Leadership Pre-Assessment VATI
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider? -
ANS -The physiological status of the clients on the unit
\A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of
the following actions should the charge nurse take to best evaluate staff competency with the
new equipment. - ANS -Allow time during the workday when each nurse can demonstrate
proficiency
Rationale: According to evidence-based practice, the best action to evaluate competency with a
psychomotor skill is by return demonstration. Ensuring that each nurse knows how to use the
equipment through return demonstration is the best way to measure correct use of the new
equipment. Prior to full implementation of any new equipment, the supervisory team should
allow time for training and proficiency checks to ensure that client care is not compromised.
\A charge nurse plans to use effective change strategies when implementing a change in a
nursing procedure on the medical-surgical unit. Which of the following actions should the charge
nurse take during the moving stage of change? - ANS -Set a target date.
\A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless.
Which of the following statements by the nurse is appropriate? - ANS -"Tell me what you
understand about your illness."
\A home health nurse is planning care for a client who has Alzheimer's disease. The client's
partner is her primary caregiver and reports not having enough time to complete his errands.
Which of the following referrals should the nurse plan to make? - ANS -Respite Care
\A newly licensed nurse is seeking advice from her preceptor about the need to purchase
personal professional liability insurance. Which of the following statements should the preceptor
make? - ANS -"Personal liability coverage is not mandatory, but you should consider purchasing
your own coverage."
\A nurse has received change-of-shift report and is delegating tasks to the assistive personnel
(AP). The nurse should tell the AP to complete which of the following tasks first? - ANS -Perform
blood glucose monitoring of a client who has a prescription for short-acting insulin prior to
breakfast
\A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following
tasks should the nurse ask the AP to perform first? - ANS -Take an arterial blood gas (ABG)
specimen to the laboratory
\A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the
PACU. The nurse should recognize that the float nurse is most qualified to care for which of the
following clients? - ANS -A client who is postoperative following a lobectomy and has a chest
tube.
\A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client on
the unit. As the nurse accepts the flowers, the messenger says, "I know Mrs. Welch from the
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider? -
ANS -The physiological status of the clients on the unit
\A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of
the following actions should the charge nurse take to best evaluate staff competency with the
new equipment. - ANS -Allow time during the workday when each nurse can demonstrate
proficiency
Rationale: According to evidence-based practice, the best action to evaluate competency with a
psychomotor skill is by return demonstration. Ensuring that each nurse knows how to use the
equipment through return demonstration is the best way to measure correct use of the new
equipment. Prior to full implementation of any new equipment, the supervisory team should
allow time for training and proficiency checks to ensure that client care is not compromised.
\A charge nurse plans to use effective change strategies when implementing a change in a
nursing procedure on the medical-surgical unit. Which of the following actions should the charge
nurse take during the moving stage of change? - ANS -Set a target date.
\A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless.
Which of the following statements by the nurse is appropriate? - ANS -"Tell me what you
understand about your illness."
\A home health nurse is planning care for a client who has Alzheimer's disease. The client's
partner is her primary caregiver and reports not having enough time to complete his errands.
Which of the following referrals should the nurse plan to make? - ANS -Respite Care
\A newly licensed nurse is seeking advice from her preceptor about the need to purchase
personal professional liability insurance. Which of the following statements should the preceptor
make? - ANS -"Personal liability coverage is not mandatory, but you should consider purchasing
your own coverage."
\A nurse has received change-of-shift report and is delegating tasks to the assistive personnel
(AP). The nurse should tell the AP to complete which of the following tasks first? - ANS -Perform
blood glucose monitoring of a client who has a prescription for short-acting insulin prior to
breakfast
\A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following
tasks should the nurse ask the AP to perform first? - ANS -Take an arterial blood gas (ABG)
specimen to the laboratory
\A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the
PACU. The nurse should recognize that the float nurse is most qualified to care for which of the
following clients? - ANS -A client who is postoperative following a lobectomy and has a chest
tube.
\A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client on
the unit. As the nurse accepts the flowers, the messenger says, "I know Mrs. Welch from the
