VATI LEADERSHIP PRE-ASSESSMENT WITH VERIFIED t t t t t
ANSWERS.
A charge nurse is providing an in-service for staff nurses on the use of new IV pumps.
t t t t t t t t t t t t t t t t t
Which of the following actions should the charge nurse take to best evaluate staff
t t t t t t t t t t t t t t
competency with the new equipment. -- Answer ✔✔ Allow time during the workday t t t t t t t t t t t t t
when each nurse can demonstrate proficiency
t t t t t
Rationale: According to evidence-based practice, the best action to evaluate competency
t t t t t t t t t t t
with a psychomotor skill is by return demonstration. Ensuring that each nurse knows how
t t t t t t t t t t t t t t
to use the equipment through return demonstration is the best way to measure correct
t t t t t t t t t t t t t t
use of the new equipment. Prior to full implementation of any new equipment, the
t t t t t t t t t t t t t t
supervisory team should allow time for training and proficiency checks to ensure that
t t t t t t t t t t t t t
client care is not compromised.
t t t t
A nurse has received change-of-shift report and is delegating tasks to the assistive
t t t t t t t t t t t t t
personnel (AP). The nurse should tell the AP to complete which of the following tasks
t t t t t t t t t t t t t t t
first? -- Answer ✔✔ Perform blood glucose monitoring of a client who has a prescription
t t t t t t t t t t t t t t t
for short-acting insulin prior to breakfast
t t t t t
A charge nurse plans to use effective change strategies when implementing a change in a
t t t t t t t t t t t t t t t
nursing procedure on the medical-surgical unit. Which of the following actions should the
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charge nurse take during the moving stage of change? -- Answer ✔✔ Set a target date.
t t t t t t t t t t t t t t t
A client who is terminally ill tells a nurse on the medical-surgical unit that she feels
t t t t t t t t t t t t t t t t
hopeless. Which of the following statements by the nurse is appropriate? -- Answer ✔✔
t t t t t t t t t t t t t t
"Tell me what you understand about your illness."
t t t t t t t
A nurse is reviewing a provider's prescriptions for four clients. Which of the following
t t t t t t t t t t t t t t
prescriptions is outside the legal scope of practice for the nurse? -- Answer ✔✔ Insert a t t t t t t t t t t t t t t t t
tunneled venous catheter for a client t t t t t
, A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
t t t t t t t t t t t t t t t t
following entities is important to the nurse to understand when delegating tasks to the
t t t t t t t t t t t t t t
LPN? -- Answer ✔✔ The state Nurse Practice Act
t t t t t t t t
A nurse is preparing to administer a prescribed medication to a client. Which of the
t t t t t t t t t t t t t t t
following actions should the nurse plan to take to demonstrate client advocacy? -- Answer
t t t t t t t t t t t t t t
✔✔ Encourage the client to verbalize questions.
t t t t t t
A newly licensed nurse is seeking advice from her preceptor about the need to purchase
t t t t t t t t t t t t t t t
personal professional liability insurance. Which of the following statements should the
t t t t t t t t t t t
preceptor make? -- Answer ✔✔ "Personal liability coverage is not mandatory, but you
t t t t t t t t t t t t t
should consider purchasing your own coverage."
t t t t t
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like
t t t t t t t t t t t t t t t t
alcohol after lunch. Which of the following actions should the nurse take? -- Answer ✔✔
t t t t t t t t t t t t t t t
Notify the nursing supervisor of the concerns.
t t t t t t
A nurse manager is observing the care provided by a nurse who is in orientation to the
t t t t t t t t t t t t t t t t t
unit. Which of the following actions by the nurse indicates the nurse manager should
t t t t t t t t t t t t t t
intervene? -- Answer ✔✔ The nurse opens the top flap of a sterile tray toward the body
t t t t t t t t t t t t t t t t t
when assisting the provider with a thoracentesis.
t t t t t t
A nurse is preparing to witness informed consent for a client who is preoperative. The
t t t t t t t t t t t t t t t
client asks the nurse, "Are there other options besides surgery?" Which of the following
t t t t t t t t t t t t t t
responses should the nurse make? -- Answer ✔✔ "Have you discussed other treatments
t t t t t t t t t t t t t
with your provider?"
t t
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following
t t t t t t t t t t t t t t t
tasks should the nurse ask the AP to perform first? -- Answer ✔✔ Take an arterial blood
t t t t t t t t t t t t t t t t t t
gas (ABG) specimen to the laboratory
t t t t t
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving
t t t t t t t t t t t t t t
change of shift report. Which of the following clients should the nurse assess first? --
t t t t t t t t t t t t t t t
Answer ✔✔ A client admitted 1 hr ago for an ectopic pregnancy
t t t t t t t t t t t
ANSWERS.
A charge nurse is providing an in-service for staff nurses on the use of new IV pumps.
t t t t t t t t t t t t t t t t t
Which of the following actions should the charge nurse take to best evaluate staff
t t t t t t t t t t t t t t
competency with the new equipment. -- Answer ✔✔ Allow time during the workday t t t t t t t t t t t t t
when each nurse can demonstrate proficiency
t t t t t
Rationale: According to evidence-based practice, the best action to evaluate competency
t t t t t t t t t t t
with a psychomotor skill is by return demonstration. Ensuring that each nurse knows how
t t t t t t t t t t t t t t
to use the equipment through return demonstration is the best way to measure correct
t t t t t t t t t t t t t t
use of the new equipment. Prior to full implementation of any new equipment, the
t t t t t t t t t t t t t t
supervisory team should allow time for training and proficiency checks to ensure that
t t t t t t t t t t t t t
client care is not compromised.
t t t t
A nurse has received change-of-shift report and is delegating tasks to the assistive
t t t t t t t t t t t t t
personnel (AP). The nurse should tell the AP to complete which of the following tasks
t t t t t t t t t t t t t t t
first? -- Answer ✔✔ Perform blood glucose monitoring of a client who has a prescription
t t t t t t t t t t t t t t t
for short-acting insulin prior to breakfast
t t t t t
A charge nurse plans to use effective change strategies when implementing a change in a
t t t t t t t t t t t t t t t
nursing procedure on the medical-surgical unit. Which of the following actions should the
t t t t t t t t t t t t t
charge nurse take during the moving stage of change? -- Answer ✔✔ Set a target date.
t t t t t t t t t t t t t t t
A client who is terminally ill tells a nurse on the medical-surgical unit that she feels
t t t t t t t t t t t t t t t t
hopeless. Which of the following statements by the nurse is appropriate? -- Answer ✔✔
t t t t t t t t t t t t t t
"Tell me what you understand about your illness."
t t t t t t t
A nurse is reviewing a provider's prescriptions for four clients. Which of the following
t t t t t t t t t t t t t t
prescriptions is outside the legal scope of practice for the nurse? -- Answer ✔✔ Insert a t t t t t t t t t t t t t t t t
tunneled venous catheter for a client t t t t t
, A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
t t t t t t t t t t t t t t t t
following entities is important to the nurse to understand when delegating tasks to the
t t t t t t t t t t t t t t
LPN? -- Answer ✔✔ The state Nurse Practice Act
t t t t t t t t
A nurse is preparing to administer a prescribed medication to a client. Which of the
t t t t t t t t t t t t t t t
following actions should the nurse plan to take to demonstrate client advocacy? -- Answer
t t t t t t t t t t t t t t
✔✔ Encourage the client to verbalize questions.
t t t t t t
A newly licensed nurse is seeking advice from her preceptor about the need to purchase
t t t t t t t t t t t t t t t
personal professional liability insurance. Which of the following statements should the
t t t t t t t t t t t
preceptor make? -- Answer ✔✔ "Personal liability coverage is not mandatory, but you
t t t t t t t t t t t t t
should consider purchasing your own coverage."
t t t t t
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like
t t t t t t t t t t t t t t t t
alcohol after lunch. Which of the following actions should the nurse take? -- Answer ✔✔
t t t t t t t t t t t t t t t
Notify the nursing supervisor of the concerns.
t t t t t t
A nurse manager is observing the care provided by a nurse who is in orientation to the
t t t t t t t t t t t t t t t t t
unit. Which of the following actions by the nurse indicates the nurse manager should
t t t t t t t t t t t t t t
intervene? -- Answer ✔✔ The nurse opens the top flap of a sterile tray toward the body
t t t t t t t t t t t t t t t t t
when assisting the provider with a thoracentesis.
t t t t t t
A nurse is preparing to witness informed consent for a client who is preoperative. The
t t t t t t t t t t t t t t t
client asks the nurse, "Are there other options besides surgery?" Which of the following
t t t t t t t t t t t t t t
responses should the nurse make? -- Answer ✔✔ "Have you discussed other treatments
t t t t t t t t t t t t t
with your provider?"
t t
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following
t t t t t t t t t t t t t t t
tasks should the nurse ask the AP to perform first? -- Answer ✔✔ Take an arterial blood
t t t t t t t t t t t t t t t t t t
gas (ABG) specimen to the laboratory
t t t t t
A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving
t t t t t t t t t t t t t t
change of shift report. Which of the following clients should the nurse assess first? --
t t t t t t t t t t t t t t t
Answer ✔✔ A client admitted 1 hr ago for an ectopic pregnancy
t t t t t t t t t t t
