Complex Care Objective Assessment Guide
Exam Questions and Already graded Solutions
and Assured Satisfactions 2024/2025
Which term describes a set of social, cultural, and political beliefs held by a group of
individuals?
A. Race
B. Socioeconomic status
C. Ethnicity
D. Sexual orientation - correct answer C
Which nursing skills demonstrate cultural competence? (Select all that apply.)
A. Showing respect
B. Assessing and affirming differences
C. Showing sensitivity
D. Providing care with humility - correct answer A, B, C, D
Palliative care is a systematic approach to patient care that leads to which results? (Select all
that apply.)
A. Decreased bed availability
B. Increased bed availability
C. Improved quality of care
D. Decreased cost - correct answer B, C, D
A palliative care plan should include which components? (Select all that apply)
A. Management of symptoms and side effects
B. Funeral arrangements
C. Advance directives
D. Patient and family preferences regarding treatment goals - correct answer A, C, D
,Which statement best describes end-of-life care?
A. It has no place in the high-acuity environment.
B. It is taught extensively in undergraduate programs.
C. It advocates respect for the patient's wishes.
D. It is not an issue in the media. - correct answer C
End-of-life nursing interventions would include which action?
A. Ensuring monitor alarms are on
B. Removing nonessential monitors and equipment
C. Avoiding analgesics and sedatives
D. Excluding family members from decision making - correct answer B
Which noise do high-acuity patients frequently find annoying?
A. Ambulance siren
B. Staff's loud voices
C. Television
D. Equipment noise - correct answer B
The nurse is aware that REM sleep has which effects on the patient? (Select all that apply.)
A. Facilitates protein anabolism
B. Lowers blood pressure and pulse
C. Promotes healing
D. Restores the immune system - correct answer A, C, D
Which nursing interventions would support the patient's REM sleep? (Select all that apply.)
A. Dimming lights during normal sleep time
B. Putting up a wall clock in the patient's room
C. Reducing environmental noise
D. Providing opioid analgesia at bedtime - correct answer A, C
, What is a common characteristic of delirium? (Select all that apply.)
A. Labile blood pressure
B. Inability to attend to environmental stimuli
C. Paranoid thoughts and hallucinations
D. Disorganized thinking - correct answer B, D
The term acute ventilatory failure refers to the inability of the lungs to do what?
A. Expand
B. Diffuse gases
C. Exchange oxygen and carbon dioxide
D. Maintain adequate alveolar ventilation - correct answer D
Acute respiratory acidosis is defined clinically as
A. Paco 2 greater than 50 mm Hg and pH less than 7.30 B. Pao 2 less than 60 mm Hg
C. Paco 2 greater than 45 mm Hg and pH less than 7.35 D. Pao 2 less than 80 mm Hg -
correct answer A
A low V # /Q # exists when what occurs?
A. Ventilation is in excess of perfusion.
B. Perfusion is in excess of ventilation.
C. Blood is shunted away from the alveoli.
D. There is an obstruction in the pulmonary capillaries. - correct answer B
The term pulmonary shunt refers to what condition?
A. Movement of air directly from one alveolus to another
B. Normal pulmonary capillary perfusion, reduced alveolar ventilation
C. An opening between the pulmonary artery and the heart
D. Normal alveolar ventilation, reduced pulmonary capillary perfusion - correct answer B
In the adult, an inflated ET tube cuff is necessary for mechan-ical ventilation primarily because it
does what?
Exam Questions and Already graded Solutions
and Assured Satisfactions 2024/2025
Which term describes a set of social, cultural, and political beliefs held by a group of
individuals?
A. Race
B. Socioeconomic status
C. Ethnicity
D. Sexual orientation - correct answer C
Which nursing skills demonstrate cultural competence? (Select all that apply.)
A. Showing respect
B. Assessing and affirming differences
C. Showing sensitivity
D. Providing care with humility - correct answer A, B, C, D
Palliative care is a systematic approach to patient care that leads to which results? (Select all
that apply.)
A. Decreased bed availability
B. Increased bed availability
C. Improved quality of care
D. Decreased cost - correct answer B, C, D
A palliative care plan should include which components? (Select all that apply)
A. Management of symptoms and side effects
B. Funeral arrangements
C. Advance directives
D. Patient and family preferences regarding treatment goals - correct answer A, C, D
,Which statement best describes end-of-life care?
A. It has no place in the high-acuity environment.
B. It is taught extensively in undergraduate programs.
C. It advocates respect for the patient's wishes.
D. It is not an issue in the media. - correct answer C
End-of-life nursing interventions would include which action?
A. Ensuring monitor alarms are on
B. Removing nonessential monitors and equipment
C. Avoiding analgesics and sedatives
D. Excluding family members from decision making - correct answer B
Which noise do high-acuity patients frequently find annoying?
A. Ambulance siren
B. Staff's loud voices
C. Television
D. Equipment noise - correct answer B
The nurse is aware that REM sleep has which effects on the patient? (Select all that apply.)
A. Facilitates protein anabolism
B. Lowers blood pressure and pulse
C. Promotes healing
D. Restores the immune system - correct answer A, C, D
Which nursing interventions would support the patient's REM sleep? (Select all that apply.)
A. Dimming lights during normal sleep time
B. Putting up a wall clock in the patient's room
C. Reducing environmental noise
D. Providing opioid analgesia at bedtime - correct answer A, C
, What is a common characteristic of delirium? (Select all that apply.)
A. Labile blood pressure
B. Inability to attend to environmental stimuli
C. Paranoid thoughts and hallucinations
D. Disorganized thinking - correct answer B, D
The term acute ventilatory failure refers to the inability of the lungs to do what?
A. Expand
B. Diffuse gases
C. Exchange oxygen and carbon dioxide
D. Maintain adequate alveolar ventilation - correct answer D
Acute respiratory acidosis is defined clinically as
A. Paco 2 greater than 50 mm Hg and pH less than 7.30 B. Pao 2 less than 60 mm Hg
C. Paco 2 greater than 45 mm Hg and pH less than 7.35 D. Pao 2 less than 80 mm Hg -
correct answer A
A low V # /Q # exists when what occurs?
A. Ventilation is in excess of perfusion.
B. Perfusion is in excess of ventilation.
C. Blood is shunted away from the alveoli.
D. There is an obstruction in the pulmonary capillaries. - correct answer B
The term pulmonary shunt refers to what condition?
A. Movement of air directly from one alveolus to another
B. Normal pulmonary capillary perfusion, reduced alveolar ventilation
C. An opening between the pulmonary artery and the heart
D. Normal alveolar ventilation, reduced pulmonary capillary perfusion - correct answer B
In the adult, an inflated ET tube cuff is necessary for mechan-ical ventilation primarily because it
does what?
