2023 ATI LEADERSHIP
PROCTORED EXAM – QUESTIONS
WITH RATIONALIZED ANSWERS
A nurse is working w/ an assistive personnel (AP) in a long-term care
facility. According to the 5 rights of delegation, which of the following
determinations should the nurse make prior to assigning tasks?
A. Whether the AP has consented to the performance of delegated
tasks
B. the pt's willingness to consent to care from the AP
C. Whether the task can be more efficiently completed by the nurse
D. The degree of supervision that the AP will required to complete the
task - CORRECT ANSWER -D.
The degree of supervision that the AP will require to complete the
task
Rationales....
,Successful delegation involves assigning the right task to the right
person under the right circumstances. The person who will perform
the task must be given adequate direction & specification regarding
the amount of supervision that will be provided. The right
communication of expectations & the right feedback about
performance must also be supplied.
A. The nurse does not have to obtain consent from the AP when
delegating tasks w/in the scope of practice & job descriptions for
APs
B. Tasks that can be delegated to an AP do not require the pt's
consent
C. One of the barriers to successful delegation is the belief that no
one can do a tasks as efficiently & effectively as the nurse. Due to
the time constraints on nurses, tasks that can be done by an AP
should be duly delegated
,A home health nurse is caring for a pt who asks about the purpose of
a living will. Which of the following statements should the nurse
include in the teaching?
A. "It est. who will make health care decisions for the pt if the pt is not
about to do so"
B. "it allows the pt to express personal wishes regarding health care
decisions"
C. "It serves as an informed consent form for any procedure
prescribed by a provider"
D." It is only valid when a pt is lucid & able to make informed
decisions independently" - CORRECT
ANSWER -B. It allows the pt to express personal wishes regarding
health care decisions
Rationales...
A living will allows the pt to specify what aspects of care & tx are to
be accepted / refused in the event that the pt can no longer
communicate those decisions
, A. this described a health care proxy document, which frequently
accompanies a living will but is not considered a part of it
C. A living will does not serve the same function as informed
consent. Prior to any procedure, consent must always be obtained
form the pt, a family member, or a designated health care proxy
D. A living will is not valid / necessary when a pt is able to make
informed health care decisions independently
A nurse manager notes that a full-time nurse has been absent from
work 6 times over the last 6 weeks. Using a nonpunitive approach,
which of the following actions should the nurse manager take?
A. verbally remind the employee about the facility's employment
standards
B. recommend that the employee review the facility's policy regarding
absences
C. Inform the employee in writing about the facilities employment
policy
PROCTORED EXAM – QUESTIONS
WITH RATIONALIZED ANSWERS
A nurse is working w/ an assistive personnel (AP) in a long-term care
facility. According to the 5 rights of delegation, which of the following
determinations should the nurse make prior to assigning tasks?
A. Whether the AP has consented to the performance of delegated
tasks
B. the pt's willingness to consent to care from the AP
C. Whether the task can be more efficiently completed by the nurse
D. The degree of supervision that the AP will required to complete the
task - CORRECT ANSWER -D.
The degree of supervision that the AP will require to complete the
task
Rationales....
,Successful delegation involves assigning the right task to the right
person under the right circumstances. The person who will perform
the task must be given adequate direction & specification regarding
the amount of supervision that will be provided. The right
communication of expectations & the right feedback about
performance must also be supplied.
A. The nurse does not have to obtain consent from the AP when
delegating tasks w/in the scope of practice & job descriptions for
APs
B. Tasks that can be delegated to an AP do not require the pt's
consent
C. One of the barriers to successful delegation is the belief that no
one can do a tasks as efficiently & effectively as the nurse. Due to
the time constraints on nurses, tasks that can be done by an AP
should be duly delegated
,A home health nurse is caring for a pt who asks about the purpose of
a living will. Which of the following statements should the nurse
include in the teaching?
A. "It est. who will make health care decisions for the pt if the pt is not
about to do so"
B. "it allows the pt to express personal wishes regarding health care
decisions"
C. "It serves as an informed consent form for any procedure
prescribed by a provider"
D." It is only valid when a pt is lucid & able to make informed
decisions independently" - CORRECT
ANSWER -B. It allows the pt to express personal wishes regarding
health care decisions
Rationales...
A living will allows the pt to specify what aspects of care & tx are to
be accepted / refused in the event that the pt can no longer
communicate those decisions
, A. this described a health care proxy document, which frequently
accompanies a living will but is not considered a part of it
C. A living will does not serve the same function as informed
consent. Prior to any procedure, consent must always be obtained
form the pt, a family member, or a designated health care proxy
D. A living will is not valid / necessary when a pt is able to make
informed health care decisions independently
A nurse manager notes that a full-time nurse has been absent from
work 6 times over the last 6 weeks. Using a nonpunitive approach,
which of the following actions should the nurse manager take?
A. verbally remind the employee about the facility's employment
standards
B. recommend that the employee review the facility's policy regarding
absences
C. Inform the employee in writing about the facilities employment
policy
