 24 Alterations in Pancreatic Function 459
Chapter 25 Determinants and Assessment of Fluid and Electrolyte Balance 479
Chapter 26 Alterations in Fluid and Electrolyte Balance 498
Chapter 27 Alterations in Kidney Function 517
Chapter 28 Determinants and Assessment of Hematologic Function 537
Chapter 29 Alterations in Red Blood Cell Function and Hemostasis 557
Chapter 30 Alterations in White Blood Cell Function and Oncologic Emergencies 577
Chapter 31 Determinants and Assessment of Nutrition and Metabolic Function 597
Chapter 32 Metabolic Response to Stress 617
Chapter 33 Diabetic Crises 636
Chapter 34 Determinants and Assessment of Oxygenation 656
Chapter 35 Multiple Trauma 676
Chapter 36 Acute Burn Injury 696
Chapter 37 Shock States 716
Chapter 38 Multiple Organ Dysfunction Syndrome 736
,Chapter 39 Solid Organ and Hematopoietic Stem Cell Transplantation 755
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
High Acuity Nursing, 7e (Wagner)
Chapter 1 High-Acuity Nursing
1) The patient who had surgery yesterday reports his chest feels tight. Assessment reveals
respiratory rate of 29, inspiratory wheezes, stridor, and an oxygenation saturation of 80%. The
nurse would consider this patient to be which priority for transfer to the intensive care unit
(ICU)?
1. Priority 1
2. Priority 2
3. Priority 3
4. Priority 4
Answer: 1
Explanation: 1. This patient is exhibiting signs of an acute respiratory event for which intubation
or other intensive treatment may be necessary. Priority 1 patients are acutely ill and need
intensive treatment and monitoring not provided outside of the ICU.
2. Priority 2 refers to patients who need intensive monitoring and may potentially need additional
interventions. They are typically not evolving an acute event as is the case with this patient.
3. Priority 3 patients are critically ill but have little chance of recovery from their illnesses.
Limits are placed on therapeutic interventions and they can be cared for in areas other than the
ICU if necessary.
4. Priority 4 patients have no signs or symptoms that indicate intensive monitoring or treatment
are necessary.
Page Ref: 2
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: I.A.11 Examine nursing roles in assuring coordination,
integration, and continuity of care. | AACN Essential Competencies: IX.11 Provide nursing care
based on evidence that contributes to safe and high-quality patient outcomes within healthcare
microsystems. | NLN Competencies: Context and Environment: Practice: Apply professional
standards; show accountability for nursing judgment and actions; develop advocacy skills. |
Nursing/Integrated Concepts: Nursing Process: Planning
LO & MNL LO: LO01: Describe the various healthcare environments in which high-acuity
clients receive care.
______________________________________________________________________________________________
1|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
2) The daughter of a patient who is dying questions the placement of her father on the medical-
surgical care unit (MSCU). She requests he be placed in the intensive care unit (ICU) because of
concern her father may not receive close observation on a busy hospital unit. Which action is
indicated by the nurse?
1. Notify the intensive care unit of an impending transfer.
2. Tell the daughter that her father does not meet criteria for placement in the more expensive
ICU.
3. Discuss the care that can be provided on the unit with the family member.
4. Contact the physician.
Answer: 3
Explanation: 1. The nurse cannot make this transfer decision independently.
2. Telling the daughter that her father does not meet criteria for transfer is not therapeutic.
Bringing up the issue of cost may cause the daughter to offer to pay the difference between the
costs of the two units. This would create a serious ethical dilemma.
3. The best initial response is to help the daughter understand the level of care and observation
that will be provided on the MSCU to help her understand that her father's care will be a priority.
4. The nurse should try to intervene in this situation before involving the physician.
Page Ref: 2
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: I.A.11 Examine nursing roles in assuring coordination,
integration, and continuity of care. | AACN Essential Competencies: IX.11 Provide nursing care
based on evidence that contributes to safe and high-quality patient outcomes within healthcare
microsystems. | NLN Competencies: Context and Environment: Practice: Apply professional
standards; show accountability for nursing judgment and actions; develop advocacy skills. |
Nursing/Integrated Concepts: Nursing Process: Implementation
LO & MNL LO: LO01: Describe the various healthcare environments in which high-acuity
clients receive care.
______________________________________________________________________________________________
2|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
3) A nurse who is contemplating taking a position in an intensive care unit is reviewing her
strengths and weaknesses. Which characteristics of the nurse will be of the greatest benefit in the
intensive care environment?
1. Feels comfortable in ever-changing situations
2. Closely evaluates the pros and cons of each decision for a long period of time before making a
decision
3. Is quiet and introverted
4. Is excited about all new experiences
Answer: 1
Explanation: 1. The nurse in the intensive care unit must be open to ever-changing situations.
The nurse must be flexible.
2. The rapid changes in the intensive care unit do not allow for extended time when considering
actions.
3. A quiet and introverted nurse may not be a good match for the high-paced, high-acuity care
unit due to the need for teamwork and interaction.
4. Excitement about all experiences is a beneficial characteristic in healthcare but is not the most
important factor for this care unit.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.B.1 Demonstrate awareness of own strengths and limitations
as a team member. | AACN Essential Competencies: II.8 Promote achievement of safe and
quality outcomes of care for diverse populations. | NLN Competencies: Context and
Environment: Practice: Apply professional standards; show accountability for nursing judgment
and actions; develop advocacy skills. | Nursing/Integrated Concepts: Nursing Process:
Assessment
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
3|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
4) The registered nurse is working as charge nurse on a busy high-acuity care unit.
Unexpectedly, a coworker becomes ill and needs to leave. There is a period of time in which the
unit is short staffed while the ill coworker's replacement travels in to work. What action by the
charge nurse is indicated?
1. Make no changes until the replacement nurse arrives.
2. Assign the less acute patients to be cared for by the unlicensed assistive personnel.
3. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient
"gets into trouble."
4. Contact the house supervisor and ask for a float nurse to be sent to the unit.
Answer: 4
Explanation: 1. The unit is understaffed. Replacement help must be provided. It is inappropriate
to wait for the replacement nurse.
2. The unlicensed assistive personnel are only able to provide care under the direct supervision of
the nurse.
3. Watching monitors is not within the job description of the unlicensed assistive personnel and
is not appropriate. The manager would be putting both patient safety and the unlicensed assistive
personnel at risk.
4. The manager should obtain help until the replacement nurse arrives. Contacting the house
supervisor and asking for a temporary float nurse is the best intervention.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.A.2 Describe scopes of practice and roles of healthcare team
members. | AACN Essential Competencies: II.1 Apply leadership concepts, skills, and decision
making in the provision of high-quality nursing care, healthcare team coordination, and the
oversight and accountability for care delivery in a variety of settings. | NLN Competencies:
Context and Environment: Knowledge: Scope of practice considerations | Nursing/Integrated
Concepts: Nursing Process: Implementation
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
4|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
5) A recent nursing school graduate reports having an interview with a magnet hospital. When
preparing for the interview, the graduate nurse researches the concept of magnet status. Which
perceptions by the nurse indicate an adequate understanding?
1. Magnet status is an accreditation from the National League for Nurses.
2. Magnet status facilities pay substantial recruitment bonuses.
3. Magnet status facilities promote the interests of professional nursing.
4. Magnet status hospitals must establish nurse-to-patient ratios.
Answer: 3
Explanation: 1. Magnet status is a designation developed by the American Nurses Credentialing
Center.
2. Facilities with magnet designation attract nurses because of their work environment. Often
there is no need to pay recruitment bonuses.
3. Magnet status is awarded to hospitals that can prove their commitment to professional nursing
practices.
4. Nurse-to-patient ratios are not a requirement for magnet hospital designation.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: II.A.10 Identify system barriers and facilitators of effective
team functioning. | AACN Essential Competencies: II.1 Apply leadership concepts, skills, and
decision making in the provision of high-quality nursing care, healthcare team coordination, and
the oversight and accountability for care delivery in a variety of settings. | NLN Competencies:
Context and Environment: Knowledge: Accreditation standards | Nursing/Integrated Concepts:
Nursing Process: Evaluation
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
5|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
6) A team of nurses would like to research outcomes of intensive care that expand beyond those
that are normally studied. This team would recognize which outcome as most commonly
studied?
1. Patient comfort
2. Patient perceived quality of life
3. Functional status
4. Mortality
Answer: 4
Explanation: 1. Patient comfort is a very important outcome, but is not the one most commonly
studied.
2. Quality of life after intensive care is a very important outcome, but is not the one most
commonly studied.
3. Functional status after treatment in the intensive care unit is a very important outcome, but is
not the one most commonly studied.
4. Mortality is the most commonly studied outcome of intensive care treatment.
Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: III.A.2 Describe EBP to include the components of research
evidence, clinical expertise, and patient/family values. | AACN Essential Competencies: III.1
Explain the interrelationships among theory, practice, and research. | NLN Competencies:
Knowledge and Science: Practice: Design quality research studies as appropriate. |
Nursing/Integrated Concepts: Nursing Process: Assessment
LO & MNL LO: LO02: Identify the need for resource allocation and staffing strategies for high-
acuity clients.
______________________________________________________________________________________________
6|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
, ______________________________________________________________________________________________
Test Bank - High-Acuity Nursing, 4th Edition (Wagner, 2019)
7) A newly employed nurse is working with an experienced registered nurse. During the shift,
the experienced nurse routinely accesses a tablet computer. What advice should the experienced
RN offer the newly licensed nurse about this technology?
1. "Be careful that you don't pay more attention to the computer than you do to the patient."
2. "If you send a copy of your patient's order sheet and lab results to the tablet, it can save you
time during the day."
3. "I'll show you where there are some stress-relieving games you can access from this tablet."
4. "These tablets are such time-savers. I'll show you a few shortcuts to help you get started."
Answer: 1
Explanation: 1. Technology can be intriguing and can draw the focus away from the patient.
2. It is not appropriate for the nurse to make a copy of the patient's medical record in any form.
3. Tablets are for patient care use, not for gaming.
4. The nurse should not encourage the newly licensed nurse to take shortcuts.
Page Ref: 7
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment : Management of Care
Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and
standardized practices that support safety and quality. | AACN Essential Competencies: IV.1
Demonstrate skills in using patient care technologies, information systems, and communication
devices that support safe nursing practices. | NLN Competencies: Quality and Safety: Practice:
Use technologies that contribute to safety. | Nursing/Integrated Concepts: Nursing Process:
Implementation
LO & MNL LO: LO03: Examine the use of technology in high-acuity environments.
______________________________________________________________________________________________
7|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
