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NURS 5257 Chapter 14 The Acute Care NP Questions and Answers Updated 2026

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NURS 5257 Chapter 14 The Acute Care NP Questions and Answers Updated 2026

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NURS 5257 Chapter 14 The Acute
Care NP Questions and Answers
Updated 2026
RoleMofMAdult-GeroMAcuteMCareMNPM-
MAnswerM•DiagnoseMandMmanageMdiseaseMandMpromoteMhealthMofMadultMpatientsMwit
hMacute,Mcritical,MandMcomplexMchronicMhealthMconditionsMandMinjuries

•PatientsMmayMbeMphysiologicallyMunstable,MtechnologicallyMdependent,MorMhighlyMvulner
ableMforMcomplications

•ProvidesMcomprehensiveMcareMinMaMcollaborativeMmodelMwithMphysicians,Mnurses,Mother
Mproviders,Mpatients,MandMfamilies

•AppliesMuniqueMknowledgeMandMskillsMinMcaringMforMveryMcomplexMandMvulnerableMpa
tientMpopulations



EmergenceMofMtheMAdult-GerontologyMACNPMroleM-
MAnswerMEvolvedMasMresultMofMchangesMinMdeliveryMofMhealthMcare

•NeedMforMadvancedMpractitionerMtoMmanageMcomplex,MhospitalizedMpatients

•ChangesMinMregulationsMofMworkMhourMrestrictionsMforMmedicalMresidentsMandMfellows

•ShortageMofMintensivistMphysicians

ByMtheMlateM1980s,MNPsMwereMincreasinglyMusedMinMtertiaryMcareMcenters

NationalMcertificationMforMadultMACNPsMbeganMinM1995



CompetenciesMofMadult-geroMACNPMroleM-
MAnswerMProvidesMcareMtoMadultMpatientsMwhoMareMatMriskMforMphysiologicMinstability

CanMspanMoutpatientMtoMhospitalMsettings,MurgentMcare,MsubacuteMcare,MandMrehab

FactorsMinMcommonMwithMotherMNPMspecialities

•generalistMnursingMfoundation

•healthMpromotionMbasisMtoMpractice

•developmentMandMappreciationMofMdiagnosticMreasoningMskills



DiagnosesMmostMfrequentlyMmanagedMbyMacuteMcareMNPsM-
MAnswerM•HTN,MHeartMFailure,MArrhythmias,MCAD/IHD,MAngina,MHyperlipidemia

•BackMpainMorMneckMpain,Mheadache/migraine,MDizziness,MVertigo

, •AcuteMupperMandMlowerMrespiratoryMillness,MCOPD,MAsthma,MAllergicMrespiratoryMsyndr
ome

•GERD,MAbdominalMpain,MUTI

•Diabetes,MThyroidMdisease,MAnemia

•Anxiety,MDepression,MInsomnia,MObesity



AcuteMcareMNPMproceduresM-MAnswerM•RadiologicalMstudies

•VasoactiveMintravenousMdrips

•Resuscitation,MDefibrillation

•WoundMcare,Msuturing,Mincisions,

•Ventilation

•Cardioversion,MPacemakers

•PlacementMandMmonitoringMofMarterialMcatheters,McentralMvenousMcatheters,Mpulmonary
MarteryMcatheters,McardiacMassistiveMdevices

•EndotrachealMtubes,MChestMtubes,MlumbarMpuncture,MsurgicalMfirstMassist



DirectMclinicalMpracticeM-
MAnswerM•CareMforMacutelyMandMcriticallyMillMpatientsMwhoMmayMmanifestMlifeMthreate
ningMconditionsMthatMmandateMimmediateMresponse

•ConsistsMofMbothMshort-termMgoalsM(e.g.,MstabilizeMpatients)MandMlong-
termMgoalsM(e.g.,MrestoreMmaximumMhealthMpotential)

AsMwithMotherMNPsMrolesMtheMcentralMcompetencyMisMdirectMclinicalMpracticeMinMadditi
onMtoMtheMotherMfiveMcoreMcompetenciesMwhichMincludeMguidanceMandMcoaching,Mevid
enceMbasedMpractice,Mleadership,McollaborationMandMethicalMpractice.



GuidanceMandMcoachingM-
MAnswerM•PatientMcareMwillMinvolveMmanyMindividualsMincludingMphysicians,MotherMnurs
es,Mtherapists,Mdietitians,Mpharmacists,MsocialMworkers,Mclergy

•ExplainMprocessMofMcareMwhileMeducatingMothersMaboutMdiseaseMprocess

•AdeptMatMcommunicationMwithMpatientsMandMfamiliesMduringMtimesMofMcriticalMstress



Evidence-basedMpracticeM-
MAnswerM•FacilitateMindividualMpracticeMandMhealthMcareMsystemMchangeMthroughMevide
nce-basedMpracticeMinitiatives

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