VATI RN LEADERSHIP AND MANAGEMENT
EXAM 2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADEDA+|BRAND NEW!!|LATEST
UPDATE|GUARANTEED PASS
A nurse encounters a client sitting on the floor in the hallway. The client says they slipped on some
water on the floor and now their arm hurts. Which of the following actions should the nurse take first?
Check the client for injuries.
Asses the client, for injuries and make sure vital signs are stable. The nurse should also notify the
provider of the clients fall and the assessment findings.
A nurse in a long term care facility is caring for a group of clients. The nurse should prioritize which of
the following clients for an interdisciplinary care conference?
A client who is 1 week postoperative following a hip fracture.
Priority for an interdisciplinary care conference to address physical therapy, occupations therapy,
dietary consultation, and social services.
A charge nurse is following up on a task delegated to another nurse and discovers an error that could
harm the client. Which of the following actions should the charge nurse take?
Implement interventions to ensure the clients safety.
The charge nurse is accountable for supervision follow up, and interventions to safeguarded the
client, as well as any corrective actions. After discovering a situation with potential client harm, the
charge nurse first action should be those that promote clients safety and correct any harm done.
A nurse manager is preparing a nurses performance appraisal. Which of the following actions should the
nurse manager take?
Use a formalized system to discuss important issues.
1|Page
,Formalized system to determine the employees level of meeting the objectives for their job. The goal
of performance appraisal is to promote growth for the employee and provide recognition for areas of
strength along with feedback for areas of concern.
A nurse manager is performing a record audit as part of the units quality improvement program. The
nurse should identify that which of the following examples demonstrates the correct use of approved
abbreviations in a medical record?
Zolpidem 5mg PO at bedtime.
A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed
consent form. The clients states, "Signing this form makes me nervous." Which of the following
responses should the nurse make?
Would you like to speak with the provider again?
When witnessing informed consent, the nurse is responsible for notifying the provider if the client has
questions or appears not to understand any of the information about the surgery.
A nurse is using the SBAR communication tool for reporting a clients condition to the provider. Which of
the following information should the nurse include in the "S" portion of the tool?
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the situation
portion (S) of the SBAR communication tool.
A nurse manager is implementing a plan to motivate unit personnel to provide quality care to clients on
the unit. Which of the following leadership strategies should the nurse manager implement to improve
client care?
Democratic leadership
Democratic leadership is a style that involves two way communication and fosters teamwork, goal
accomplishment, and the individual worth of each staff member.
A nurse is caring for a client when they erroneously administer a medication dosage that is greater than
the amount prescribed. Which of the following ethical principles is the nurse demonstrating when they
notify the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's bedtime medication sitting at the
bedside in a medication cup. Which of the following actions should the nurse take?
Document the missed medication administration in the client's medical record.
2|Page
,It is the responsibility of the nurse to record the facts of the missed medication administration in the
clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to home with
hospice care. Which of the following statements by the client's adult child indicates an understanding of
the teaching?
The hospice team will provide services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and nonprofessional that offer a
full range of services, supporting both the client and family through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff members and a client's
family. In the meeting, staff and family members will identify common goals and express their concerns.
Which of the following conflict resolution strategies is the nurse manger implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than individual
goals to fins a mutually satisfying solution to the conflict. The goal becomes what is best overall,
rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which
of the following actions should the nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the clients
medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. Which of
the following examples should the charge nurse include in the teaching as a demonstration of client
advocacy? SATA
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.
The nurse should report improper completion of a procedure to the charge nurse and complete an
incident report describing the incident. Reporting to the charge nurse is an act of client advocacy,
which allows the charge nurse to further monitor the clients condition and prevent negative
outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An interpreter
will facilitate understanding of the teaching and allow the client to communicate their needs to the
nurse.
3|Page
, A nurse manger is working with a team to resolve an ethical dilemma. Which of the following steps
should the team take to make an informed decision?
Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of pain
medication by 50% without a prescription from the provider. The nurse checks on the client 1hr later
and sees the client sitting up in a chair. The client tells the nurse, "I am in too much pain to reach the
nurse call button." The nurse is liable for which of the following legal violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of consequences.
The nurse's actions were intentional and reckless, in opposition of the provider's prescription, and
placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
My health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is able.
A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of overtime every
day for the past month to complete computer documentation. Which of the following actions should
the nurse manager take first?
Speak with the nurse regarding the incident.
Evidence based practice indicate the nurse manager should first provide a verbal waring to the nurse
as the initial step of the progressive disciplinary process. This allows the nurse manager to meet with
the nurse privately to address the behavior and explain why this conduct is unacceptable. If the
remaining steps of the progressive disciple process become necessary, the nurse manager will give
written reprimand, then a suspension, and finally the nurse manger will terminate the nurse if the
behavior does not change.
A nurse is admitting a client who has heart failure and speaks a different language than the nurse. Which
of the following actions should the nurse take when communicating with the client using an interpreter?
Observe the clients nonverbal expressions.
Body language and nonverbal expressions can assist the nurse to determine the client understanding
of the information.
A nurse manager is considering changing the policy for administering medications to clients on a unit.
Which of the following actions should the nurse manager take first?
4|Page
EXAM 2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADEDA+|BRAND NEW!!|LATEST
UPDATE|GUARANTEED PASS
A nurse encounters a client sitting on the floor in the hallway. The client says they slipped on some
water on the floor and now their arm hurts. Which of the following actions should the nurse take first?
Check the client for injuries.
Asses the client, for injuries and make sure vital signs are stable. The nurse should also notify the
provider of the clients fall and the assessment findings.
A nurse in a long term care facility is caring for a group of clients. The nurse should prioritize which of
the following clients for an interdisciplinary care conference?
A client who is 1 week postoperative following a hip fracture.
Priority for an interdisciplinary care conference to address physical therapy, occupations therapy,
dietary consultation, and social services.
A charge nurse is following up on a task delegated to another nurse and discovers an error that could
harm the client. Which of the following actions should the charge nurse take?
Implement interventions to ensure the clients safety.
The charge nurse is accountable for supervision follow up, and interventions to safeguarded the
client, as well as any corrective actions. After discovering a situation with potential client harm, the
charge nurse first action should be those that promote clients safety and correct any harm done.
A nurse manager is preparing a nurses performance appraisal. Which of the following actions should the
nurse manager take?
Use a formalized system to discuss important issues.
1|Page
,Formalized system to determine the employees level of meeting the objectives for their job. The goal
of performance appraisal is to promote growth for the employee and provide recognition for areas of
strength along with feedback for areas of concern.
A nurse manager is performing a record audit as part of the units quality improvement program. The
nurse should identify that which of the following examples demonstrates the correct use of approved
abbreviations in a medical record?
Zolpidem 5mg PO at bedtime.
A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed
consent form. The clients states, "Signing this form makes me nervous." Which of the following
responses should the nurse make?
Would you like to speak with the provider again?
When witnessing informed consent, the nurse is responsible for notifying the provider if the client has
questions or appears not to understand any of the information about the surgery.
A nurse is using the SBAR communication tool for reporting a clients condition to the provider. Which of
the following information should the nurse include in the "S" portion of the tool?
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the situation
portion (S) of the SBAR communication tool.
A nurse manager is implementing a plan to motivate unit personnel to provide quality care to clients on
the unit. Which of the following leadership strategies should the nurse manager implement to improve
client care?
Democratic leadership
Democratic leadership is a style that involves two way communication and fosters teamwork, goal
accomplishment, and the individual worth of each staff member.
A nurse is caring for a client when they erroneously administer a medication dosage that is greater than
the amount prescribed. Which of the following ethical principles is the nurse demonstrating when they
notify the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's bedtime medication sitting at the
bedside in a medication cup. Which of the following actions should the nurse take?
Document the missed medication administration in the client's medical record.
2|Page
,It is the responsibility of the nurse to record the facts of the missed medication administration in the
clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to home with
hospice care. Which of the following statements by the client's adult child indicates an understanding of
the teaching?
The hospice team will provide services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and nonprofessional that offer a
full range of services, supporting both the client and family through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff members and a client's
family. In the meeting, staff and family members will identify common goals and express their concerns.
Which of the following conflict resolution strategies is the nurse manger implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than individual
goals to fins a mutually satisfying solution to the conflict. The goal becomes what is best overall,
rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which
of the following actions should the nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as complications of the clients
medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. Which of
the following examples should the charge nurse include in the teaching as a demonstration of client
advocacy? SATA
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.
The nurse should report improper completion of a procedure to the charge nurse and complete an
incident report describing the incident. Reporting to the charge nurse is an act of client advocacy,
which allows the charge nurse to further monitor the clients condition and prevent negative
outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse. An interpreter
will facilitate understanding of the teaching and allow the client to communicate their needs to the
nurse.
3|Page
, A nurse manger is working with a team to resolve an ethical dilemma. Which of the following steps
should the team take to make an informed decision?
Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the clients dosage of pain
medication by 50% without a prescription from the provider. The nurse checks on the client 1hr later
and sees the client sitting up in a chair. The client tells the nurse, "I am in too much pain to reach the
nurse call button." The nurse is liable for which of the following legal violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of consequences.
The nurse's actions were intentional and reckless, in opposition of the provider's prescription, and
placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the following client
statements indicates an understanding of the teaching?
My health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is able.
A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of overtime every
day for the past month to complete computer documentation. Which of the following actions should
the nurse manager take first?
Speak with the nurse regarding the incident.
Evidence based practice indicate the nurse manager should first provide a verbal waring to the nurse
as the initial step of the progressive disciplinary process. This allows the nurse manager to meet with
the nurse privately to address the behavior and explain why this conduct is unacceptable. If the
remaining steps of the progressive disciple process become necessary, the nurse manager will give
written reprimand, then a suspension, and finally the nurse manger will terminate the nurse if the
behavior does not change.
A nurse is admitting a client who has heart failure and speaks a different language than the nurse. Which
of the following actions should the nurse take when communicating with the client using an interpreter?
Observe the clients nonverbal expressions.
Body language and nonverbal expressions can assist the nurse to determine the client understanding
of the information.
A nurse manager is considering changing the policy for administering medications to clients on a unit.
Which of the following actions should the nurse manager take first?
4|Page
