ATI NCLEX Practice Questions with Solutions (Questions and Correct Answers)

During a home health assessment the nurse witnesses a school age child fall from a second story window. Which is the priority action? Correct Answer Tell the child not to move *Do not rule out spinal cord injury* A unit manager observes several nurses working throughout the day.. Which action represents a breach in client confidentiality ? Correct Answer Posting positive information about a client on social media website. A client who is newly admitted requests information about advanced directives. The nurse should include which of the following statements in discussion ? Correct Answer I will give you a pamphlet with written information about advanced directives. A nurse completes a home health assessment on an older adult who has a broken arm and burns to the chest. Which action is needed at this time? Correct Answer Contact adult protective services. A client arrives to the ED and reports HA, neck stiffness and sensitivity to light. Which is the priority nursing action? Correct Answer Implement droplet precautions- possible meningitis (highly contagious if bacterial) A bladder irrigation is prescribed for a client who has an occluded indwelling cath. Which action should nurse take when unsure of how to perform this procedure? Correct Answer Refer to the policy and procedure manual A charge nurse reviews abbreviations in client documentation. Which is an approved entry? Correct Answer Furosemide 60 mg PO daily A nurse participates in quality improvement to decrease hospital readmissions for clients who have heart failure. .Which action should the nurse expect to perform? Correct Answer Compare performance to current practice standards A nurse assigns care for client who has DM to an LPN and a UAP. Which task should be given to the LPN? Correct Answer Obtain capillary glucose A client with a stage IV pancreatic cancer decides to DC all treatment. Which action should the nurse take? Correct Answer Ask client to discuss decision