ATI Clinical Judgment Practice 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI Clinical Judgment Practice 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first step a nurse should take when assessing a client who is experiencing chest pain? The first step is to assess the client’s vital signs, including heart rate, blood pressure, and oxygen saturation, while obtaining a detailed history of the pain. How should a nurse prioritize interventions when caring for a client with a sudden onset of shortness of breath? The nurse should first ensure that the client’s airway is clear, administer oxygen if needed, and then assess the client’s vital signs and lung sounds. What action should a nurse take when caring for a post-operative client with a history of deep vein thrombosis (DVT) who reports sudden leg swelling and pain? The nurse should assess the affected leg for redness, warmth, and tenderness, elevate the leg, and notify the healthcare provider immediately for further evaluation. What is the best approach to handle a client who is refusing medication after a surgical procedure? 2 The nurse should assess the reason for refusal, provide information about the benefits and risks of the medication, and involve the healthcare provider if needed to address concerns. What is the nurse’s role in identifying signs of infection in a post-operative client? The nurse should monitor for changes in vital signs, redness, swelling, warmth at the surgical site, or the presence of purulent drainage and notify the healthcare provider if these signs occur. When a client presents with a decreased level of consciousness, what is the nurse’s initial assessment? The nurse should assess the client’s airway, breathing, and circulation (ABCs), perform a Glasgow Coma Scale (GCS) assessment, and determine if any immediate interventions are needed. What should a nurse do if a client with diabetes presents with a blood glucose level of 40 mg/dL? The nurse should immediately administer a fast-acting carbohydrate and reassess the client’s blood glucose after 15 minutes to ensure the level has increased. How should a nurse respond when a client begins to exhibit signs of acute anxiety and difficulty breathing? 3 The nurse should reassure the client, encourage slow, deep breathing, and provide a calm and quiet environment to help reduce anxiety. What is the most effective action for a nurse to take when a client begins to show signs of sepsis? The nurse should immediately notify the healthcare provider, initiate sepsis protocols, administer IV fluids, and begin appropriate antibiotics as ordered. How should a nurse handle a situation where a client is at risk of falling due to weakness and unsteady gait? The nurse should implement fall precautions, ensure the environment is safe, provide assistance with mobility, and encourage the client to use assistive devices as needed. What action should a nurse take when a client develops a pressure ulcer? The nurse should assess the stage of the ulcer, implement appropriate wound care, reposition the client regularly, and document the findings for further evaluation. How should a nurse assess a client’s pain level after surgery? The nurse should ask the client to rate their pain using a pain scale, observe for non-verbal cues of pain, and evaluate the effectiveness of any pain relief interventions.