1
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 - -CORRECT ANSWER--✔️A-
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 -
-CORRECT ANSWER--✔️D-
Posting client information on a social media website is breach of
confidentiality. Nurses must not disclose client information to
unauthorized individuals.
1
, 2
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." - -CORRECT ANSWER--✔️D-
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. - -CORRECT ANSWER--✔️C-
A clients presentation does not match the caregivers story. A broken arm
and burnt marks to the chest are suspicious signs of abuse in the client.
Nurses should report any suspicion of abuse, following facility policy, to
the appropriate state agency.
2
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 - -CORRECT ANSWER--✔️A-
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 -
-CORRECT ANSWER--✔️D-
Posting client information on a social media website is breach of
confidentiality. Nurses must not disclose client information to
unauthorized individuals.
1
, 2
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." - -CORRECT ANSWER--✔️D-
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. - -CORRECT ANSWER--✔️C-
A clients presentation does not match the caregivers story. A broken arm
and burnt marks to the chest are suspicious signs of abuse in the client.
Nurses should report any suspicion of abuse, following facility policy, to
the appropriate state agency.
2
