ATI Nurse Logic 2.0 ~ Priority Setting
Frameworks (Advanced Test) 2025
Questions and Answers
A nurse is caring for a group of pediatric clients. Which of the following clients
requires immediate intervention?
A. A client who has cystic fibrosis and has a paroxysmal cough
B. A client who is prescribed cromolyn sodium (Crolom) and has a peak expiratory
flow rate of 79%
C. A client who has celiac disease and abdominal distention
D. A client who is prescribed digoxin (Lanoxin) and has had three episodes of
vomiting - --Answer --D. A client who is prescribed digoxin (Lanoxin) and
has had three episodes of vomiting
Rationale:
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,A. Answering this item requires application of the acute versus chronic priority
setting framework. Using this framework, acute needs are typically the priority
need because they pose more of a threat to the client. Because chronic needs
usually develop over a period of time, the client has more of an opportunity to
adapt to the alteration in health. It is also important to attend to alterations when
they are in the acute phase so they don't escalate into a life-threatening event or
evolve into a chronic alteration in health. Nursing knowledge might also be needed
to determine which option describes an acute need. A paroxysmal cough is a
clinical manifestation associated with cystic fibrosis, which is a chronic condition.
While the client should be further evaluated, there is another client who has more
acute needs that requires immediate intervention.
B. Answering this item requires application of the acute versus chronic priority
setting framework. Using this framework, acute needs are typically the priority
need because they pose more of a threat to the client. Because chronic needs
usually develop over a period of time, the client has more of an opportunity to
adapt to the alteration in health. It is also important to attend to alterations when
they are in the acute phase so they don't escalate into a life-threatening event or
evolve into a chronic alteration in health. Nursing knowledge might also be needed
to determine which option describes an acute need. Cromolyn sodium is a
nonsteroidal anti-inflammatory medication used as an asthma prophylactic. A peak
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,expiratory flow rate of 79% is below the expected rate and signals the possibility
that asthma is not well-controlled. While the client should be further evaluate
A nurse working the 7 p.m. to 7 a.m. shift on a pediatric unit has received report
on four postoperative clients. Which of the following requires immediate
intervention?
A. An adolescent who is postoperative following an appendectomy and has refused
to ambulate for the past 8 hr
B. A school-age child who is postoperative following a herniorrhaphy with an
infiltrated peripheral IV that has been clamped
C. A preschooler who is postoperative following a tonsillectomy and is
experiencing frequent swallowing
D. An infant who is postoperative following a cleft palate repair with a heart rate
of 146/min and a respiratory rate of 28/min - --Answer --C. A preschooler
who is postoperative following a tonsillectomy and is experiencing frequent
swallowing
Rationale:
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, A. Answering this item requires application of the unstable versus stable priority
setting framework. Using this framework, unstable clients get priority because of
needs that threaten the client's survival. Threats or problems involving the airway,
breathing, or circulatory status are considered life-threatening needs that should be
addressed first. Clients whose vital signs or laboratory values indicate a risk for
becoming unstable are also a higher priority than clients who are stable. Nursing
knowledge might also be needed to determine which option describes the most
unstable client. An adolescent who refuses to ambulate following abdominal
surgery needs additional education and encouragement; however, there is another
client who is unstable and requires immediate intervention.
B. Answering this item requires application of the unstable versus stable priority
setting framework. Using this framework, unstable clients get priority because of
needs that threaten the client's survival. Threats or problems involving the airway,
breathing, or circulatory status are considered life-threatening needs that should be
addressed first. Clients whose vital signs or laboratory values indicate a risk for
becoming unstable are also a higher priority than clients who are stable. Nursing
knowledge might also be needed to determine which option describes the most
unstable client. An infiltrated peripheral IV needs to be discontinued and another
IV started; however, because the IV tubing has been clamped, stopping the
infusion of fluids, there is another client who is unstable and requires immediate
intervention.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
Frameworks (Advanced Test) 2025
Questions and Answers
A nurse is caring for a group of pediatric clients. Which of the following clients
requires immediate intervention?
A. A client who has cystic fibrosis and has a paroxysmal cough
B. A client who is prescribed cromolyn sodium (Crolom) and has a peak expiratory
flow rate of 79%
C. A client who has celiac disease and abdominal distention
D. A client who is prescribed digoxin (Lanoxin) and has had three episodes of
vomiting - --Answer --D. A client who is prescribed digoxin (Lanoxin) and
has had three episodes of vomiting
Rationale:
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,A. Answering this item requires application of the acute versus chronic priority
setting framework. Using this framework, acute needs are typically the priority
need because they pose more of a threat to the client. Because chronic needs
usually develop over a period of time, the client has more of an opportunity to
adapt to the alteration in health. It is also important to attend to alterations when
they are in the acute phase so they don't escalate into a life-threatening event or
evolve into a chronic alteration in health. Nursing knowledge might also be needed
to determine which option describes an acute need. A paroxysmal cough is a
clinical manifestation associated with cystic fibrosis, which is a chronic condition.
While the client should be further evaluated, there is another client who has more
acute needs that requires immediate intervention.
B. Answering this item requires application of the acute versus chronic priority
setting framework. Using this framework, acute needs are typically the priority
need because they pose more of a threat to the client. Because chronic needs
usually develop over a period of time, the client has more of an opportunity to
adapt to the alteration in health. It is also important to attend to alterations when
they are in the acute phase so they don't escalate into a life-threatening event or
evolve into a chronic alteration in health. Nursing knowledge might also be needed
to determine which option describes an acute need. Cromolyn sodium is a
nonsteroidal anti-inflammatory medication used as an asthma prophylactic. A peak
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,expiratory flow rate of 79% is below the expected rate and signals the possibility
that asthma is not well-controlled. While the client should be further evaluate
A nurse working the 7 p.m. to 7 a.m. shift on a pediatric unit has received report
on four postoperative clients. Which of the following requires immediate
intervention?
A. An adolescent who is postoperative following an appendectomy and has refused
to ambulate for the past 8 hr
B. A school-age child who is postoperative following a herniorrhaphy with an
infiltrated peripheral IV that has been clamped
C. A preschooler who is postoperative following a tonsillectomy and is
experiencing frequent swallowing
D. An infant who is postoperative following a cleft palate repair with a heart rate
of 146/min and a respiratory rate of 28/min - --Answer --C. A preschooler
who is postoperative following a tonsillectomy and is experiencing frequent
swallowing
Rationale:
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, A. Answering this item requires application of the unstable versus stable priority
setting framework. Using this framework, unstable clients get priority because of
needs that threaten the client's survival. Threats or problems involving the airway,
breathing, or circulatory status are considered life-threatening needs that should be
addressed first. Clients whose vital signs or laboratory values indicate a risk for
becoming unstable are also a higher priority than clients who are stable. Nursing
knowledge might also be needed to determine which option describes the most
unstable client. An adolescent who refuses to ambulate following abdominal
surgery needs additional education and encouragement; however, there is another
client who is unstable and requires immediate intervention.
B. Answering this item requires application of the unstable versus stable priority
setting framework. Using this framework, unstable clients get priority because of
needs that threaten the client's survival. Threats or problems involving the airway,
breathing, or circulatory status are considered life-threatening needs that should be
addressed first. Clients whose vital signs or laboratory values indicate a risk for
becoming unstable are also a higher priority than clients who are stable. Nursing
knowledge might also be needed to determine which option describes the most
unstable client. An infiltrated peripheral IV needs to be discontinued and another
IV started; however, because the IV tubing has been clamped, stopping the
infusion of fluids, there is another client who is unstable and requires immediate
intervention.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
