ATI comprehensive predictor: nursing
leadership and management
During a home health assessment, the nurse witnesses a school aged child fall from a second
story window. Which of the following is the priority action?
A- Tell the child not to move
B- Provide support to the parents
C- Apply pressure to the bleeding
D- Place the child on a rigid board - ANSA-
The nurse should recognize that a spinal cord injury make exist. In any circumstance when a
spinal cord is suspected or a possibility, the child should be calmed, reassured, and instructed
not to move. No one should be allowed to move the child until the entire spine is stabilized.
A unit manager observes several nurses working throughout the day. Which of the following
actions represents a breach in client confidentiality?
A-Shredded a clients printed lab results
B- Giving report to the oncoming nursing at the bedside
C- Logging off the computer prior to leaving workstation area
D- Posting positive information about a client on social media website - ANSD-
Posting client information on a social media website is breach of confidentiality. Nurses must not
disclose client information to unauthorized individuals.
A client who is newly admitted requests information about advanced directives. The nurse
should include which of the following statements in the discussion?
A- "An advanced directive may not be changed."
B- "Advanced directives are only discussed with terminally ill clients."
C- "You will need to designate a relative to act as your health care proxy."
D-" I will give you a pamphlet with written information about advanced directives." - ANSD-
The patient self determination act requires that all patients admitted to a health care facility be
asked if they have an advanced directive. Clients who do not have an advanced directive must
be given written information.
A nurse completes a home health assessment on an older adult who had a broken arm and
burn marks to the chest. The caregiver states injuries were sustained from a fall. Which of the
following actions is needed at this time?
A- Administer ibuprofen.
B- Implement seizure precautions.
C- Contact adult protective services.
D- Provide teaching to promote safety. - ANSC-
leadership and management
During a home health assessment, the nurse witnesses a school aged child fall from a second
story window. Which of the following is the priority action?
A- Tell the child not to move
B- Provide support to the parents
C- Apply pressure to the bleeding
D- Place the child on a rigid board - ANSA-
The nurse should recognize that a spinal cord injury make exist. In any circumstance when a
spinal cord is suspected or a possibility, the child should be calmed, reassured, and instructed
not to move. No one should be allowed to move the child until the entire spine is stabilized.
A unit manager observes several nurses working throughout the day. Which of the following
actions represents a breach in client confidentiality?
A-Shredded a clients printed lab results
B- Giving report to the oncoming nursing at the bedside
C- Logging off the computer prior to leaving workstation area
D- Posting positive information about a client on social media website - ANSD-
Posting client information on a social media website is breach of confidentiality. Nurses must not
disclose client information to unauthorized individuals.
A client who is newly admitted requests information about advanced directives. The nurse
should include which of the following statements in the discussion?
A- "An advanced directive may not be changed."
B- "Advanced directives are only discussed with terminally ill clients."
C- "You will need to designate a relative to act as your health care proxy."
D-" I will give you a pamphlet with written information about advanced directives." - ANSD-
The patient self determination act requires that all patients admitted to a health care facility be
asked if they have an advanced directive. Clients who do not have an advanced directive must
be given written information.
A nurse completes a home health assessment on an older adult who had a broken arm and
burn marks to the chest. The caregiver states injuries were sustained from a fall. Which of the
following actions is needed at this time?
A- Administer ibuprofen.
B- Implement seizure precautions.
C- Contact adult protective services.
D- Provide teaching to promote safety. - ANSC-
