ATI Priority setting frameworks advanced
test TC UPDATED ACTUAL Exam
Questions and CORRECT Answers
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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
test TC UPDATED ACTUAL Exam
Questions and CORRECT Answers
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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - 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? - CORRECT
ANSWER - Oxygen saturation of 90% on oxygen at 2 L per nasal cannula
