HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
Complete Test Bank_
High-Acuity Nursing 7th Edition
(Kathleen Wagner, Melanie Hardin- Pierce, Darlene Welsh & Karen Johnson ) All Chapters 1-39 With
Rationales| A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
,HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
Chapter 1. High-Acuity Nursing ........................................................................................................................................ 3
Chapter 2. Holistic Care of the Patient and Family ....................................................................................................... 17
Chapter 3. Palliative and End-of-life Care ..................................................................................................................... 30
Chapter 4. The Older Adult High-Acuity Patient.......................................................................................................... 39
Chapter 5. Acute Pain Management ............................................................................................................................... 52
Chapter 6. Nutrition Support .......................................................................................................................................... 66
Chapter 7. Mechanical Ventilation ................................................................................................................................. 79
Chapter 8. Basic Hemodynamic Monitoring .................................................................................................................. 92
Chapter 9. Basic Cardiac Rhythm Monitoring ............................................................................................................ 105
Chapter 10. Complex Wound Management ................................................................................................................. 111
Chapter 11. Determinants and Assessment of Pulmonary Function ......................................................................... 123
Chapter 12. Alterations in Pulmonary Function .......................................................................................................... 137
Chapter 13. Determinants and Assessment of Cardiac Function ............................................................................... 151
Chapter 14. Alterations in Cardiac Function ............................................................................................................... 165
Chapter 16. Determinants and Assessment of Cerebral Function ............................................................................. 190
Chapter 17. Mentation and Sensory Motor Complications of Acute Illness ............................................................. 203
Chapter 18. Acute Stroke Injury ................................................................................................................................... 216
Chapter 19. Traumatic Brain Injury ............................................................................................................................ 230
Chapter 21. Determinants and Assessment of Gastrointestinal Function ................................................................. 257
Chapter 22. Alterations in Gastrointestinal Function ................................................................................................. 270
Chapter 23. Alterations in Liver Function ................................................................................................................... 283
Chapter 24. Alterations in Pancreatic Function .......................................................................................................... 295
Chapter 25. Determinants and Assessment of Fluid and Electrolyte Balance .......................................................... 307
Chapter 26. Alterations in Fluid and Electrolyte Balance........................................................................................... 320
Chapter 27. Alterations in Kidney Function ................................................................................................................. 333
Chapter 28. Determinants and Assessment of Hematologic Function ....................................................................... 346
Chapter 29. Alterations in Red Blood Cell Function and Hemostasis ....................................................................... 359
Chapter 30. Alterations in White Blood Cell Function and Oncologic Emergencies ............................................... 371
Chapter 31. Determinants and Assessment of Nutrition and Metabolic Function ................................................... 384
Chapter 32. Metabolic Response to Stress .................................................................................................................... 398
Chapter 34. Determinants and Assessment of Oxygenation ....................................................................................... 421
Chapter 35. Multiple Trauma........................................................................................................................................ 435
Chapter 36. Acute Burn Injury ..................................................................................................................................... 449
Chapter 37. Shock States ................................................................................................................................................ 462
Chapter 38. Multiple Organ Dysfunction Syndrome ................................................................................................... 474
Chapter 39. Solid Organ and Hematopoietic Stem Cell Transplantation .................................................................. 486
,HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
Chapter 1. High-Acuity Nursing
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 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 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.
, HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
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.
Complete Test Bank_
High-Acuity Nursing 7th Edition
(Kathleen Wagner, Melanie Hardin- Pierce, Darlene Welsh & Karen Johnson ) All Chapters 1-39 With
Rationales| A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
,HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
Chapter 1. High-Acuity Nursing ........................................................................................................................................ 3
Chapter 2. Holistic Care of the Patient and Family ....................................................................................................... 17
Chapter 3. Palliative and End-of-life Care ..................................................................................................................... 30
Chapter 4. The Older Adult High-Acuity Patient.......................................................................................................... 39
Chapter 5. Acute Pain Management ............................................................................................................................... 52
Chapter 6. Nutrition Support .......................................................................................................................................... 66
Chapter 7. Mechanical Ventilation ................................................................................................................................. 79
Chapter 8. Basic Hemodynamic Monitoring .................................................................................................................. 92
Chapter 9. Basic Cardiac Rhythm Monitoring ............................................................................................................ 105
Chapter 10. Complex Wound Management ................................................................................................................. 111
Chapter 11. Determinants and Assessment of Pulmonary Function ......................................................................... 123
Chapter 12. Alterations in Pulmonary Function .......................................................................................................... 137
Chapter 13. Determinants and Assessment of Cardiac Function ............................................................................... 151
Chapter 14. Alterations in Cardiac Function ............................................................................................................... 165
Chapter 16. Determinants and Assessment of Cerebral Function ............................................................................. 190
Chapter 17. Mentation and Sensory Motor Complications of Acute Illness ............................................................. 203
Chapter 18. Acute Stroke Injury ................................................................................................................................... 216
Chapter 19. Traumatic Brain Injury ............................................................................................................................ 230
Chapter 21. Determinants and Assessment of Gastrointestinal Function ................................................................. 257
Chapter 22. Alterations in Gastrointestinal Function ................................................................................................. 270
Chapter 23. Alterations in Liver Function ................................................................................................................... 283
Chapter 24. Alterations in Pancreatic Function .......................................................................................................... 295
Chapter 25. Determinants and Assessment of Fluid and Electrolyte Balance .......................................................... 307
Chapter 26. Alterations in Fluid and Electrolyte Balance........................................................................................... 320
Chapter 27. Alterations in Kidney Function ................................................................................................................. 333
Chapter 28. Determinants and Assessment of Hematologic Function ....................................................................... 346
Chapter 29. Alterations in Red Blood Cell Function and Hemostasis ....................................................................... 359
Chapter 30. Alterations in White Blood Cell Function and Oncologic Emergencies ............................................... 371
Chapter 31. Determinants and Assessment of Nutrition and Metabolic Function ................................................... 384
Chapter 32. Metabolic Response to Stress .................................................................................................................... 398
Chapter 34. Determinants and Assessment of Oxygenation ....................................................................................... 421
Chapter 35. Multiple Trauma........................................................................................................................................ 435
Chapter 36. Acute Burn Injury ..................................................................................................................................... 449
Chapter 37. Shock States ................................................................................................................................................ 462
Chapter 38. Multiple Organ Dysfunction Syndrome ................................................................................................... 474
Chapter 39. Solid Organ and Hematopoietic Stem Cell Transplantation .................................................................. 486
,HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
Chapter 1. High-Acuity Nursing
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 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 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.
, HIGH-ACUITY NURSING 7TH EDITION 11/14/2025
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.
