ATI Priority setting frameworks advanced test TC
1. A nurse working the 7pm to 7 am shift on the pediatric unit has receieved
report on four postoperative clients. Which of the following requires
immediate intervention?
- A preschooler who is postoperative following tonsillectomy and is
experiencing frequent swallowing
2. A nurse is caring for a client who has a flaccid bladder following a spinal
cord injury. which of the following actions should the nurse take first?
- Initiate a bladder training schedule
3. A nurse is caring for a client who has a fractured hip and a respiratory rate of
26/min. Which of the following actions should the nurse take first?
- Evaluate level of consciousness
4. A nurse is caring for a client who is experiencing panic level anxiety. Which
of the following actions should the nurse take first?
- Engage the client in physical activity
5. A nurse is collecting data on a client who has a diagnosis of myasthenia
gravis. For which of the following complications is it most important for the
nurse to monitor?
- Decreased respiratory effort
6. A nurse is caring for a client who is newly diagnosed with bipolar disorder
and is currently experiencing an acute manic opisode. Which of the
following is the priority concern of the nurse?
- Prevent injury
7. A nurse is caring for a client who was admitted to the unit 3 hour ago
following a total hip arthroplasty. Which of the following findings should be
nurse's priority concern?
- Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
8. A school nurse is reinforcing teaching regarding bicycle safety to a group of
school-age children. Which of the following is the most important concept to
include in the teaching?
1. A nurse working the 7pm to 7 am shift on the pediatric unit has receieved
report on four postoperative clients. Which of the following requires
immediate intervention?
- A preschooler who is postoperative following tonsillectomy and is
experiencing frequent swallowing
2. A nurse is caring for a client who has a flaccid bladder following a spinal
cord injury. which of the following actions should the nurse take first?
- Initiate a bladder training schedule
3. A nurse is caring for a client who has a fractured hip and a respiratory rate of
26/min. Which of the following actions should the nurse take first?
- Evaluate level of consciousness
4. A nurse is caring for a client who is experiencing panic level anxiety. Which
of the following actions should the nurse take first?
- Engage the client in physical activity
5. A nurse is collecting data on a client who has a diagnosis of myasthenia
gravis. For which of the following complications is it most important for the
nurse to monitor?
- Decreased respiratory effort
6. A nurse is caring for a client who is newly diagnosed with bipolar disorder
and is currently experiencing an acute manic opisode. Which of the
following is the priority concern of the nurse?
- Prevent injury
7. A nurse is caring for a client who was admitted to the unit 3 hour ago
following a total hip arthroplasty. Which of the following findings should be
nurse's priority concern?
- Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
8. A school nurse is reinforcing teaching regarding bicycle safety to a group of
school-age children. Which of the following is the most important concept to
include in the teaching?
