ATI Priority setting frameworks advanced test TC Exam Study Guide 2024

A nurse working the 7pm to 7 am shift on the pediatric unit has receieved report on four postoperative clients. Which of the following requires immediate intervention? - 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? - 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? - 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? - Engage the client in physical activity 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 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? - 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? - 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? - Use a properly-fitted bicycle helmet A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. Which of the following client data is most important for the nurse to monitor? - maternal respirations