Arts and Humanities English Linguistics
NGN ATI LEADERSHIP PROCTORED EXAM 2024
ACTUAL EXAM 2 VERSIONS EACH WITH
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS)
Leave the first rating
Terms in this set (536)
5 rights
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies
delegation/supervision and job descriptions, state NPA, professional
standards
-consider the individual's education, training, and
experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
, -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
delegating to AP -positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice
guidelines
repetitive, requires little supervision, and relatively
noninvasive
right task: AP to assist pt with bedpan and
right task
pneumonia
wrong task: delegate AP to administer a nebilizer to
a pt with pneumonia
-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 circumstance
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
, -assess and verify competency of the health care
team member
>>within scope of practice and necessary
competence and training
-continual performance reviews
right person
right: delegate a LPN to adminster enteral to a client
who has a head injury
wrong: delegate an AP to adminster enteral
feedings to a client who has a head injury
-data that needs to be collected
-method and time line for reporting (when to report
concerns/findings
right
right: delegate an AP to assist in room X with
direction/communication
(something very specific) before X amount of time
wrong: delegate an AP to assist with (something
nonspecific) in room x
-directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality
improvement activities
right
supervision/evaluation 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
, -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
delegating to LPN -perform uncomplicated wound care
-checking NG tube patency
-administering enteral feedings
-inserting urinary catheter
-administering medications
>>not IV meds
DO NOT DELEGATE:
-nursing process
-client education
-tasks that require clinical judgement to LPNs or APs
responding to
CONSIDER:
inappropriate delegation
-predictability of outcome
-potential for harm
-complexity of care
-need for problem solving and innovation
-level of interaction with the client
-bring the assignment to the attention of the
scheduling/charge nurse and negotiate a new
assignment
-if unresolved take it up chain of command
when a nurse receives an -file a written protest to the assignment
unsafe assignment >>assignment despite objection
>>document of practice situations
-failure to accept the assignment without following
the proper channels can be considered client
abandonment
NGN ATI LEADERSHIP PROCTORED EXAM 2024
ACTUAL EXAM 2 VERSIONS EACH WITH
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS)
Leave the first rating
Terms in this set (536)
5 rights
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies
delegation/supervision and job descriptions, state NPA, professional
standards
-consider the individual's education, training, and
experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
, -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
delegating to AP -positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice
guidelines
repetitive, requires little supervision, and relatively
noninvasive
right task: AP to assist pt with bedpan and
right task
pneumonia
wrong task: delegate AP to administer a nebilizer to
a pt with pneumonia
-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 circumstance
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
, -assess and verify competency of the health care
team member
>>within scope of practice and necessary
competence and training
-continual performance reviews
right person
right: delegate a LPN to adminster enteral to a client
who has a head injury
wrong: delegate an AP to adminster enteral
feedings to a client who has a head injury
-data that needs to be collected
-method and time line for reporting (when to report
concerns/findings
right
right: delegate an AP to assist in room X with
direction/communication
(something very specific) before X amount of time
wrong: delegate an AP to assist with (something
nonspecific) in room x
-directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality
improvement activities
right
supervision/evaluation 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
, -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
delegating to LPN -perform uncomplicated wound care
-checking NG tube patency
-administering enteral feedings
-inserting urinary catheter
-administering medications
>>not IV meds
DO NOT DELEGATE:
-nursing process
-client education
-tasks that require clinical judgement to LPNs or APs
responding to
CONSIDER:
inappropriate delegation
-predictability of outcome
-potential for harm
-complexity of care
-need for problem solving and innovation
-level of interaction with the client
-bring the assignment to the attention of the
scheduling/charge nurse and negotiate a new
assignment
-if unresolved take it up chain of command
when a nurse receives an -file a written protest to the assignment
unsafe assignment >>assignment despite objection
>>document of practice situations
-failure to accept the assignment without following
the proper channels can be considered client
abandonment
