ATI Priority Setting Frameworks -
Beginning Test Questions Solved
Correctly.
A nurse is collecting data on four clients. Which of the following is the highest priority finding by the
nurse?
A) Malaise
B) Anorexia
C) Headache
D) Diarrhea - Answer D) Diarrhea
ABC
Diarrhea can deplete the body of fluids and cause a decrease in the circulating blood volume.
A nurse in a rehabilitation facility has received report on four clients. Which of the following should the
nurse evaluate first?
A) A client who has peripheral vascular disease and reports numbness in the toes
B) client who has depression & is easily distracted
C) A client who has Alzheimer's disease and is unable to complete ADLS
D) A client who had abdominal surgery 10 days ago and reports feeling his incision pop - Answer D) A
client who had abdominal surgery 10 days ago and reports feeling his incision pop
acute vs. chronic
Clients often report feeling the incision pop, indicating either dehiscence or evisceration has occurred.
A nurses caring for an older adult client who recently experienced the death of her partner. Which of the
following is the priority need of the client?
A) establishing a sense of achievement
, B) contributing to society
C) creating meaningful social relationships
D) enhancing self- confidence - Answer Creating meaningful social relationships
Maslows Hierarchy of needs
Social relationships are a component of friendship, which would be included in the 3rd level.
A nurse is preparing to administer oral medication to a client who has unilateral weakness following a
cerebrovascular accident (CVA). Which of the following should be the priority action of the nurse?
A) Administer medications w/ meals when possible
B) Ensure client understanding of medication's effects
C) Determine the client's ability to self-administer meds
D) have the client position the head w/ chin down while swallowing - Answer Have the client position
the head with the chin down while swallowing
safety and risk reduction
Clients are at risk for aspiration following a CVA, and having the client position the head with the chin
down while swallowing reduces this risk.
A nurse is conducting therapeutic medication monitoring on four clients. Which of the findings should be
immediately reported to the provider?
A) Lithium carbonate 0.8
B) Digoxin 3.0
C) Peak serum gentamicin 6 mcg/mL
D) Mag. Sulfate 4 - Answer Digoxin 3.0ng/mL
unstable vs. stable
This digoxin level is above the expected reference range and indicates digoxin toxicity.
Beginning Test Questions Solved
Correctly.
A nurse is collecting data on four clients. Which of the following is the highest priority finding by the
nurse?
A) Malaise
B) Anorexia
C) Headache
D) Diarrhea - Answer D) Diarrhea
ABC
Diarrhea can deplete the body of fluids and cause a decrease in the circulating blood volume.
A nurse in a rehabilitation facility has received report on four clients. Which of the following should the
nurse evaluate first?
A) A client who has peripheral vascular disease and reports numbness in the toes
B) client who has depression & is easily distracted
C) A client who has Alzheimer's disease and is unable to complete ADLS
D) A client who had abdominal surgery 10 days ago and reports feeling his incision pop - Answer D) A
client who had abdominal surgery 10 days ago and reports feeling his incision pop
acute vs. chronic
Clients often report feeling the incision pop, indicating either dehiscence or evisceration has occurred.
A nurses caring for an older adult client who recently experienced the death of her partner. Which of the
following is the priority need of the client?
A) establishing a sense of achievement
, B) contributing to society
C) creating meaningful social relationships
D) enhancing self- confidence - Answer Creating meaningful social relationships
Maslows Hierarchy of needs
Social relationships are a component of friendship, which would be included in the 3rd level.
A nurse is preparing to administer oral medication to a client who has unilateral weakness following a
cerebrovascular accident (CVA). Which of the following should be the priority action of the nurse?
A) Administer medications w/ meals when possible
B) Ensure client understanding of medication's effects
C) Determine the client's ability to self-administer meds
D) have the client position the head w/ chin down while swallowing - Answer Have the client position
the head with the chin down while swallowing
safety and risk reduction
Clients are at risk for aspiration following a CVA, and having the client position the head with the chin
down while swallowing reduces this risk.
A nurse is conducting therapeutic medication monitoring on four clients. Which of the findings should be
immediately reported to the provider?
A) Lithium carbonate 0.8
B) Digoxin 3.0
C) Peak serum gentamicin 6 mcg/mL
D) Mag. Sulfate 4 - Answer Digoxin 3.0ng/mL
unstable vs. stable
This digoxin level is above the expected reference range and indicates digoxin toxicity.
