ATI Priority Setting Frameworks Advanced Test TC

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 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?

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?

A nurse is caring for a client who is experiencing panic level anxiety. Which of the following actions should the nurse take first?

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?

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?

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?

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?

A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. Which of the following client data is most important for the nurse to monitor?

Following morning report, a nurse assigns completion of several tasks to an assistive personnel. Which of the following tasks should the nurse have the AP perform first?

A nurse in a provider's office is collecting data on a group of clients who are pregnant. Which of the following clients should be the nurse's priority concern?

A nurse is caring for a group of pediatric clients. Which of the following clients requires immediate intervention?

A nurse is caring for a toddler who has laryngotracheobronchitis and is having difficulty breathing. Which of the following should be the first action of the nurse

A nurse is caring for a child who has sickle cell disease and has been admitted in a vaso-occlusive crisis. Which of the following is the nurse's priority concern?

A nurse on a medical unit has received report on four clients. Which of the followiwng clients should the nurse evaluate first?

A nurse has been assigned to care for four clients on a medical-surgical floor. Which of the following clients should the nurse evaluate first?

A public health nurse is triaging clients at the site of an explosion. The client with which of the following injuries should the nurse's priority concern?

A nurse is caring for a client who has a compound fracture of the tibia and fibula and is in the skin traction. The client reports pain of 6 on a scale of 0 to 10 under the traction bandage. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a radial head fracture. Which of the following should be the priority action by the nurse following application of the cast?

A nurse is caring for a client who is 48 hr postoperative following an abdominal aortic aneurysm resection. Which of the following findings is the most urgent?