Nurs 425 Exam #1 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Where do we care for patients that require high acuity care? - CORRECT ANSWER - an
ICU, an intermediate-care unit (IMC), or a medical-surgical acute care unit
Characteristics of a level 1 ICU - CORRECT ANSWER - comprehensive care for patients
with a wide variety of conditions
Characteristics of a level 2 ICU - CORRECT ANSWER - comprehensive care for most
patients, but not specific populations ex. neuro, cardiothoracic, trauma
Characteristics of a level 3 ICU - CORRECT ANSWER - ability to provide initial
stabilization for critically ill patients but are limited in their care for comprehensive patients
physical issues and stressors for the acutely ill patient - CORRECT ANSWER - -pain
-lack of sleep: cluster your care
psychological issues and stressors for the acutely ill patient - CORRECT ANSWER --
powerlessness & helpless ness: patients have no autonomy, they are fed at certain times, we give
meds at certain times etc.
-fear: of the unknown, stress of wondering what is going to happen next. Exacerbated by lack of
sleep and control
-anxiety: reduce this by good communication and involve them in care
list some issues and stressors for the acutely ill patient - CORRECT ANSWER --
environmental: not in their own space
-noise
-light
-sensory overload: too much stimuli
,-sensory deprivation: not having their normal touch, family interaction ex. covid patients in
isolation rooms
issues and stressors for families - CORRECT ANSWER - -high anxiety
-denial
-anger
-remorse
-grief
illness can heighten/reignite family drama or issues
issues and stressors for the nurse - CORRECT ANSWER - -stressful environment: long
hours, short staffed, the trauma of watching pill ill/ be terminally ill. Technology
-ethical issues: moral distress, being aware of your own morals and separating that from the
patient's wishes
-implementing evidence based practice: nurse are required to keep up with the latest science
How do we help the high acuity patient and family cope? - CORRECT ANSWER - asses:
ask them what they usally do when things arent going well, how do they usually cope with stress,
suggest healthy coping mechanisms
maintain hope: be careful not to give false reassurance, acknowledge the situation and explain
that you are there for them
true or false: restricted visiting in progressive and intensive care areas are based on science -
CORRECT ANSWER - false: it is based on tradition and convenience
explain palliative care - CORRECT ANSWER - managing symptoms and keeping patients
comfortable. not synonymous with end of life care
explain end of life care - CORRECT ANSWER - •Many critical care patient deaths are
preceded by withholding or withdrawing life sustaining treatments
, what is an advanced directive - CORRECT ANSWER - a document that lists who the
patient wants to make decisions for them and explains what measures they want to be taken
things to stress if life support is being withdrawn - CORRECT ANSWER - -care itself is
not being withdrawn
-aggressive palliation will be used to keep the patient comfortable
-*time to death is variable*
how do we manage dyspnea at end of life - CORRECT ANSWER - -opioids : systemic or
IV
-oxygen: may not be use to help them phsically, but it may have a psychological effec to calm
them down and manage their breathing
-benzodiazepines: decrease SOB, alleviate anxiety
-bronchodilators ex. albuterol
what is terminal weaning? - CORRECT ANSWER - -Withdrawal of mechanical
ventilation without belief that patient will maintain respiration
define these end of life ethical principles
autonomy
beneficence
non maleficence
fidelity - CORRECT ANSWER - -freedom of choice
-promoting good
-do no harm
-keeping promises
cardiac output formula - CORRECT ANSWER - SV x Hr
normal is 4-8L/min
Exam Questions and CORRECT Answers
Where do we care for patients that require high acuity care? - CORRECT ANSWER - an
ICU, an intermediate-care unit (IMC), or a medical-surgical acute care unit
Characteristics of a level 1 ICU - CORRECT ANSWER - comprehensive care for patients
with a wide variety of conditions
Characteristics of a level 2 ICU - CORRECT ANSWER - comprehensive care for most
patients, but not specific populations ex. neuro, cardiothoracic, trauma
Characteristics of a level 3 ICU - CORRECT ANSWER - ability to provide initial
stabilization for critically ill patients but are limited in their care for comprehensive patients
physical issues and stressors for the acutely ill patient - CORRECT ANSWER - -pain
-lack of sleep: cluster your care
psychological issues and stressors for the acutely ill patient - CORRECT ANSWER --
powerlessness & helpless ness: patients have no autonomy, they are fed at certain times, we give
meds at certain times etc.
-fear: of the unknown, stress of wondering what is going to happen next. Exacerbated by lack of
sleep and control
-anxiety: reduce this by good communication and involve them in care
list some issues and stressors for the acutely ill patient - CORRECT ANSWER --
environmental: not in their own space
-noise
-light
-sensory overload: too much stimuli
,-sensory deprivation: not having their normal touch, family interaction ex. covid patients in
isolation rooms
issues and stressors for families - CORRECT ANSWER - -high anxiety
-denial
-anger
-remorse
-grief
illness can heighten/reignite family drama or issues
issues and stressors for the nurse - CORRECT ANSWER - -stressful environment: long
hours, short staffed, the trauma of watching pill ill/ be terminally ill. Technology
-ethical issues: moral distress, being aware of your own morals and separating that from the
patient's wishes
-implementing evidence based practice: nurse are required to keep up with the latest science
How do we help the high acuity patient and family cope? - CORRECT ANSWER - asses:
ask them what they usally do when things arent going well, how do they usually cope with stress,
suggest healthy coping mechanisms
maintain hope: be careful not to give false reassurance, acknowledge the situation and explain
that you are there for them
true or false: restricted visiting in progressive and intensive care areas are based on science -
CORRECT ANSWER - false: it is based on tradition and convenience
explain palliative care - CORRECT ANSWER - managing symptoms and keeping patients
comfortable. not synonymous with end of life care
explain end of life care - CORRECT ANSWER - •Many critical care patient deaths are
preceded by withholding or withdrawing life sustaining treatments
, what is an advanced directive - CORRECT ANSWER - a document that lists who the
patient wants to make decisions for them and explains what measures they want to be taken
things to stress if life support is being withdrawn - CORRECT ANSWER - -care itself is
not being withdrawn
-aggressive palliation will be used to keep the patient comfortable
-*time to death is variable*
how do we manage dyspnea at end of life - CORRECT ANSWER - -opioids : systemic or
IV
-oxygen: may not be use to help them phsically, but it may have a psychological effec to calm
them down and manage their breathing
-benzodiazepines: decrease SOB, alleviate anxiety
-bronchodilators ex. albuterol
what is terminal weaning? - CORRECT ANSWER - -Withdrawal of mechanical
ventilation without belief that patient will maintain respiration
define these end of life ethical principles
autonomy
beneficence
non maleficence
fidelity - CORRECT ANSWER - -freedom of choice
-promoting good
-do no harm
-keeping promises
cardiac output formula - CORRECT ANSWER - SV x Hr
normal is 4-8L/min
