Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
,Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Wagner, High Acuity Nursing, 6e
Chapter 1
Question 1
Type: MCSA
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
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 on therapeutic interventions and they can be cared for in areas other 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
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
,Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Type: MCSA
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
, Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
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.
Correct Answer: 3
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
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.
Rationale 3: The best initial response is to help the daughter understand the level of care and observation that will
be provided on the MSCU so as to help her understand that her father’s care will be a priority.
Rationale 4: The nurse should try to intervene in this situation before involving the 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 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
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
,Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Wagner, High Acuity Nursing, 6e
Chapter 1
Question 1
Type: MCSA
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
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 on therapeutic interventions and they can be cared for in areas other 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
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
,Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
Type: MCSA
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
, Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
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.
Correct Answer: 3
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
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.
Rationale 3: The best initial response is to help the daughter understand the level of care and observation that will
be provided on the MSCU so as to help her understand that her father’s care will be a priority.
Rationale 4: The nurse should try to intervene in this situation before involving the 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 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
Test Bank High Acuity Nursing 6e Kathleen Dorman, Wagner Karen, Johnson Melanie Hardin
