ATI Video Case Study: Critical Thinking/Clinical Reasoning/Clinical Judgment: Nursing Process and Priority Setting Test | Latest Version | 2025/2026 | Correct & Verified

ATI Video Case Study: Critical Thinking/Clinical Reasoning/Clinical Judgment: Nursing Process and Priority Setting Test | Latest Version | 2025/2026 | Correct & Verified A nurse is assessing a post-operative client who has been in recovery for two hours. The client is reporting mild pain, but their blood pressure and heart rate are within normal limits. What is the nurse’s priority action? A. Administer prescribed pain medication B. Monitor the client’s pain level and reassess later C. Encourage deep breathing exercises D. Notify the healthcare provider about the pain A nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse observes the client’s oxygen saturation drops to 88%. What should the nurse do first? A. Administer supplemental oxygen as ordered B. Assess the client’s respiratory rate and depth C. Notify the healthcare provider immediately D. Encourage the client to cough and deep breathe 2 A nurse is caring for a client with an elevated temperature and a productive cough. The nurse suspects a respiratory infection. What is the most appropriate initial action? A. Place the client in isolation and obtain a sputum sample for culture B. Administer prescribed antibiotics immediately C. Encourage the client to drink fluids D. Assess the client’s vital signs and lung sounds A nurse is caring for a client with diabetes who reports feeling dizzy and lightheaded. The blood glucose level is 40 mg/dL. What is the nurse’s priority action? A. Administer a fast-acting carbohydrate B. Check the client’s blood pressure C. Call the healthcare provider immediately D. Prepare the client for an intravenous infusion A nurse is caring for a client who has just received a blood transfusion. The client suddenly experiences chills, fever, and back pain. What is the nurse’s priority action? A. Continue the transfusion and monitor the client B. Administer acetaminophen for the fever 3 C. Stop the transfusion and assess the client’s vital signs D. Reassure the client that these are normal side effects A nurse is caring for a client who is post-operative following a hip replacement. The client reports increasing pain in the surgical area. What is the nurse’s next action? A. Administer prescribed pain medication and reassess B. Assess for signs of infection at the surgical site C. Apply a cold compress to the surgical site D. Encourage the client to move the affected leg A nurse is caring for a client who is newly diagnosed with hypertension. The nurse explains lifestyle modifications to reduce blood pressure. What is the nurse’s priority action after the teaching session? A. Schedule a follow-up appointment B. Assess the client’s understanding of the lifestyle modifications C. Administer antihypertensive medications D. Encourage the client to begin exercise immediately 4 A nurse is assessing a client with a history of heart failure. The nurse notes that the client’s weight has increased by 2 kg in 24 hours. What is the nurse’s next priority action? A. Encourage the client to drink more fluids B. Notify the healthcare provider about the weight gain C. Increase the client’s diuretic dose without provider orders D. Reassess the client’s vital signs every hour A nurse is caring for a client receiving a central venous catheter. The nurse notices that the site is reddened and warm to the touch. What should the nurse do first? A. Assess for signs of infection and notify