ATI Leadership and Management Exam Questions And 100%
Correct Answers
5 rights of delegation - ANSWER Right task.
Right circumstance.
Right person.
Right direction/communication.
Right supervision/evaluation.
Right task - ANSWER Identify what tasks are appropriate to delegate for each specific
client.
A right task is repetitive, requires little supervision, and is relatively noninvasive for the
client.
Delegate tasks to appropriate levels of team members (PN, AP) based on standards of
practice, legal and facility guidelines, and available resources.
Examples: Delegate an AP to assist a client with pneumonia to use a bedpan (right).
Delegate an AP to administer a nebulizer treatment to a client with pneumonia (wrong).
Correct scenario - ANSWER Assess the client's disease process and care requirements.
Match the care requirements with the competence of the team member.
Consider the workload of the team member.
Examples: Delegate an AP to obtain the vital signs of a client who is postoperative and
stable (right). Delegate an AP to obtain the vital signs of a client who is postoperative
and received naloxone to reverse respiratory depression (wrong).
Right person - ANSWER Assess and confirm the competence of the health care team
member.
The activity must be within the scope of practice for the team member.
The team member shall have the necessary competence/training.
,Continuously evaluate the performance of the team member to identify care
competency.
Assess performance of team members against standards and take remediation action if
standard is not met.
Examples: Assign a PN to provide enteral feedings for a client with a head injury (right).
Assign an AP to provide enteral feedings for a client with a head injury (wrong).
Right direction/communication - ANSWER Communicate in writing or verbally.
Information to be gathered.
When and how information is to be reported, including when concerns/findings are to be
reported.
Specific activity(ies) to be performed; client-specific instructions.
Expected results, time frame, and follow-up communication needs Examples: Delegate
an AP to perform morning shower for Mr. Martin in room 312 before 0900 (right).
Delegate an AP to perform morning hygiene care for Mr. Martin in room 312 (wrong).
Right supervision/evaluation - ANSWER Monitor, either directly or indirectly (delegating
monitoring to another licensed nurse).
Provide explicit instruction and explanation of the task to be performed and
expectations of the task including time frames, what to report.
Monitor performance
Provide feedback
Intervene if necessary (unsafe clinical practice)
Evaluate the client and determine whether or not client outcomes
were met
Evaluate client care tasks and identify needs for quality improvement activities and /or
additional resources.
Examples: Request that an AP ambulate a client and then provide appropriate
supervision to ensure the client ambulates safely and allows the AP to receive positive
feedback after the task has been completed correctly; request that the AP ambulate a
client without any supervision to gauge if an intervention is necessary and do not
provide the AP with any feedback.
,Supervision - ANSWER Takes place after delegation. A supervisor monitors a staff
member's performance of delegated activities and evaluates whether or not:
Tasks were performed in a timely manner.
Performance was acceptable.
Unexpected observations were recorded and reported.
Assistance is needed to perform assigned duties in a timely way.
Assignment should be reviewed and possibly modified.
Staff education ANSWER Nurse's involvement in the orientation, socialization,
education, and training of fellow health care workers to ensure the competence of all
staff and to help them meet standards set forth by the facility and accrediting bodies.
The process of staff education is also referred to as staff development.
Quality of care to the client is directly related to education and level of competency of
health care providers.
The nurse leader has a role in ensuring competent staff
Nurse leaders manage a very special and diverse workforce.
The nurse should value and acknowledge the diversity of the health care team
Orientation - ANSWER Assists newly licensed nurses to translate knowledge, skills and
attitudes learned in nursing school into practice.
Orientation to the institution- RESPONSE The newly licensed nurse is introduced to the
philosophy, mission, and goals of the institution
and department.
Policies and procedures that are based on institutional standards are reviewed.
Use of and access to the institution's computer system is a significant focus .
Safety and security protocols are emphasized in relation to the nurse's role.
Orientation to the unit - ANSWER Classroom orientation us usually followed by
, orientation to the unit and is continued with an assigned preceptor
Preceptors On each unit newly licensed nurses are oriented to a unit and their
performance and skill acquisition is supervised by preceptors.
Preceptors are usually assigned to newly licensed nurses for a limited amount of time.
Mentors may also serve as a novice nurse's preceptor however, the relationship tends
to be considerably longer and centered more on the adoption of the professional role
and relationships and socialization to practice.
Coaches enter into a collaborative relationship to help a nurse in identifying specific
individualized goals. The relationship is usually task related and is time limited.
Socialization ANSWER The process by which an individual learns a new role and the
values and culture of the group within which that role is implemented.
Successful socialization helps new staff members to work well and become accepted by
already established staff on a client care unit.
Staff development educators and unit managers have an opportunity to initiate this
process during the interviewing and orientation process.
For this to occur, nurse preceptors/mentors are many times used to help the new
licensed nurse on the clinical unit orient to the unit.
Staff education- ANSWER Sometimes referred to as staff development. The process by
which a member of the staff acquires knowledge and skills. The purpose of staff
education is to ensure that the staff has and maintains current knowledge and skills in
caring for the clients.
Steps in providing educational programs - ANSWER Identify and respond: To identify
need for knowledge or
skill proficiency.
Analyze: Deficiencies, and develop learning objectives to meet need.
Research: Resources available to address learning objectives based on evidence-based
practice.
Plan: Program to address objectives using available resources.
5. Implement: Program(s) at time conducive to staff attendance; consider online
learning modules.
6. Evaluate: Use materials and observations to measure behavior changes secondary to
Correct Answers
5 rights of delegation - ANSWER Right task.
Right circumstance.
Right person.
Right direction/communication.
Right supervision/evaluation.
Right task - ANSWER Identify what tasks are appropriate to delegate for each specific
client.
A right task is repetitive, requires little supervision, and is relatively noninvasive for the
client.
Delegate tasks to appropriate levels of team members (PN, AP) based on standards of
practice, legal and facility guidelines, and available resources.
Examples: Delegate an AP to assist a client with pneumonia to use a bedpan (right).
Delegate an AP to administer a nebulizer treatment to a client with pneumonia (wrong).
Correct scenario - ANSWER Assess the client's disease process and care requirements.
Match the care requirements with the competence of the team member.
Consider the workload of the team member.
Examples: Delegate an AP to obtain the vital signs of a client who is postoperative and
stable (right). Delegate an AP to obtain the vital signs of a client who is postoperative
and received naloxone to reverse respiratory depression (wrong).
Right person - ANSWER Assess and confirm the competence of the health care team
member.
The activity must be within the scope of practice for the team member.
The team member shall have the necessary competence/training.
,Continuously evaluate the performance of the team member to identify care
competency.
Assess performance of team members against standards and take remediation action if
standard is not met.
Examples: Assign a PN to provide enteral feedings for a client with a head injury (right).
Assign an AP to provide enteral feedings for a client with a head injury (wrong).
Right direction/communication - ANSWER Communicate in writing or verbally.
Information to be gathered.
When and how information is to be reported, including when concerns/findings are to be
reported.
Specific activity(ies) to be performed; client-specific instructions.
Expected results, time frame, and follow-up communication needs Examples: Delegate
an AP to perform morning shower for Mr. Martin in room 312 before 0900 (right).
Delegate an AP to perform morning hygiene care for Mr. Martin in room 312 (wrong).
Right supervision/evaluation - ANSWER Monitor, either directly or indirectly (delegating
monitoring to another licensed nurse).
Provide explicit instruction and explanation of the task to be performed and
expectations of the task including time frames, what to report.
Monitor performance
Provide feedback
Intervene if necessary (unsafe clinical practice)
Evaluate the client and determine whether or not client outcomes
were met
Evaluate client care tasks and identify needs for quality improvement activities and /or
additional resources.
Examples: Request that an AP ambulate a client and then provide appropriate
supervision to ensure the client ambulates safely and allows the AP to receive positive
feedback after the task has been completed correctly; request that the AP ambulate a
client without any supervision to gauge if an intervention is necessary and do not
provide the AP with any feedback.
,Supervision - ANSWER Takes place after delegation. A supervisor monitors a staff
member's performance of delegated activities and evaluates whether or not:
Tasks were performed in a timely manner.
Performance was acceptable.
Unexpected observations were recorded and reported.
Assistance is needed to perform assigned duties in a timely way.
Assignment should be reviewed and possibly modified.
Staff education ANSWER Nurse's involvement in the orientation, socialization,
education, and training of fellow health care workers to ensure the competence of all
staff and to help them meet standards set forth by the facility and accrediting bodies.
The process of staff education is also referred to as staff development.
Quality of care to the client is directly related to education and level of competency of
health care providers.
The nurse leader has a role in ensuring competent staff
Nurse leaders manage a very special and diverse workforce.
The nurse should value and acknowledge the diversity of the health care team
Orientation - ANSWER Assists newly licensed nurses to translate knowledge, skills and
attitudes learned in nursing school into practice.
Orientation to the institution- RESPONSE The newly licensed nurse is introduced to the
philosophy, mission, and goals of the institution
and department.
Policies and procedures that are based on institutional standards are reviewed.
Use of and access to the institution's computer system is a significant focus .
Safety and security protocols are emphasized in relation to the nurse's role.
Orientation to the unit - ANSWER Classroom orientation us usually followed by
, orientation to the unit and is continued with an assigned preceptor
Preceptors On each unit newly licensed nurses are oriented to a unit and their
performance and skill acquisition is supervised by preceptors.
Preceptors are usually assigned to newly licensed nurses for a limited amount of time.
Mentors may also serve as a novice nurse's preceptor however, the relationship tends
to be considerably longer and centered more on the adoption of the professional role
and relationships and socialization to practice.
Coaches enter into a collaborative relationship to help a nurse in identifying specific
individualized goals. The relationship is usually task related and is time limited.
Socialization ANSWER The process by which an individual learns a new role and the
values and culture of the group within which that role is implemented.
Successful socialization helps new staff members to work well and become accepted by
already established staff on a client care unit.
Staff development educators and unit managers have an opportunity to initiate this
process during the interviewing and orientation process.
For this to occur, nurse preceptors/mentors are many times used to help the new
licensed nurse on the clinical unit orient to the unit.
Staff education- ANSWER Sometimes referred to as staff development. The process by
which a member of the staff acquires knowledge and skills. The purpose of staff
education is to ensure that the staff has and maintains current knowledge and skills in
caring for the clients.
Steps in providing educational programs - ANSWER Identify and respond: To identify
need for knowledge or
skill proficiency.
Analyze: Deficiencies, and develop learning objectives to meet need.
Research: Resources available to address learning objectives based on evidence-based
practice.
Plan: Program to address objectives using available resources.
5. Implement: Program(s) at time conducive to staff attendance; consider online
learning modules.
6. Evaluate: Use materials and observations to measure behavior changes secondary to
