Leadership Pre-Assessment VATI 2024
Exam Questions and Answers
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. - Correct answer 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 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? - Correct answer Perform blood
glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast
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? - Correct answer 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? - Correct answer "Tell me what you understand
about your illness."
A nurse is reviewing a provider's prescriptions for four clients. Which of the following prescriptions is
outside the legal scope of practice for the nurse? - Correct answer Insert a tunneled venous catheter for
a client
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities
is important to the nurse to understand when delegating tasks to the LPN? - Correct answer The state
Nurse Practice Act
, A nurse is preparing to administer a prescribed medication to a client. Which of the following actions
should the nurse plan to take to demonstrate client advocacy? - Correct answer Encourage the client to
verbalize questions.
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? - Correct
answer "Personal liability coverage is not mandatory, but you should consider purchasing your own
coverage."
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after
lunch. Which of the following actions should the nurse take? - Correct answer Notify the nursing
supervisor of the concerns.
A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of
the following actions by the nurse indicates the nurse manager should intervene? - Correct answer The
nurse opens the top flap of a sterile tray toward the body when assisting the provider with a
thoracentesis.
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the
nurse, "Are there other options besides surgery?" Which of the following responses should the nurse
make? - Correct answer "Have you discussed other treatments with your provider?"
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? - Correct answer Take an arterial blood gas (ABG) specimen to the
laboratory
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift
report. Which of the following clients should the nurse assess first? - Correct answer A client admitted 1
hr ago for an ectopic pregnancy
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the
nurse should take to conduct the assessment. - Correct answer 1. Ask the client about having a history
of abdominal pain.
2. Inspect the abdomen for skin integrity.
3. Auscultate the abdomen for bowel sounds.
Exam Questions and Answers
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. - Correct answer 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 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? - Correct answer Perform blood
glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast
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? - Correct answer 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? - Correct answer "Tell me what you understand
about your illness."
A nurse is reviewing a provider's prescriptions for four clients. Which of the following prescriptions is
outside the legal scope of practice for the nurse? - Correct answer Insert a tunneled venous catheter for
a client
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities
is important to the nurse to understand when delegating tasks to the LPN? - Correct answer The state
Nurse Practice Act
, A nurse is preparing to administer a prescribed medication to a client. Which of the following actions
should the nurse plan to take to demonstrate client advocacy? - Correct answer Encourage the client to
verbalize questions.
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? - Correct
answer "Personal liability coverage is not mandatory, but you should consider purchasing your own
coverage."
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after
lunch. Which of the following actions should the nurse take? - Correct answer Notify the nursing
supervisor of the concerns.
A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of
the following actions by the nurse indicates the nurse manager should intervene? - Correct answer The
nurse opens the top flap of a sterile tray toward the body when assisting the provider with a
thoracentesis.
A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the
nurse, "Are there other options besides surgery?" Which of the following responses should the nurse
make? - Correct answer "Have you discussed other treatments with your provider?"
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? - Correct answer Take an arterial blood gas (ABG) specimen to the
laboratory
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift
report. Which of the following clients should the nurse assess first? - Correct answer A client admitted 1
hr ago for an ectopic pregnancy
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the
nurse should take to conduct the assessment. - Correct answer 1. Ask the client about having a history
of abdominal pain.
2. Inspect the abdomen for skin integrity.
3. Auscultate the abdomen for bowel sounds.
