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
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