High-Acuity Nursing 7th Edition Test Bank | 650 Practice Questions with Answers & Rationales | Kathleen Wagner | Latest Edition PDF

Test Bank for High-Acuity Nursing, 7th Edition by Kathleen Wagner et al. — Comprehensive 650-Question Practice Bank with Detailed Clinical Rationales Prepare for high-acuity nursing exams with confidence using this comprehensive test bank covering the full scope of the High-Acuity Nursing 7th Edition textbook. This resource features 650 multiple-choice practice questions organized across all 39 chapters and 10 parts of the text, with each question including the correct answer and a detailed clinical explanation to reinforce understanding. Table of Contents (Based on the 7th Edition) Part Chapters Focus Part 1 1–4 Introduction to High Acuity Nursing; Holistic Care; Palliative & End of Life Care; Older Adult Part 2 5–10 Therapeutic Support: Pain, Nutrition, Mechanical Ventilation, Hemodynamic Monitoring, Cardiac Rhythm Monitoring, Complex Wounds Part 3 11–12 Pulmonary Function & Alterations Part 4 13–15 Cardiac Function, Alterations, Myocardial Tissue Perfusion Part 5 16–20 Neurologic: Cerebral Function, Mentation/Sensory Motor, Stroke, TBI, Spinal Cord Injury Part 6 21–24 Gastrointestinal, Liver, Pancreatic Function Part 7 25–27 Fluid & Electrolyte Balance, Kidney Function Part 8 28–30 Hematologic Function, RBC/Hemostasis, WBC/Oncologic Emergencies Part 9 31–33 Nutrition & Metabolism, Metabolic Stress Response, Diabetic Crises Part 10 34–39 Oxygenation, Multiple Trauma, Burns, Shock, MODS, Transplantation ________________________________________ MULTILE CHOICE QUESTIONS (Questions 1–25) 1. A nurse is caring for a dying patient whose family insists on full curative treatment despite a terminal prognosis. Which action best demonstrates the principle of holistic care? A. Refusing to discuss the prognosis with the family B. Exploring the family’s values and goals while providing symptom relief C. Transferring the patient to another unit to avoid conflict D. Limiting visits so the patient can rest Rationale: Holistic care addresses physical, emotional, and spiritual needs while respecting the family’s perspective; exploring values and providing comfort aligns with this principle. DIF: Cognitive level: Applying KEY: Holistic care MSC: Client Needs: Psychosocial Integrity NOT: Concept: Caregiving ________________________________________ 2. Which statement by a nurse indicates an accurate understanding of palliative care? A. “Palliative care can only begin after curative treatment stops.” B. “Palliative care focuses on relief of suffering at any stage of illness.” C. “Palliative care is restricted to patients in the ICU.” D. “Palliative care primarily aims to prolong life.” Rationale: Palliative care is appropriate at any point in a serious illness and is delivered alongside curative treatment; its core goal is symptom relief and quality of life. DIF: Cognitive level: Understanding KEY: Palliative care MSC: Client Needs: Psychosocial Integrity NOT: Concept: Caregiving ________________________________________ 3. An older adult is at increased risk for delirium in the high acuity setting. Which factor is most modifiable by nursing care? A. Age over 75 B. Sensory deprivation from lack of glasses and hearing aids C. Preexisting dementia D. Male sex Rationale: Ensuring access to glasses and hearing aids reduces sensory deprivation, a modifiable risk factor for delirium; age, dementia, and sex are non modifiable. DIF: Cognitive level: Applying KEY: Delirium risk MSC: Client Needs: Safe and Effective Care Environment NOT: Concept: Aging ________________________________________ 4. A patient reports acute pain after surgery. Which assessment finding best indicates that the pain management plan is effective? A. The patient is sleeping continuously B. The patient reports pain at 2/10 and is able to participate in coughing/deep breathing C. The patient’s heart rate is elevated D. The patient requests no further pain medication Rationale: Effective analgesia allows the patient to participate in recovery activities (e.g., pulmonary hygiene) while maintaining comfort; a low pain score plus functional ability is the best indicator. DIF: Cognitive level: Evaluating KEY: Pain management MSC: Client Needs: Physiological Integrity NOT: Concept: Comfort ________________________________________