ATI RN nursing process assessment test
1. A nurse is caring for a client and notes that the client has become increas- ingly
restless over the last hour. This is an example of which of the following steps of the
Clinical Judgement Action Model (CJAM)?
A. Taking Action
B. Prioritizing hypothesis
C. Analyzing cues
D. Recognizing cuess Ans: D. Recognizing cues
2. A nurse enters the day room, observes the clients, and performs a situation- al
assessment. Which of the following situations should the nurse identify as the priority
to address?
A. A client who is standing in front of a wall and starting blankly at it
B. A client who does not want to go back to their room
C. A client who is arguing with another client is backed into a corner Ans: C. A client wh
is arguing with another client is backed into a corner
3. A nurse is screening a client for alcohol and tobacco use. Which of the
following types of prevention is the nurse demonstrating?
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, A. Secondary
B. Primary
C. Tertiary Ans: A. Secondary
4. A nurse is using the Clinical Judgment Action Model (CJAM) to guide a client's
care.Which of the following tasks is designed to facilitate the analysis of cues? (select
all that apply)
A. Recognizing patterns
B. Determining the order or priorities
C. Linking cues
D. Determining what is concerning
E. Collaborating with member of the interprofessional team Ans: A. Recognizing
patterns
C. Linking cues
D. Determining what is concerning
5. A nurse is caring for a client. Which of the following actions by the nurse
demonstrates the evaluating outcomes step of the Clinical Judgment Action Model
(CJAM)?
A. Revising the plan of care
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1. A nurse is caring for a client and notes that the client has become increas- ingly
restless over the last hour. This is an example of which of the following steps of the
Clinical Judgement Action Model (CJAM)?
A. Taking Action
B. Prioritizing hypothesis
C. Analyzing cues
D. Recognizing cuess Ans: D. Recognizing cues
2. A nurse enters the day room, observes the clients, and performs a situation- al
assessment. Which of the following situations should the nurse identify as the priority
to address?
A. A client who is standing in front of a wall and starting blankly at it
B. A client who does not want to go back to their room
C. A client who is arguing with another client is backed into a corner Ans: C. A client wh
is arguing with another client is backed into a corner
3. A nurse is screening a client for alcohol and tobacco use. Which of the
following types of prevention is the nurse demonstrating?
1/
12
, A. Secondary
B. Primary
C. Tertiary Ans: A. Secondary
4. A nurse is using the Clinical Judgment Action Model (CJAM) to guide a client's
care.Which of the following tasks is designed to facilitate the analysis of cues? (select
all that apply)
A. Recognizing patterns
B. Determining the order or priorities
C. Linking cues
D. Determining what is concerning
E. Collaborating with member of the interprofessional team Ans: A. Recognizing
patterns
C. Linking cues
D. Determining what is concerning
5. A nurse is caring for a client. Which of the following actions by the nurse
demonstrates the evaluating outcomes step of the Clinical Judgment Action Model
(CJAM)?
A. Revising the plan of care
2/
12
