Test TC Questions & Answers (Accuracy
Verified) Rated A+
A nurse working the 7pm to 7 am shift on the pediatric unit has
received report on four postoperative clients. Which of the following
requires immediate intervention? - Exact Answer: A preschooler who is
postoperative following tonsillectomy and is experiencing frequent
swallowing
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? -
Exact Answer: Initiate a bladder training schedule
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? - Exact Answer: Evaluate level of consciousness
A nurse is caring for a client who is experiencing panic level anxiety.
Which of the following actions should the nurse take first? - Exact
Answer: Engage the client in physical activity
, ATI Priority Setting Frameworks Advanced
Test TC Questions & Answers (Accuracy
Verified) Rated A+
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? - Exact Answer: Decreased respiratory effort
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? - Exact Answer:
Prevent injury
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? - Exact Answer: Oxygen saturation of 90%
on oxygen at 2 L per nasal cannula
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? - Exact Answer: Use a properly-
fitted bicycle helmet