VATI RN Comprehensive Predictor 2023
Private rooms - CORRRECT ANSWERS are required for clients who have an
infectious disease that requires airborne precautions, or clients who require a protective
environment._______ _____ are preferred for clients who are on droplet and contact
precautions. These clients can cohort if no _______ ______ are available and if all of
the following are true. ●The clients have the same active infection with the same micro-
organisms. ●The clients remain at least 3 feet away from each other. ●The clients have
no other existing infection. ______ _______ is also preferred for the following clients.
●Client who are agitated ●Client who have dementia and a history of wandering
●Clients who require a quiet environment (those at risk for increased intracranial
pressure [stroke, traumatic brain injury]) ●Clients who are at risk for sensory overload
(those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs,
endotracheal], or have reduced cognitive function [head injury]) ●Clients who require
privacy (those who are near death)
Prior to delegating client care, consider the following. - CORRRECT ANSWERS
Predictability of outcome ●Will the completion of the task have a predictable outcome?
●Is it a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance
that something negative can happen to the client (risk for bleeding, risk for aspiration)?
●Is the client unstable? Complexity of care ●Are complex tasks required as a part of the
client's care? ●Is the delegatee legally able to perform the task and do they have the
skills necessary? Need for problem solving and innovation ●Is nursing judgment
required while performing the task? ●Does it require nursing assessment skills? Level of
interaction with the client ●Is there a need to provide psychosocial support or education
during the performance of the task?
Examples of tasks nurses can delegate to practical nurses and assistive personnel -
CORRRECT ANSWERS TO PN Monitoring findings (as input to the RN's ongoing
assessment)Reinforcing client teaching from a standard care planPerforming
tracheostomy careSuctioningChecking NG tube patencyAdministering enteral
feedingsInserting a urinary catheterAdministering medication (excluding IV medication
in some states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing
Toileting Ambulating Feeding (without swallowing precautions). Positioning Routine
tasks. Bed making. Specimen collection Intake and output Vital signs (for stable clients).
Right direction/communication (five rights of delegations) - CORRRECT ANSWERS
Data that needs to be collected ●Method and timeline for reporting, including when to
report concerns/findings ●Specific task(s) to be performed; client-specific instructions
●Expected results, timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with a shower before 0900 and to notify the nurse when complete.
, WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with morning hygiene.
Steps in providing educational programs - CORRRECT ANSWERS 1. Identify and
respond: Determine the need for knowledge or skill proficiency 2. Analyze: Look for
deficiencies, and develop learning objectives to meet the need 3. Research: Resources
available to address learning objectives based on evidence-based practice 4. Plan:
Program to address objectives using available resources 5. Implement: Program(s) at a
time conducive to staff availability; consider online learning modules 6. Evaluate: Use
materials and observations to measure behavior changes secondary to learning
objectives
Tetralogy of Fallot. - CORRRECT ANSWERS Four defects that result in mixed blood
flow: Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular
hypertrophy. Cyanosis at birth: progressive cyanosis over the first year of life. Systolic
murmur. Episodes of acute cyanosis and hypoxia (blue or "Tet" spells knee chest
position or squating). SURGICAL PROCEDURES Shunt placement until able to
undergo primary repair. Complete repair within the first year of life.
Defects that increase pulmonary blood flow - CORRRECT ANSWERS Ventricular
septal defect (VSD) (20.1) Atrial septal defect (ASD), Patent ductus arteriosus (PDA),
Defects that increase pulmonary blood flow Ventricular septal defect (VSD) -
CORRRECT ANSWERS _______ A hole in the septum between the right and left
ventricle that results in increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh
murmur auscultated at the left sternal border ●Heart failure ●Many VSDs close
spontaneously early in life.
Defects that increase pulmonary blood flow Atrial septal defect (ASD) - CORRRECT
ANSWERS A hole in the septum between the right and left atria that results in
increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh murmur with a fixed
split second heart sound ●Heart failure ●Asymptomatic (possibly)
Defects that increase pulmonary blood flow Patent ductus arteriosus (PDA) -
CORRRECT ANSWERS A condition in which the normal fetal circulation conduit
between the pulmonary artery and the aorta fails to close and results in increased
pulmonary blood flow (left-to-right shunt) ●Systolic murmur (machine hum) ●Wide pulse
pressure ●Bounding pulses ●Asymptomatic (possibly) ●Heart failure ●Rales
Obstructive defects - CORRRECT ANSWERS include those where blood flow exiting
the heart meets an area of narrowing (stenosis), which causes obstruction of blood flow.
●The pressure that occurs before the defect is increased (ventricle) and the pressure
that occurs after the defect is decreased. This results in a decrease in cardiac output.
●These children can present with manifestations of heart failure. Pulmonary stenosis
(20.2), Aortic stenosis, Coarctation of the aorta (20.3)
Private rooms - CORRRECT ANSWERS are required for clients who have an
infectious disease that requires airborne precautions, or clients who require a protective
environment._______ _____ are preferred for clients who are on droplet and contact
precautions. These clients can cohort if no _______ ______ are available and if all of
the following are true. ●The clients have the same active infection with the same micro-
organisms. ●The clients remain at least 3 feet away from each other. ●The clients have
no other existing infection. ______ _______ is also preferred for the following clients.
●Client who are agitated ●Client who have dementia and a history of wandering
●Clients who require a quiet environment (those at risk for increased intracranial
pressure [stroke, traumatic brain injury]) ●Clients who are at risk for sensory overload
(those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs,
endotracheal], or have reduced cognitive function [head injury]) ●Clients who require
privacy (those who are near death)
Prior to delegating client care, consider the following. - CORRRECT ANSWERS
Predictability of outcome ●Will the completion of the task have a predictable outcome?
●Is it a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance
that something negative can happen to the client (risk for bleeding, risk for aspiration)?
●Is the client unstable? Complexity of care ●Are complex tasks required as a part of the
client's care? ●Is the delegatee legally able to perform the task and do they have the
skills necessary? Need for problem solving and innovation ●Is nursing judgment
required while performing the task? ●Does it require nursing assessment skills? Level of
interaction with the client ●Is there a need to provide psychosocial support or education
during the performance of the task?
Examples of tasks nurses can delegate to practical nurses and assistive personnel -
CORRRECT ANSWERS TO PN Monitoring findings (as input to the RN's ongoing
assessment)Reinforcing client teaching from a standard care planPerforming
tracheostomy careSuctioningChecking NG tube patencyAdministering enteral
feedingsInserting a urinary catheterAdministering medication (excluding IV medication
in some states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing
Toileting Ambulating Feeding (without swallowing precautions). Positioning Routine
tasks. Bed making. Specimen collection Intake and output Vital signs (for stable clients).
Right direction/communication (five rights of delegations) - CORRRECT ANSWERS
Data that needs to be collected ●Method and timeline for reporting, including when to
report concerns/findings ●Specific task(s) to be performed; client-specific instructions
●Expected results, timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with a shower before 0900 and to notify the nurse when complete.
, WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with morning hygiene.
Steps in providing educational programs - CORRRECT ANSWERS 1. Identify and
respond: Determine the need for knowledge or skill proficiency 2. Analyze: Look for
deficiencies, and develop learning objectives to meet the need 3. Research: Resources
available to address learning objectives based on evidence-based practice 4. Plan:
Program to address objectives using available resources 5. Implement: Program(s) at a
time conducive to staff availability; consider online learning modules 6. Evaluate: Use
materials and observations to measure behavior changes secondary to learning
objectives
Tetralogy of Fallot. - CORRRECT ANSWERS Four defects that result in mixed blood
flow: Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular
hypertrophy. Cyanosis at birth: progressive cyanosis over the first year of life. Systolic
murmur. Episodes of acute cyanosis and hypoxia (blue or "Tet" spells knee chest
position or squating). SURGICAL PROCEDURES Shunt placement until able to
undergo primary repair. Complete repair within the first year of life.
Defects that increase pulmonary blood flow - CORRRECT ANSWERS Ventricular
septal defect (VSD) (20.1) Atrial septal defect (ASD), Patent ductus arteriosus (PDA),
Defects that increase pulmonary blood flow Ventricular septal defect (VSD) -
CORRRECT ANSWERS _______ A hole in the septum between the right and left
ventricle that results in increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh
murmur auscultated at the left sternal border ●Heart failure ●Many VSDs close
spontaneously early in life.
Defects that increase pulmonary blood flow Atrial septal defect (ASD) - CORRRECT
ANSWERS A hole in the septum between the right and left atria that results in
increased pulmonary blood flow (left-to-right shunt) ●Loud, harsh murmur with a fixed
split second heart sound ●Heart failure ●Asymptomatic (possibly)
Defects that increase pulmonary blood flow Patent ductus arteriosus (PDA) -
CORRRECT ANSWERS A condition in which the normal fetal circulation conduit
between the pulmonary artery and the aorta fails to close and results in increased
pulmonary blood flow (left-to-right shunt) ●Systolic murmur (machine hum) ●Wide pulse
pressure ●Bounding pulses ●Asymptomatic (possibly) ●Heart failure ●Rales
Obstructive defects - CORRRECT ANSWERS include those where blood flow exiting
the heart meets an area of narrowing (stenosis), which causes obstruction of blood flow.
●The pressure that occurs before the defect is increased (ventricle) and the pressure
that occurs after the defect is decreased. This results in a decrease in cardiac output.
●These children can present with manifestations of heart failure. Pulmonary stenosis
(20.2), Aortic stenosis, Coarctation of the aorta (20.3)
