VATI RN Comprehensive Predictor Questions
with Correct Answers
Private rooms
are required for clients who have an infectious disease that requires airborne precautions, or
clients who require a protective environment._______ _____ are preferred for clients who are
on droplet and contact precautions. These clients can cohort if no _______ ______ are
available and if all of the following are true. ●The clients have the same active infection with
the same micro-organisms. ●The clients remain at least 3 feet away from each other. ●The
clients have no other existing infection. ______ _______ is also preferred for the following
clients. ●Client who are agitated ●Client who have dementia and a history of wandering
●Clients who require a quiet environment (those at risk for increased intracranial pressure
[stroke, traumatic brain injury]) ●Clients who are at risk for sensory overload (those who are
having pain, are acutely ill, have invasive tubes [nasogastric, IVs, endotracheal], or have
reduced cognitive function [head injury]) ●Clients who require privacy (those who are near
death)
Prior to delegating client care, consider the following.
Predictability of outcome ●Will the completion of the task have a predictable outcome? ●Is it
a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance that
something negative can happen to the client (risk for bleeding, risk for aspiration)? ●Is the
client unstable? Complexity of care ●Are complex tasks required as a part of the client's
care? ●Is the delegatee legally able to perform the task and do they have the skills necessary?
Need for problem solving and innovation ●Is nursing judgment required while performing
the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is
there a need to provide psychosocial support or education during the performance of the task?
, Examples of tasks nurses can delegate to practical nurses and assistive personnel
TO PN Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client
teaching from a standard care planPerforming tracheostomy careSuctioningChecking NG
tube patencyAdministering enteral feedingsInserting a urinary catheterAdministering
medication (excluding IV medication in some states). TO AP Activities of daily living
(ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding (without swallowing
precautions). Positioning Routine tasks. Bed making. Specimen collection Intake and output
Vital signs (for stable clients).
Right direction/communication (five rights of delegations)
Data that needs to be collected ●Method and timeline for reporting, including when to report
concerns/findings ●Specific task(s) to be performed; client-specific instructions ●Expected
results, timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with a shower before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with morning hygiene.
Steps in providing educational programs
1. Identify and respond: Determine the need for knowledge or skill proficiency 2. Analyze:
Look for deficiencies, and develop learning objectives to meet the need 3. Research:
Resources available to address learning objectives based on evidence-based practice 4. Plan:
Program to address objectives using available resources 5. Implement: Program(s) at a time
conducive to staff availability; consider online learning modules 6. Evaluate: Use materials
and observations to measure behavior changes secondary to learning objectives
with Correct Answers
Private rooms
are required for clients who have an infectious disease that requires airborne precautions, or
clients who require a protective environment._______ _____ are preferred for clients who are
on droplet and contact precautions. These clients can cohort if no _______ ______ are
available and if all of the following are true. ●The clients have the same active infection with
the same micro-organisms. ●The clients remain at least 3 feet away from each other. ●The
clients have no other existing infection. ______ _______ is also preferred for the following
clients. ●Client who are agitated ●Client who have dementia and a history of wandering
●Clients who require a quiet environment (those at risk for increased intracranial pressure
[stroke, traumatic brain injury]) ●Clients who are at risk for sensory overload (those who are
having pain, are acutely ill, have invasive tubes [nasogastric, IVs, endotracheal], or have
reduced cognitive function [head injury]) ●Clients who require privacy (those who are near
death)
Prior to delegating client care, consider the following.
Predictability of outcome ●Will the completion of the task have a predictable outcome? ●Is it
a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance that
something negative can happen to the client (risk for bleeding, risk for aspiration)? ●Is the
client unstable? Complexity of care ●Are complex tasks required as a part of the client's
care? ●Is the delegatee legally able to perform the task and do they have the skills necessary?
Need for problem solving and innovation ●Is nursing judgment required while performing
the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is
there a need to provide psychosocial support or education during the performance of the task?
, Examples of tasks nurses can delegate to practical nurses and assistive personnel
TO PN Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client
teaching from a standard care planPerforming tracheostomy careSuctioningChecking NG
tube patencyAdministering enteral feedingsInserting a urinary catheterAdministering
medication (excluding IV medication in some states). TO AP Activities of daily living
(ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding (without swallowing
precautions). Positioning Routine tasks. Bed making. Specimen collection Intake and output
Vital signs (for stable clients).
Right direction/communication (five rights of delegations)
Data that needs to be collected ●Method and timeline for reporting, including when to report
concerns/findings ●Specific task(s) to be performed; client-specific instructions ●Expected
results, timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with a shower before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in
room 312 with morning hygiene.
Steps in providing educational programs
1. Identify and respond: Determine the need for knowledge or skill proficiency 2. Analyze:
Look for deficiencies, and develop learning objectives to meet the need 3. Research:
Resources available to address learning objectives based on evidence-based practice 4. Plan:
Program to address objectives using available resources 5. Implement: Program(s) at a time
conducive to staff availability; consider online learning modules 6. Evaluate: Use materials
and observations to measure behavior changes secondary to learning objectives
