Test Bank for High-
DS DS DS
Acuity Nursing 7th Editio
DS DS DS
n
by Kathleen Wagner, Melanie Hardin-
DS DS DS DS
Pierce, Darlene Welsh & Karen Johnso
DS DS DS DS DS DS
n All Chapters 1-39 With Rationales| A+ PASS
DS DS DS DS DS DS
1
| PDSaDSgD
DS DS
S e
, ChapterDS1.DSHigh-AcuityDSNursing
QuestionDS1DS
Type:DSMCS
A
TheDSpatientDSwhoDShadDSsurgeryDSyesterdayDSreportsDShisDSchestDSfeelsDStight.DSAssessmentDSrevealsDSrespirato
ryDSrateDSofDS29,DSinspiratoryDSwheezes,DSstridor,DSandDSanDSoxygenationDSsaturationDSofDS80%.DSTheDSnurseDSw
ouldDSconsiderDSthisDSpatientDStoDSbeDSwhichDSpriorityDSforDStransferDStoDStheDSintensiveDScareDSunitDS(ICU)?
1. PriorityDS1
2. PriorityDS2
3. PriorityDS3
4. PriorityDS4
CorrectDSAnswer:DS1
RationaleDS1:DSThisDSpatientDSisDSexhibitingDSsignsDSofDSanDSacuteDSrespiratoryDSeventDSforDSwhichDSintubatio
nDSorDSotherDSintensiveDStreatmentDSmayDSbeDSnecessary.DSPriorityDS1DSpatientsDSareDSacutelyDSillDSandDSneedDS
intensiveDStreatmentDSandDSmonitoringDSnotDSprovidedDSoutsideDSofDStheDSICU.
RationaleDS2:DSPriorityDS2DSrefersDStoDSpatientsDSneedingDSintensiveDSmonitoringDSandDSmayDSpotentiallyDSneedDSadd
itionalDSinterventions.DSTheyDSareDStypicallyDSnotDSevolvingDSanDSacuteDSeventDSasDSisDStheDScaseDSwithDSthisDSpatie
nt.
RationaleDS3:DSPriorityDS3DSpatientsDSareDScriticallyDSillDSbutDShaveDSlittleDSchanceDSofDSrecoveryDSfromDSth
eirDSillnesses.DSLimitsDSareDSplacedDSonDStherapeuticDSinterventionsDSandDStheyDScanDSbeDScaredDSforDSinDSa
reasDSotherDSthanDStheDSICUDSifDSnecessary.
RationaleDS4:DSPriorityDS4DSpatientsDShaveDSnoDSsignsDSorDSsymptomsDSthatDSindicateDSintensiveDSmonitoringDSor
DStreatmentDSareDSnecessary.
GlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
ClientDSNeed:DSSafeDSEffectiveDSCareDSEnvironmentDSClientDSNeedDSSub:DSManagementDSofDSCareDSNursing
/IntegratedDSConcepts:DSNursingDSProcess:DSPlanningDSLearningDSOutcome:DS1-1
QuestionDS2DSType:DSMCSA
TheDSdaughterDSofDSaDSpatientDSwhoDSisDSdyingDSquestionsDStheDSplacementDSofDSherDSfatherDSonDStheDSmedical
surgicalDScareDSunitDS(MSCU).DSSheDSrequestsDSheDSbeDSplacedDSinDStheDSintensiveDScareDSunitDS(ICU)DSbecau
seDSofDSconcernDSherDSfatherDSmayDSnotDSreceiveDScloseDSobservationDSonDSaDSbusyDShospitalDSunit.DSWhichDS
actionDSisDSindicatedDSbyDStheDSnurse?
1. NotifyDStheDSintensiveDScareDSunitDSofDSanDSimpendingDStransfer.
2
| PDSaDSgD
DS DS
S e
,2. TellDStheDSdaughterDSthatDSherDSfatherDSdoesDSnotDSmeetDScriteriaDSforDSplacementDSinDStheDSmoreDSexpensiveDSICU
.
3. DiscussDStheDScareDSthatDScanDSbeDSprovidedDSonDStheDSunitDSwithDStheDSfamilyDSmember.
3
| PDSaDSgD
DS DS
S e
, 4. ContactDStheDSphysicia
n.
CorrectDSAnswer:DS3
RationaleDS1:DSTheDSnurseDScannotDSmakeDSthisDStransferDSdecisionDSindependently.
RationaleDS2:DSTellingDStheDSdaughterDSthatDSherDSfatherDSdoesDSnotDSmeetDScriteriaDSforDStransferDSisDSnotDSthe
rapeutic.DSBringingDSupDStheDSissueDSofDScostDSmayDScauseDStheDSdaughterDStoDSofferDStoDSpayDStheDSdifferenceDS
betweenDStheDScostsDSofDStheDStwoDSunits.DSThisDSwouldDScreateDSaDSseriousDSethicalDSdilemma.
RationaleDS3:DSTheDSbestDSinitialDSresponseDSisDStoDShelpDStheDSdaughterDSunderstandDStheDSlevelDSofDScareDSandDS
observationDSthatDSwillDSbeDSprovidedDSonDStheDSMSCUDSsoDSasDStoDShelpDSherDSunderstandDSthatDSherDSfathersD
ScareDSwillDSbeDSaDSpriority.
RationaleDS4:DSTheDSnurseDSshouldDStryDStoDSinterveneDSinDSthisDSsituationDSbeforeDSinvolvingDStheDSphysician.D
SGlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
ClientDSNeed:DSSafeDSEffectiveDSCareDSEnvironmentDSClientDSNeedDSSub:DSManagementDSofDSCareDSNursin
g/IntegratedDSConcepts:DSNursingDSProcess:DSImplementationDSLearningDSOutcome:DS1-1
QuestionDS3DSType:DSMCSA
ADSnurseDSwhoDSisDScontemplatingDStakingDSaDSpositionDSinDSanDSintensiveDScareDSunitDSisDSreviewingDSherDSstr
engthsDSandDSweaknesses.DSWhichDScharacteristicsDSofDStheDSnurseDSwillDSbeDSofDStheDSgreatestDSbenefitDSinDS
theDSintensiveDScareDSenvironment?
1. FeelsDScomfortableDSinDSeverDSchangingDSsituations
2. CloselyDSevaluatesDStheDSprosDSandDSconsDSofDSeachDSdecisionDSforDSaDSlongDSperiodDSofDStimeDSbeforeDSmakingDSa
DSdecision
3. IsDSquietDSandDSintroverted
4. IsDSexcitedDSaboutDSallDSnewDSexperiencesDSCorrectDSAnswer:DS1
RationaleDS1:DSTheDSnurseDSinDStheDSintensiveDScareDSunitDSmustDSbeDSopenDStoDSever-
changingDSsituations.DSTheDSnurseDSmustDSbeDSflexible.
RationaleDS2:DSTheDSrapidDSchangesDSinDStheDSintensiveDScareDSunitDSdoDSnotDSallowDSforDSextendedDStimeDSwhenDSco
nsideringDSactions.
RationaleDS3:DSADSquietDSandDSintrovertedDSnurseDSmayDSnotDSbeDSaDSgoodDSmatchDSforDStheDShighDSpacedDShig
h-DSacuityDScareDSunitDSdueDStoDStheDSneedDSforDSteamworkDSandDSinteraction.
RationaleDS4:DSExcitementDSaboutDSallDSexperiencesDSisDSaDSbeneficialDScharacteristicDSinDShealthcareDSbutDSis
DSnotDStheDSmostDSimportantDSfactorDSforDSthisDSparticularDScareDSunit.
GlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
4
| PDSaDSgD
DS DS
S e
DS DS DS
Acuity Nursing 7th Editio
DS DS DS
n
by Kathleen Wagner, Melanie Hardin-
DS DS DS DS
Pierce, Darlene Welsh & Karen Johnso
DS DS DS DS DS DS
n All Chapters 1-39 With Rationales| A+ PASS
DS DS DS DS DS DS
1
| PDSaDSgD
DS DS
S e
, ChapterDS1.DSHigh-AcuityDSNursing
QuestionDS1DS
Type:DSMCS
A
TheDSpatientDSwhoDShadDSsurgeryDSyesterdayDSreportsDShisDSchestDSfeelsDStight.DSAssessmentDSrevealsDSrespirato
ryDSrateDSofDS29,DSinspiratoryDSwheezes,DSstridor,DSandDSanDSoxygenationDSsaturationDSofDS80%.DSTheDSnurseDSw
ouldDSconsiderDSthisDSpatientDStoDSbeDSwhichDSpriorityDSforDStransferDStoDStheDSintensiveDScareDSunitDS(ICU)?
1. PriorityDS1
2. PriorityDS2
3. PriorityDS3
4. PriorityDS4
CorrectDSAnswer:DS1
RationaleDS1:DSThisDSpatientDSisDSexhibitingDSsignsDSofDSanDSacuteDSrespiratoryDSeventDSforDSwhichDSintubatio
nDSorDSotherDSintensiveDStreatmentDSmayDSbeDSnecessary.DSPriorityDS1DSpatientsDSareDSacutelyDSillDSandDSneedDS
intensiveDStreatmentDSandDSmonitoringDSnotDSprovidedDSoutsideDSofDStheDSICU.
RationaleDS2:DSPriorityDS2DSrefersDStoDSpatientsDSneedingDSintensiveDSmonitoringDSandDSmayDSpotentiallyDSneedDSadd
itionalDSinterventions.DSTheyDSareDStypicallyDSnotDSevolvingDSanDSacuteDSeventDSasDSisDStheDScaseDSwithDSthisDSpatie
nt.
RationaleDS3:DSPriorityDS3DSpatientsDSareDScriticallyDSillDSbutDShaveDSlittleDSchanceDSofDSrecoveryDSfromDSth
eirDSillnesses.DSLimitsDSareDSplacedDSonDStherapeuticDSinterventionsDSandDStheyDScanDSbeDScaredDSforDSinDSa
reasDSotherDSthanDStheDSICUDSifDSnecessary.
RationaleDS4:DSPriorityDS4DSpatientsDShaveDSnoDSsignsDSorDSsymptomsDSthatDSindicateDSintensiveDSmonitoringDSor
DStreatmentDSareDSnecessary.
GlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
ClientDSNeed:DSSafeDSEffectiveDSCareDSEnvironmentDSClientDSNeedDSSub:DSManagementDSofDSCareDSNursing
/IntegratedDSConcepts:DSNursingDSProcess:DSPlanningDSLearningDSOutcome:DS1-1
QuestionDS2DSType:DSMCSA
TheDSdaughterDSofDSaDSpatientDSwhoDSisDSdyingDSquestionsDStheDSplacementDSofDSherDSfatherDSonDStheDSmedical
surgicalDScareDSunitDS(MSCU).DSSheDSrequestsDSheDSbeDSplacedDSinDStheDSintensiveDScareDSunitDS(ICU)DSbecau
seDSofDSconcernDSherDSfatherDSmayDSnotDSreceiveDScloseDSobservationDSonDSaDSbusyDShospitalDSunit.DSWhichDS
actionDSisDSindicatedDSbyDStheDSnurse?
1. NotifyDStheDSintensiveDScareDSunitDSofDSanDSimpendingDStransfer.
2
| PDSaDSgD
DS DS
S e
,2. TellDStheDSdaughterDSthatDSherDSfatherDSdoesDSnotDSmeetDScriteriaDSforDSplacementDSinDStheDSmoreDSexpensiveDSICU
.
3. DiscussDStheDScareDSthatDScanDSbeDSprovidedDSonDStheDSunitDSwithDStheDSfamilyDSmember.
3
| PDSaDSgD
DS DS
S e
, 4. ContactDStheDSphysicia
n.
CorrectDSAnswer:DS3
RationaleDS1:DSTheDSnurseDScannotDSmakeDSthisDStransferDSdecisionDSindependently.
RationaleDS2:DSTellingDStheDSdaughterDSthatDSherDSfatherDSdoesDSnotDSmeetDScriteriaDSforDStransferDSisDSnotDSthe
rapeutic.DSBringingDSupDStheDSissueDSofDScostDSmayDScauseDStheDSdaughterDStoDSofferDStoDSpayDStheDSdifferenceDS
betweenDStheDScostsDSofDStheDStwoDSunits.DSThisDSwouldDScreateDSaDSseriousDSethicalDSdilemma.
RationaleDS3:DSTheDSbestDSinitialDSresponseDSisDStoDShelpDStheDSdaughterDSunderstandDStheDSlevelDSofDScareDSandDS
observationDSthatDSwillDSbeDSprovidedDSonDStheDSMSCUDSsoDSasDStoDShelpDSherDSunderstandDSthatDSherDSfathersD
ScareDSwillDSbeDSaDSpriority.
RationaleDS4:DSTheDSnurseDSshouldDStryDStoDSinterveneDSinDSthisDSsituationDSbeforeDSinvolvingDStheDSphysician.D
SGlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
ClientDSNeed:DSSafeDSEffectiveDSCareDSEnvironmentDSClientDSNeedDSSub:DSManagementDSofDSCareDSNursin
g/IntegratedDSConcepts:DSNursingDSProcess:DSImplementationDSLearningDSOutcome:DS1-1
QuestionDS3DSType:DSMCSA
ADSnurseDSwhoDSisDScontemplatingDStakingDSaDSpositionDSinDSanDSintensiveDScareDSunitDSisDSreviewingDSherDSstr
engthsDSandDSweaknesses.DSWhichDScharacteristicsDSofDStheDSnurseDSwillDSbeDSofDStheDSgreatestDSbenefitDSinDS
theDSintensiveDScareDSenvironment?
1. FeelsDScomfortableDSinDSeverDSchangingDSsituations
2. CloselyDSevaluatesDStheDSprosDSandDSconsDSofDSeachDSdecisionDSforDSaDSlongDSperiodDSofDStimeDSbeforeDSmakingDSa
DSdecision
3. IsDSquietDSandDSintroverted
4. IsDSexcitedDSaboutDSallDSnewDSexperiencesDSCorrectDSAnswer:DS1
RationaleDS1:DSTheDSnurseDSinDStheDSintensiveDScareDSunitDSmustDSbeDSopenDStoDSever-
changingDSsituations.DSTheDSnurseDSmustDSbeDSflexible.
RationaleDS2:DSTheDSrapidDSchangesDSinDStheDSintensiveDScareDSunitDSdoDSnotDSallowDSforDSextendedDStimeDSwhenDSco
nsideringDSactions.
RationaleDS3:DSADSquietDSandDSintrovertedDSnurseDSmayDSnotDSbeDSaDSgoodDSmatchDSforDStheDShighDSpacedDShig
h-DSacuityDScareDSunitDSdueDStoDStheDSneedDSforDSteamworkDSandDSinteraction.
RationaleDS4:DSExcitementDSaboutDSallDSexperiencesDSisDSaDSbeneficialDScharacteristicDSinDShealthcareDSbutDSis
DSnotDStheDSmostDSimportantDSfactorDSforDSthisDSparticularDScareDSunit.
GlobalDSRationale:
CognitiveDSLevel:DSAnalyzing
4
| PDSaDSgD
DS DS
S e