lOMoARcPSD|12263423
Test bank for HighAcuity Nursing 7th Edition Wagner
!| !| !| !| !| !| !| !|!|
Pierce Welsh -latest
!| !| !|
Chapter !|1. !|High-Acuity !|Nursing
!|Question !|1
Type: !|MCSA
The !|patient !|who !|had !|surgery !|yesterday !|reports !|his !|chest !|feels !|tight. !|Assessment !|reveals
!|respiratory !|rate !|o f !|29, !|inspiratory !|w heezes, !|stridor, !|a nd !|a n !|o xygenation !|saturation !|o f !|80%. !|T he
!|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
Correct !|Answer: !|1
Rationale !|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.
Rationale !|2: !|Priority !|2 !|refers !|to !|patients !|needing !|intensive !|monitoring !|and !|may !|potentially !|need
!|additional !|interventions. !|They !|are !|typically !|not !|evolving !|an !|acute !|event !|as !|is !|the !|case !|with
!|this !|patient.
Rationale !|3: !|Priority !|3 !|patients !|are !|critically !|ill !|but !|have !|little !|chance !|of !|recovery !|from !|their
!|illnesses. !|Limits !|are !|placed !|o n !|t herapeutic !|interventions !|and !|t hey !|can !|be !|cared !|for !|in !|areas
!|o ther !|than !|the !|ICU !|if !|necessary.
Rationale !|4: !|Priority !|4 !|patients !|have !|no !|signs !|or !|symptoms !|that !|indicate !|intensive !|monitoring !|or
!|treatment !|are !|necessary.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Planning
!|Learning !|Outcome: !|1-1
Question !|2
!|Type: !|MCSA
The !|daughter !|of !|a !|patient !|who !|is !|dying !|questions !|the !|placement !|of !|her !|father !|on !|the
!|medicalsurgical !|care !|unit !|(MSCU). !|She !|requests !|he !|be !|placed !|in !|the !|intensive !|care !|unit !|(ICU)
!|because !|o f !|concern !|her !|father !|may !|not !|receive !|close !|o bservation !|o n !|a !|busy !|hospital !|unit.
!|Which !|action !|is !|indicated !|by !|the !|nurse?
1. Notify !|the !|intensive !|care !|unit !|o f !|an !|impending !|transfer.
2. Tell !|the !|daughter !|that !|her !|father !|does !|not !|meet !|criteria !|for !|placement !|in !|the !|more
!|e xpensive !|ICU.
3. Discuss !|the !|care !|that !|can !|be !|provided !|o n !|the !|unit !|with !|the !|family !|member.
4. Contact !|the
!|physician.
Correct !|Answer: !|3
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Rationale !|1: !|The !|nurse !|cannot !|make !|this !|transfer !|decision !|independently.
Rationale !|2: !|Telling !|the !|daughter !|that !|her !|father !|does !|not !|meet !|criteria !|for !|transfer !|is !|not
!|therapeutic. !|Bringing !|up !|t he !|issue !|o f !|cost !|may !|cause !|t he !|daughter !|t o !|o ffer !|t o !|pay !|t he !|difference
!|between !|the !|costs !|of !|the !|two !|units. !|This !|would !|create !|a !|serious !|ethical !|dilemma.
Rationale !|3: !|The !|best !|initial !|response !|is !|to !|help !|the !|daughter !|understand !|the !|level !|of !|care !|and
!|observation !|t hat !|will !|be !|provided !|on !|t he !|MSCU !|so !|as !|to !|help !|her !|understand !|that !|her !|fathers
!|care !|will !|be !|a !|priority.
Rationale !|4: !|The !|nurse !|should !|try !|to !|intervene !|in !|t his !|situation !|before !|involving !|t he !|physician.
!|Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Implementation
!|Learning !|Outcome: !|1-1
Question !|3
!|Type: !|MCSA
A !|nurse !|who !|is !|contemplating !|taking !|a !|position !|in !|an !|intensive !|care !|unit !|is !|reviewing !|her
!|strengths !|and !|weaknesses. !|Which !|characteristics !|of !|t he !|nurse !|w ill !|be !|o f !|t he !|greatest !|benefit !|in
!|t he !|intensive !|care !|environment?
1. Feels !|comfortable !|in !|ever !|changing !|situations
2. Closely !|evaluates !|t he !|pros !|and !|cons !|of !|each !|decision !|for !|a !|long !|period !|of !|t ime !|before
!|making !|a !|decision
3. Is !|quiet !|and !|introverted
4. Is !|excited !|about !|all !|new !|experiences
!|Correct !|Answer: !|1
Rationale !|1: !|The !|nurse !|in !|t he !|intensive !|care !|unit !|must !|be !|open !|to !|ever-changing !|situations. !|The
!|nurse !|must !|be !|flexible.
Rationale !|2: !|The !|rapid !|changes !|in !|the !|intensive !|care !|unit !|do !|not !|allow !|for !|extended !|t ime !|when
!|considering !|actions.
Rationale !|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.
Rationale !|4: !|Excitement !|about !|all !|experiences !|is !|a !|beneficial !|characteristic !|in !|healthcare !|but !|is
!|not !|the !|most !|important !|factor !|for !|this !|particular !|care !|unit.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Assessment
!|Learning !|Outcome: !|1-2
Question !|4
!|Type: !|MCSA
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
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staffed !|while !|the !|ill !|coworkers !|replacement !|travels !|in !|to !|work. !|What !|action !|by !|t he !|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 !|t he !|unlicensed !|assistive !|personnel !|to !|watch !|the !|monitors !|and !|call !|for !|help !|if !|a
!|patient !|gets !|into !|trouble.
4. Contact !|t he !|house !|supervisor !|and !|ask !|for !|a !|float !|nurse !|to !|be !|sent !|to !|the
!|unit. !|Correct !|Answer: !|4
Rationale !|1: !|The !|unit !|is !|understaffed. !|Replacement !|help !|must !|be !|provided. !|It !|is !|inappropriate !|to
!|wait !|for !|the !|replacement !|nurse.
Rationale !|2: !|The !|unlicensed !|assistive !|personnel !|are !|o nly !|able !|to !|provide !|care !|under !|t he !|direct
!|supervision !|of !|the !|nurse.
Rationale !|3: !|Watching !|monitors !|is !|not !|within !|the !|job !|description !|o f !|t he !|unlicensed
!|assistive !|personnel !|and !|is !|not !|appropriate. !|T he !|manager !|would !|be !|putting !|both !|patient
!|safety !|and !|t he !|unlicensed !|assistive !|personnel !|at !|risk.
Rationale !|4: !|The !|manager !|should !|o btain !|help !|until !|t he !|replacement !|nurse !|arrives. !|Contacting !|the
!|house !|supervisor !|and !|asking !|for !|a !|temporary !|float !|nurse !|is !|the !|best !|intervention.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Implementation
!|Learning !|Outcome: !|1-2
Question !|5
!|Type: !|MCSA
A !|recent !|nursing !|school !|graduate !|reports !|having !|an !|interview !|with !|a !|magnet !|hospital. !|When
!|preparing !|for !|t he !|interview, !|t he !|graduate !|nurse !|researches !|t he !|concept !|o f !|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 !|o f !|professional !|nursing.
4. Magnet !|status !|hospitals !|must !|establish !|nurse-to-patient !|ratios.
!|Correct !|Answer: !|3
Rationale !|1: !|Magnet !|status !|is !|a !|designation !|developed !|by !|t he !|American !|Nurses !|Credentialing
!|Center.
Rationale !|2: !|Facilities !|with !|magnet !|designation !|attract !|nurses !|because !|o f !|t heir !|work
!|environment. !|Often !|there !|is !|no !|need !|to !|pay !|recruitment !|bonuses.
Rationale !|3: !|Magnet !|status !|is !|awarded !|to !|hospitals !|t hat !|are !|able !|to !|prove !|their !|commitment !|to
!|professional !|nursing !|practices.
Rationale !|4: !|Nurse-to-patient !|ratios !|are !|not !|part !|of !|the !|magnet !|hospital !|designation.
!|Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
, Client !|Need !|Sub: !|Management !|o f !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Evaluation
!|Learning !|Outcome: !|1-2
Question !|6
!|Type: !|MCSA
A !|team !|o f !|nurses !|would !|like !|to !|research !|outcomes !|of !|intensive !|care !|that !|expand !|beyond !|t hose
!|t hat !|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
Correct !|Answer: !|4
Rationale !|1: !|Patient !|comfort !|is !|a !|very !|important !|o utcome, !|but !|is !|not !|t he !|one !|most !|commonly
!|studied.
Rationale !|2: !|Quality !|o f !|life !|after !|intensive !|care !|is !|a !|very !|important !|outcome, !|but !|is !|not !|the !|o ne
!|most !|commonly !|studied.
Rationale !|3: !|Functional !|status !|after !|treatment !|in !|the !|intensive !|care !|unit !|is !|a !|very !|important
!|outcome, !|but !|is !|not !|the !|one !|most !|commonly !|studied.
Rationale !|4: !|Mortality !|is !|the !|most !|commonly !|studied !|outcome !|o f !|intensive !|care !|treatment.
!|Global !|Rationale:
Cognitive !|Level: !|Applying
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Assessment
!|Learning !|Outcome: !|1-2
Question !|7
!|Type: !|MCSA
A !|newly !|employed !|nurse !|is !|working !|with !|an !|experienced !|registered !|nurse. !|During !|the !|shift,
!|the !|experienced !|nurse !|routinely !|uses !|her !|p ersonal !|digital !|assistant. !|How !|would !|t he !|nurse
!|explain !|t he !|use !|of !|this !|device !|to !|the !|novice !|nurse?
1. I !|use !|my !|PDA!|as !|a !|reference !|tool !|several !|t imes !|every !|day.
2. I !|can !|access !|my !|patients !|old !|medical !|records !|on !|this !|PDA.
3. I !|use !|my !|PDA !|to !|let !|the !|pharmacy !|know !|when !|I !|need !|medications.
4. I !|use !|my !|PDA!|to !|write !|nursing !|notes.
!|Correct !|Answer: !|1
Rationale !|1: !|The !|personal !|digital !|assistant !|(PDA) !|is !|used !|to !|provide !|quick !|bedside !|information
!|t o !|the !|nurse.
Rationale !|2: !|The !|patients !|personal !|medical !|records !|would !|not !|be !|accessible !|t hrough !|the !|PDA.
!|Rationale !|3: !|The !|PDA !|would !|not !|be !|useful !|for !|this !|application.
Rationale !|4: !|The !|nurse !|should !|not !|record !|nursing !|notes !|on !|the !|PDA.
!|Global !|Rationale:
Cognitive !|Level: !|Applying
Client !|Need: !|Safe !|Effective !|Care !|Environment
Test bank for HighAcuity Nursing 7th Edition Wagner
!| !| !| !| !| !| !| !|!|
Pierce Welsh -latest
!| !| !|
Chapter !|1. !|High-Acuity !|Nursing
!|Question !|1
Type: !|MCSA
The !|patient !|who !|had !|surgery !|yesterday !|reports !|his !|chest !|feels !|tight. !|Assessment !|reveals
!|respiratory !|rate !|o f !|29, !|inspiratory !|w heezes, !|stridor, !|a nd !|a n !|o xygenation !|saturation !|o f !|80%. !|T he
!|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
Correct !|Answer: !|1
Rationale !|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.
Rationale !|2: !|Priority !|2 !|refers !|to !|patients !|needing !|intensive !|monitoring !|and !|may !|potentially !|need
!|additional !|interventions. !|They !|are !|typically !|not !|evolving !|an !|acute !|event !|as !|is !|the !|case !|with
!|this !|patient.
Rationale !|3: !|Priority !|3 !|patients !|are !|critically !|ill !|but !|have !|little !|chance !|of !|recovery !|from !|their
!|illnesses. !|Limits !|are !|placed !|o n !|t herapeutic !|interventions !|and !|t hey !|can !|be !|cared !|for !|in !|areas
!|o ther !|than !|the !|ICU !|if !|necessary.
Rationale !|4: !|Priority !|4 !|patients !|have !|no !|signs !|or !|symptoms !|that !|indicate !|intensive !|monitoring !|or
!|treatment !|are !|necessary.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Planning
!|Learning !|Outcome: !|1-1
Question !|2
!|Type: !|MCSA
The !|daughter !|of !|a !|patient !|who !|is !|dying !|questions !|the !|placement !|of !|her !|father !|on !|the
!|medicalsurgical !|care !|unit !|(MSCU). !|She !|requests !|he !|be !|placed !|in !|the !|intensive !|care !|unit !|(ICU)
!|because !|o f !|concern !|her !|father !|may !|not !|receive !|close !|o bservation !|o n !|a !|busy !|hospital !|unit.
!|Which !|action !|is !|indicated !|by !|the !|nurse?
1. Notify !|the !|intensive !|care !|unit !|o f !|an !|impending !|transfer.
2. Tell !|the !|daughter !|that !|her !|father !|does !|not !|meet !|criteria !|for !|placement !|in !|the !|more
!|e xpensive !|ICU.
3. Discuss !|the !|care !|that !|can !|be !|provided !|o n !|the !|unit !|with !|the !|family !|member.
4. Contact !|the
!|physician.
Correct !|Answer: !|3
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Rationale !|1: !|The !|nurse !|cannot !|make !|this !|transfer !|decision !|independently.
Rationale !|2: !|Telling !|the !|daughter !|that !|her !|father !|does !|not !|meet !|criteria !|for !|transfer !|is !|not
!|therapeutic. !|Bringing !|up !|t he !|issue !|o f !|cost !|may !|cause !|t he !|daughter !|t o !|o ffer !|t o !|pay !|t he !|difference
!|between !|the !|costs !|of !|the !|two !|units. !|This !|would !|create !|a !|serious !|ethical !|dilemma.
Rationale !|3: !|The !|best !|initial !|response !|is !|to !|help !|the !|daughter !|understand !|the !|level !|of !|care !|and
!|observation !|t hat !|will !|be !|provided !|on !|t he !|MSCU !|so !|as !|to !|help !|her !|understand !|that !|her !|fathers
!|care !|will !|be !|a !|priority.
Rationale !|4: !|The !|nurse !|should !|try !|to !|intervene !|in !|t his !|situation !|before !|involving !|t he !|physician.
!|Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Implementation
!|Learning !|Outcome: !|1-1
Question !|3
!|Type: !|MCSA
A !|nurse !|who !|is !|contemplating !|taking !|a !|position !|in !|an !|intensive !|care !|unit !|is !|reviewing !|her
!|strengths !|and !|weaknesses. !|Which !|characteristics !|of !|t he !|nurse !|w ill !|be !|o f !|t he !|greatest !|benefit !|in
!|t he !|intensive !|care !|environment?
1. Feels !|comfortable !|in !|ever !|changing !|situations
2. Closely !|evaluates !|t he !|pros !|and !|cons !|of !|each !|decision !|for !|a !|long !|period !|of !|t ime !|before
!|making !|a !|decision
3. Is !|quiet !|and !|introverted
4. Is !|excited !|about !|all !|new !|experiences
!|Correct !|Answer: !|1
Rationale !|1: !|The !|nurse !|in !|t he !|intensive !|care !|unit !|must !|be !|open !|to !|ever-changing !|situations. !|The
!|nurse !|must !|be !|flexible.
Rationale !|2: !|The !|rapid !|changes !|in !|the !|intensive !|care !|unit !|do !|not !|allow !|for !|extended !|t ime !|when
!|considering !|actions.
Rationale !|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.
Rationale !|4: !|Excitement !|about !|all !|experiences !|is !|a !|beneficial !|characteristic !|in !|healthcare !|but !|is
!|not !|the !|most !|important !|factor !|for !|this !|particular !|care !|unit.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Assessment
!|Learning !|Outcome: !|1-2
Question !|4
!|Type: !|MCSA
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
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staffed !|while !|the !|ill !|coworkers !|replacement !|travels !|in !|to !|work. !|What !|action !|by !|t he !|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 !|t he !|unlicensed !|assistive !|personnel !|to !|watch !|the !|monitors !|and !|call !|for !|help !|if !|a
!|patient !|gets !|into !|trouble.
4. Contact !|t he !|house !|supervisor !|and !|ask !|for !|a !|float !|nurse !|to !|be !|sent !|to !|the
!|unit. !|Correct !|Answer: !|4
Rationale !|1: !|The !|unit !|is !|understaffed. !|Replacement !|help !|must !|be !|provided. !|It !|is !|inappropriate !|to
!|wait !|for !|the !|replacement !|nurse.
Rationale !|2: !|The !|unlicensed !|assistive !|personnel !|are !|o nly !|able !|to !|provide !|care !|under !|t he !|direct
!|supervision !|of !|the !|nurse.
Rationale !|3: !|Watching !|monitors !|is !|not !|within !|the !|job !|description !|o f !|t he !|unlicensed
!|assistive !|personnel !|and !|is !|not !|appropriate. !|T he !|manager !|would !|be !|putting !|both !|patient
!|safety !|and !|t he !|unlicensed !|assistive !|personnel !|at !|risk.
Rationale !|4: !|The !|manager !|should !|o btain !|help !|until !|t he !|replacement !|nurse !|arrives. !|Contacting !|the
!|house !|supervisor !|and !|asking !|for !|a !|temporary !|float !|nurse !|is !|the !|best !|intervention.
Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Implementation
!|Learning !|Outcome: !|1-2
Question !|5
!|Type: !|MCSA
A !|recent !|nursing !|school !|graduate !|reports !|having !|an !|interview !|with !|a !|magnet !|hospital. !|When
!|preparing !|for !|t he !|interview, !|t he !|graduate !|nurse !|researches !|t he !|concept !|o f !|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 !|o f !|professional !|nursing.
4. Magnet !|status !|hospitals !|must !|establish !|nurse-to-patient !|ratios.
!|Correct !|Answer: !|3
Rationale !|1: !|Magnet !|status !|is !|a !|designation !|developed !|by !|t he !|American !|Nurses !|Credentialing
!|Center.
Rationale !|2: !|Facilities !|with !|magnet !|designation !|attract !|nurses !|because !|o f !|t heir !|work
!|environment. !|Often !|there !|is !|no !|need !|to !|pay !|recruitment !|bonuses.
Rationale !|3: !|Magnet !|status !|is !|awarded !|to !|hospitals !|t hat !|are !|able !|to !|prove !|their !|commitment !|to
!|professional !|nursing !|practices.
Rationale !|4: !|Nurse-to-patient !|ratios !|are !|not !|part !|of !|the !|magnet !|hospital !|designation.
!|Global !|Rationale:
Cognitive !|Level: !|Analyzing
Client !|Need: !|Safe !|Effective !|Care !|Environment
, Client !|Need !|Sub: !|Management !|o f !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Evaluation
!|Learning !|Outcome: !|1-2
Question !|6
!|Type: !|MCSA
A !|team !|o f !|nurses !|would !|like !|to !|research !|outcomes !|of !|intensive !|care !|that !|expand !|beyond !|t hose
!|t hat !|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
Correct !|Answer: !|4
Rationale !|1: !|Patient !|comfort !|is !|a !|very !|important !|o utcome, !|but !|is !|not !|t he !|one !|most !|commonly
!|studied.
Rationale !|2: !|Quality !|o f !|life !|after !|intensive !|care !|is !|a !|very !|important !|outcome, !|but !|is !|not !|the !|o ne
!|most !|commonly !|studied.
Rationale !|3: !|Functional !|status !|after !|treatment !|in !|the !|intensive !|care !|unit !|is !|a !|very !|important
!|outcome, !|but !|is !|not !|the !|one !|most !|commonly !|studied.
Rationale !|4: !|Mortality !|is !|the !|most !|commonly !|studied !|outcome !|o f !|intensive !|care !|treatment.
!|Global !|Rationale:
Cognitive !|Level: !|Applying
Client !|Need: !|Safe !|Effective !|Care !|Environment
!|Client !|Need !|Sub: !|Management !|of !|Care
Nursing/Integrated !|Concepts: !|Nursing !|Process: !|Assessment
!|Learning !|Outcome: !|1-2
Question !|7
!|Type: !|MCSA
A !|newly !|employed !|nurse !|is !|working !|with !|an !|experienced !|registered !|nurse. !|During !|the !|shift,
!|the !|experienced !|nurse !|routinely !|uses !|her !|p ersonal !|digital !|assistant. !|How !|would !|t he !|nurse
!|explain !|t he !|use !|of !|this !|device !|to !|the !|novice !|nurse?
1. I !|use !|my !|PDA!|as !|a !|reference !|tool !|several !|t imes !|every !|day.
2. I !|can !|access !|my !|patients !|old !|medical !|records !|on !|this !|PDA.
3. I !|use !|my !|PDA !|to !|let !|the !|pharmacy !|know !|when !|I !|need !|medications.
4. I !|use !|my !|PDA!|to !|write !|nursing !|notes.
!|Correct !|Answer: !|1
Rationale !|1: !|The !|personal !|digital !|assistant !|(PDA) !|is !|used !|to !|provide !|quick !|bedside !|information
!|t o !|the !|nurse.
Rationale !|2: !|The !|patients !|personal !|medical !|records !|would !|not !|be !|accessible !|t hrough !|the !|PDA.
!|Rationale !|3: !|The !|PDA !|would !|not !|be !|useful !|for !|this !|application.
Rationale !|4: !|The !|nurse !|should !|not !|record !|nursing !|notes !|on !|the !|PDA.
!|Global !|Rationale:
Cognitive !|Level: !|Applying
Client !|Need: !|Safe !|Effective !|Care !|Environment
