NGN ATI
LEADERSHIP
PROCTORED EXAM
2024 ACTUAL EXAM
2 VERSIONS EACH
WITH QUESTIONS
WITH DETAILED
VERIFIED ANSWERS
(100% CORRECT
ANSWER S
, 1
delegation/supervision - correct answer *5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions, state NPA,
professional standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP - correct answer -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
, 2
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task - correct answer repetitive, requires little supervision, and relatively
noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
right circumstance - correct answer -assess health status and complexity of care
required by the client
-match the complexity of care demands to the skill level of the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to
reverse respiratory depression
right person - correct answer -assess and verify competency of the health care
team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head injury
, 3
wrong: delegate an AP to adminster enteral feedings to a client who has a head
injury
right direction/communication - correct answer -data that needs to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific) before X
amount of time
wrong: delegate an AP to assist with (something nonspecific) in room x
right supervision/evaluation - correct answer -directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement activities
right: delegate the ambulation of the client and provide positive feedback to the
AP after completion of task
wrong: delegate the ambulation of a client to an AP without supervision to
determine the need for intervntion and failing to provide feedback to the AP
delegating to LPN - correct answer -monitoring client findings as input for the
RNs ongoing assessment of the client
-reinforcing client teaching from a standardized care plan
-performing tracheostomy care and suction
-perform uncomplicated wound care
LEADERSHIP
PROCTORED EXAM
2024 ACTUAL EXAM
2 VERSIONS EACH
WITH QUESTIONS
WITH DETAILED
VERIFIED ANSWERS
(100% CORRECT
ANSWER S
, 1
delegation/supervision - correct answer *5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions, state NPA,
professional standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP - correct answer -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
, 2
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task - correct answer repetitive, requires little supervision, and relatively
noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
right circumstance - correct answer -assess health status and complexity of care
required by the client
-match the complexity of care demands to the skill level of the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to
reverse respiratory depression
right person - correct answer -assess and verify competency of the health care
team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head injury
, 3
wrong: delegate an AP to adminster enteral feedings to a client who has a head
injury
right direction/communication - correct answer -data that needs to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific) before X
amount of time
wrong: delegate an AP to assist with (something nonspecific) in room x
right supervision/evaluation - correct answer -directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement activities
right: delegate the ambulation of the client and provide positive feedback to the
AP after completion of task
wrong: delegate the ambulation of a client to an AP without supervision to
determine the need for intervntion and failing to provide feedback to the AP
delegating to LPN - correct answer -monitoring client findings as input for the
RNs ongoing assessment of the client
-reinforcing client teaching from a standardized care plan
-performing tracheostomy care and suction
-perform uncomplicated wound care
