ATI - PRIORITY SETTING FRAMEWORK
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A nurse working the 7 PM to 7 AM shift on the pediatric unit has received report on four post
operative clients. Which of the following requires immediate intervention?
● A preschooler who is post operative following a tonsillectomy and is experiencing frequent
swallowing
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?
● Promoting oxygenation
A nurses 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
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?
● Used properly fitted bicycle helmet
A public health nurse is triaging clients at the site of an explosion. The client with which of the following
injuries should be the nurses priority concern?
● Incomplete amputation of the foot
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
A nurse is caring for toddler who has laryngotracheobronchitis and is having difficulty breathing. Which
of the following should be the first action of the nurse?
● Obtain an oxygen saturation level
A nurse on a medical unit has received report on four clients. Which of the following clients should the
nurse evaluate first?
● A client who has a fever of 38.4°C (101.2°F) with tenderness in the right lower quadrant
A nurses caring for a client who is newly diagnosed with bipolar disorder and is currently experiencing
an acute manic episode. Which of the following is a priority concern of the nurse?
● Preventing injury
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
A nurse is caring for a client who was admitted to the unit three hours ago following a total hip
arthroplasty. Which of the following findings should be the nurse's priority concern?
● Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 02:14:40 GMT -05:00
https://www.coursehero.com/file/27656415/ATI-PRIORITY-SETTING-FRAMEWORKdocx/
.
A nurse working the 7 PM to 7 AM shift on the pediatric unit has received report on four post
operative clients. Which of the following requires immediate intervention?
● A preschooler who is post operative following a tonsillectomy and is experiencing frequent
swallowing
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?
● Promoting oxygenation
A nurses 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
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?
● Used properly fitted bicycle helmet
A public health nurse is triaging clients at the site of an explosion. The client with which of the following
injuries should be the nurses priority concern?
● Incomplete amputation of the foot
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
A nurse is caring for toddler who has laryngotracheobronchitis and is having difficulty breathing. Which
of the following should be the first action of the nurse?
● Obtain an oxygen saturation level
A nurse on a medical unit has received report on four clients. Which of the following clients should the
nurse evaluate first?
● A client who has a fever of 38.4°C (101.2°F) with tenderness in the right lower quadrant
A nurses caring for a client who is newly diagnosed with bipolar disorder and is currently experiencing
an acute manic episode. Which of the following is a priority concern of the nurse?
● Preventing injury
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
A nurse is caring for a client who was admitted to the unit three hours ago following a total hip
arthroplasty. Which of the following findings should be the nurse's priority concern?
● Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 02:14:40 GMT -05:00
https://www.coursehero.com/file/27656415/ATI-PRIORITY-SETTING-FRAMEWORKdocx/
