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HIGH ACUITY EXAM 1 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION.

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High acuity refers to patients who are critically ill, unstable, or at risk for rapid clinical deterioration requiring immediate medical intervention. These patients often present with life-threatening conditions affecting airway, breathing, circulation, neurological status, or hemodynamic stability. Management of high-acuity patients prioritizes rapid assessment using the ABCs (Airway, Breathing, Circulation) framework, prompt recognition of red-flag symptoms, timely diagnostic evaluation, and urgent initiation of evidence-based interventions. Conditions commonly associated with high acuity include acute coronary syndromes, respiratory failure, sepsis, stroke, shock states, and endocrine emergencies such as DKA.

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AANP AGPCNP PSI
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AANP AGPCNP PSI

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HIGH ACUITY EXAM 1 | QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION.



Which statement about intermediate-care units is correct

A) They are outdated and should not be used

B) They are labor intensive and not cost effective

C) They provide an efficient distribution of resources

D) They are reserved for pts with life-threatening illnesses - CORRECT ANSWER- C) They provide an
efficient distribution of resources



Which priority level indicates that the patient is acutely ill and unstable and requires intensive treatment
and monitoring that cannot be provided outside the ICU

A) Priority 1

B) Priority 2

C) Priority 3

D) Priority 4 - CORRECT ANSWER- A) Priority 1



Which factor has been shown to reduce mortality and life-threatening complications in the hospitalized
patient?

A) a nurse patient ratio 1:2

B) Constant surveillance of patients by nurses

C) High technology ICUs

D) IMCs - CORRECT ANSWER- B) Constant surveillance of patients by nurses



A hospital with an ICU that has the capability of providing comprehensive care to most critically ill pts
but not to trauma pts meets the criteria for which level ICU



A) I

,B) II

C) III

D) IV - CORRECT ANSWER- B) II



Which statement is accurate concerning unlicensed assistive personnel (UAP)?

A) UAP may not work in high-acuity environments

B) UAP may work independently as long as they notify the RN at the end of their shifts

C) UAP perform only those tasks delegated to them by a professional nurse

D) UAP may obtain a patient health history - CORRECT ANSWER- C) UAP perform only those tasks
delegated to them by a professional nurse



What does the designation of Magnet status indicate?

A) The hospital uses UAP to deliver most nursing care

B) The hospital uses practice models that promote professional nursing

C) The hospital has low nurse-patient ratios

D) The hospital is not a desirable place for professional nurses to work - CORRECT ANSWER- B) The
hospital uses practice models that promote professional nursing



According to some, ICU resources should be used for which patients?

A) Those with cancer

B) Those of advanced age

C) Those with DNR orders

D) Those who have the greatest possibility of benefiting - CORRECT ANSWER- D) Those who have the
greatest possibility of benefiting



Which statement is correct regarding the improvement of the death and dying experience

A) It is a goal of modern medicine

B) It is the sole responsibility of the high-acuity nurse.

C) It is not a standard of care in high-acuity units

,D) It is the sole responsibility of the palliative care team - CORRECT ANSWER- A) It is a goal of modern
medicine



What are the hazards inherent in the use of technology (Select all that apply)?

A) Fragmenting patients into subpopulations

B) Increasing the nurse's stress level

C) Allowing more time for patient contact

D) Making the patient over dependent on monitoring equipment - CORRECT ANSWER- A) Fragmenting
patients into subpopulations

B) Increasing the nurse's stress level



Which statements are correct regarding the use of technical devices in high-acuity care? (Select all that
apply)

A) They present mechanical impediments to touching

B) They are usually well accepted by patients

C) They may evoke fear in patients

D) They lead to a feeling of depersonalization - CORRECT ANSWER- A) They present mechanical
impediments to touching

C) They may evoke fear in patients

D) They lead to a feeling of depersonalization



What should the nurse use to validate the technologic data?

A) Nursing assessment data

B) The healthcare provider

C) Other technologic data

D) Another nurse - CORRECT ANSWER- A) Nursing assessment data



What should be the focus of the care of the high-acuity patient?

A) Bedside machines

B) Individual patient needs

, C) The alarms on the machines

D) The nurse's needs - CORRECT ANSWER- B) Individual patient needs



What are the components of a healthy work environment? (Select all that apply)

A) True collaboration

B) Appropriate staffing

C) Authentic leadership

D) Individual priorities - CORRECT ANSWER- A) True collaboration

B) Appropriate staffing

C) Authentic leadership



Which factors can help buffer the negative effects of stress (select all that apply)

A) Environmental uncertainty

B) Positive social climate

C) Managerial support

D) Cohesiveness among staff - CORRECT ANSWER- B) Positive social climate

C) Managerial support

D) Cohesiveness among staff



CISDs can be used for which purposes? (Select all that apply)

A) Assess high acuity patients

B) Help families cope with stress

C) Address staff symptoms of stress

D) Provide staff with a sense of closure - CORRECT ANSWER- C) Address staff symptoms of stress

D) Provide staff with a sense of closure



The term burnout refers to which feelings? (Select all that apply)

A) Personal and professional frustration

B) Loss of self-esteem

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