VATI RN Leadership Assesment Exam | 100% Correct Solution

RN VATI Leadership 1. A nurse is caring for a client who is 4 hr postoperative following an appendectomy. • Nonmaleficence 2. A nurse is performing morning rounds for a client and finds the cl ient’s bedtime medications sitting at the bedside in a medication cup. • Document the missed medication administration in the client’s medical record 3. A nurse is providing discharge teaching to a client’s adult child regarding the client’s discharge to home with hospice care. • The hospice team will provide services for the entire family, not just my father 4. A nurse manager is scheduling a meeting to address a conflict between staff members and a client’s family. • Collaboration 5. A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Select all that apply • Request the client sign an AMA form • Notify the provider • Advise the client about the dangers of leaving 6. A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. (select all that apply) • A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse • A nurse arranges for an interpreter for a client who speaks a different language 7. A nurse manager is working with a team to resolve an ethical dilemma. STEPS • Identify and state • List actions • Decide • Communicate 8. A nurse suspects a client is developing opioid use disorder and reduces the client’s dosage of pain medication by 50% without a prescription from the provider. • Gross negligence 9. A nurse is providing teaching for a client about advance directives • My health care proxy will make my health care decisions when I am no longer able 10. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1 hr of overtime every day for the past month to complete computer documentation. • Speak with the nurse regarding the incident 11. A nurse is admitting a client who has heart failure and speaks a different language that the nurse. • Observe the client’s nonverbal expressions 12. A nurse manager is considering changing the policy for administering medications to clients on a unit. • Determine the unit staff’s perception of the need for change 13. A nurse is developing a plan of care for a client who has chronic kidney disease • Document within the medical record that the client has advance directives in place 14. A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 yeard in assigned to float to a medical-surgical unit • Negotiate specific tasks to perform with the nursing supervisor 15. A nurse is caring for client who was involved in a medical vehicle crash with his partner • Let the client know that he will be updated as soon as possible 16. A nurse manager is meeting with a staff nurse who is consistently late for work. • When you come to work late, I am concerned that client care will be jeopardized 17. A nurse manager on a maternal newborn is completing a chart audit to determine the percentage of clients over the past 3 months who breastfed their newborns prior to discharge. • Outcome 18. A nurse is receiving change-of shift report for a group of clients. Assess first • A client who is postoperative and has respiratory rate of 10/min 19. A nurse is teaching a newly licensed nurse about do-not-resuscitate (DNR) orders. • The provider should periodically evaluate the DNR order 20. A nurse is performing mass casualty triage of clients following a tornado. • A middle-adult client who has severed lower extremity 21. A nurse is planning interdisciplinary care for client experiencing an exacerbation of myasthenia gravis. • The client has difficulty grasping eating utensils 22. A nurse manager is evaluating staffing needs for a unit. • Assess computerized data correlating client acuity, staffing and scheduling 23. A charge nurse is assigning tasks for a group of clients. AP assign • Collect urine sample for urinalysis 24. A charge nurse is walking outside on the facility’s grounds during break time and overhears two nurses discussing the biopsy results of a client who is on the unit. (Select all that apply) • Plan • Ask • Inform 25. A nurse is caring for a client who received pain medication 1 hr ago. • Attempt to obtain a prescription for a different analgesic medication 26. A nurse is planning care after receiving report of four clients. • A client who is 2 days postoperative and has a urinary output of 500 of 24ml/24 27. A nurse in an acute care facility is preparing to discharge an older adult client to home • Contacting a social worker to assist the client with daily meal delivery services 28. A nurse is using the SBAR format to provide hand-off report for a client. • Assessment 29. A nurse is providing care to a group of clients. Time effectively. (select all that apply) • Organize tasks around the priority needs • Create • Delegate 30. A nurse is prioritizing care of four clients • A client who is postoperative following a thyroidectomy and reports tingling around their mouth 31. A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an adult client who is cognitively impaired. • I will assign the client to a room close to the nurses’ station 32. A nurse in the emergency department is assessing an adult client from a long term care facility who has a developmental disability. • Document the findings for the provider 33. A charge nurse is planning an in-service for a group of nurses about caring for clients who has active tuberculosis • Place clients in a negative pressure room 34. A nurse at a long-term care facility discovers flames coming from a trash can in the day room • Move the clients to an area of safety 35. A nurse manager is changing ratio of registered nurses to licensed practical nurses on a unit to decrease costs. • Formulate a sample staffing schedule covering 1 months 36. A nurse manager is planning the staff’s annual performance appraisals. • A private office with the door closed 37. Administer RBC’s steps • Initiates an IV • Infuses 0.9% • Obtains the unit of packed RBCs • Verifies the information • Inserts the Y spike 38. A nurse is preparing for a surgical procedure to continue the revision of a large burn scar on the left arm. • I will inform the provider of your decision 39. A nursing supervisor in an acute care facility has to recommend a client for discharge to make room for a client who was injured during an explosion • An older adult client who has a total knee arthroplasty 1 week ago 40. A nurse is delegating client care on a labor and delivery unit • Complete I&O on clients who are in active labor 41. A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. • Report pus-like drainage from the wound 42. A nurse manager calls a staff nurse to come in and work due to staffing shortage on several unit • Decline because nurses should not work when ill 43. A nurse manager witnesses an AP using incorrect procedure when transferring a client using a mechanical lift. • Observe the AP’s technique with the lift at random times throughout the day 44. A nurse is planning for discharge of a client who has advanced lung cancer. • Respite care 45. A nurse is planning care for a client who has hemiparesis and dysphagia following a stroke. (select all that apply) • Occupational • Physical • Speech-language 46. A nurse manager is conducting a disaster-preparedness drill and observes nurses applying triage tags to clerical staff who are posing as injured clients • Green 47. A nurse in an emergency department is admitting a 15-year-old client who is accompanied by her grandparent. • Inform the provider to ask the grandparents to provide consent 48. A nurse manager is anticipating a period when staffing will be specifically short. • Functional nursing 49. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder • Document thoroughly any unusual behavior by the nurse 50. A nurse is teaching a group of newly licensed nurses about caring for a client who has clostridium difficle • Put on a gown when caring for a client 51. A nurse is developing a plan of care for a client who is immobile and at risk for developing a pressure injury • Apply moisturizing lotion to the client’s skin after bathing 52. A nurse encounters a client sitting on the floor in the hallways • Check the client for injuries 53. A nurse in a long-care facility is caring for a group of clients • A client who is 1 weeks postoperative following a hip fracture 54. A charge nurse is following up on tasks delegated to another nurse and discovers an erros that could harm the client. • Implement interventions to ensure the client’s safety 55. A nurse manager is preparing a nurse’s performance appraisal • Use a formalized system 56. A nurse manager is performing a record as part of the unit’s quality improvement program • Zolpidem 5 mg PO at bedtime 57. A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed consent form • Would you like to speak to the provider again? 58. A nurse is using the SBRA. S portion • The client is reporting a pain level of 8 59. A nurse manager is implementing a plan to motivate unit personnel to provide quality care to cl