VATI RN Leadership pre-assessment & assessment , Leadership and Management of Care
Quiz VATI, VATI RN Leadership and Management 2019 [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following actions
should the nurse take? - ✔✔✔✔✔ Document the missed medication administration in
the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication
administration in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to
home with hospice care. Which of the following statements by the client's adult child
indicates an understanding of the teaching? - ✔✔✔✔✔ The hospice team will provide
services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and
nonprofessional that offer a full range of services, supporting both the client and family
through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff members
and a client's family. In the meeting, staff and family members will identify common
goals and express their concerns. Which of the following conflict resolution strategies is
the nurse manger implementing? - ✔✔✔✔✔ Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to fins a mutually satisfying solution to the conflict. The goal becomes
what is best overall, rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? SATA - ✔✔✔✔✔
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
,The nurse should discuss the potential dangers of leaving AMA, such as complications
of the clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed
nurses. Which of the following examples should the charge nurse include in the
teaching as a demonstration of client advocacy? SATA - ✔✔✔✔✔ A nurse reports a
procedure was completed incorrectly by another nurse to the charge nurse.
A nurse arranges for an interpreter for a client who speaks a different language.
The nurse should report improper completion of a procedure to the charge nurse and
complete an incident report describing the incident. Reporting to the charge nurse is an
act of client advocacy, which allows the charge nurse to further monitor the clients
condition and prevent negative outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse.
An interpreter will facilitate understanding of the teaching and allow the client to
communicate their needs to the nurse.
A nurse manger is working with a team to resolve an ethical dilemma. Which of the
following steps should the team take to make an informed decision? - ✔✔✔✔✔ Identify
and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the clients
dosage of pain medication by 50% without a prescription from the provider. The nurse
checks on the client 1hr later and sees the client sitting up in a chair. The client tells the
nurse, "I am in too much pain to reach the nurse call button." The nurse is liable for
which of the following legal violations? - ✔✔✔✔✔ Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of
consequences. The nurse's actions were intentional and reckless, in opposition of the
provider's prescription, and placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the
following client statements indicates an understanding of the teaching? - ✔✔✔✔✔ My
health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is
able.
A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of
overtime every day for the past month to complete computer documentation. Which of
the following actions should the nurse manager take first? - ✔✔✔✔✔ Speak with the
nurse regarding the incident.
,Evidence based practice indicate the nurse manager should first provide a verbal
waring to the nurse as the initial step of the progressive disciplinary process. This allows
the nurse manager to meet with the nurse privately to address the behavior and explain
why this conduct is unacceptable. If the remaining steps of the progressive disciple
process become necessary, the nurse manager will give written reprimand, then a
suspension, and finally the nurse manger will terminate the nurse if the behavior does
not change.
A nurse is admitting a client who has heart failure and speaks a different language than
the nurse. Which of the following actions should the nurse take when communicating
with the client using an interpreter? - ✔✔✔✔✔ Observe the clients nonverbal
expressions.
Body language and nonverbal expressions can assist the nurse to determine the client
understanding of the information.
A nurse manager is considering changing the policy for administering medications to
clients on a unit. Which of the following actions should the nurse manager take first? -
✔✔✔✔✔ Determine the unit staff's perception of the need for change.
The first action using the nursing process is assessment. By determining the unit staff's
perception of the need for change, the nurse manager will be able to implement
effective change.
A nurse is developing a plan of care for a client who has chronic kidney disease. The
client gives the nurse copies of his advance directives which state that he does not want
to begin dialysis. Which of the following actions should the nurse include in the plan? -
✔✔✔✔✔ Document within the medical record that the client has advance directives in
place.
The patient self determination act requires acute care facilities to have documentation in
the medical record that a client has advance directives. The nurse should document the
clients wishes for other health care workers who are caring for the client so that they
understand the clients plan of care.
A nurse from an acute pediatric unit who has not cared for adult clients in more than 5
years is assigned to float to a medical surgical unit. Which of the following actions
should the nurse take? - ✔✔✔✔✔ Negotiate specific tasks to perform with the nursing
supervisor.
Specific tasks to perform in order to ensure the nurse is providing safe care at the
nurse's level of training and competence.
A nurse is caring for a client who was involved in a motor vehicle crash with his partner.
The client asks the nurse about his partner's condition. WHich of the following actions
, should the nurse take? - ✔✔✔✔✔ Let the client know that he will be updated as soon
as possible.
The nurse should obtain permission from the client's partner to release health condition
information to the client.
A nurse manager is meeting with a staff nurse who is consistently late for work. Which
of the following statements by the nurse manager demonstrates an assertive
communication style? - ✔✔✔✔✔ When you come to work late, I am concerned that
client care will be jeopardized.
Assertive communication focuses on the impact the staff nurses behavior has on the
function of the unit.
A nurse manager on a maternal newborn unit is completing a chart audit on discharged
clients to evaluate the success of breastfeeding education by a lactation consultant.
Which of the following types of audits is the nurse manager utilizing? - ✔✔✔✔✔
Outcome audit.
Measure whether the services that nurses provide make any difference in a clients
resulting health status.
A nurse is receiving change of shift report for a group of clients. Which of the following
clients should the nurse assess first? - ✔✔✔✔✔ A client who is postoperative and has
respiratory rate of 10/min.
A respiratory rate of 10/min is below the expected reference range of 12-20/min and can
indicate that the client is experiencing an adverse effect from anesthesia or pain
medication.
A nurse is teaching a newly licensed nurse about do not resuscitate (DNR) orders.
Which of the following information should the nurse include in the teaching? - ✔✔✔✔✔
The provider should periodically evaluate the DNR order.
An revise it if the clients condition changes.
A nurse is performing mass casualty triage of clients following a tornado. Which of the
following clients should the nurse identify as a priority for transportation to the acute
care facility? - ✔✔✔✔✔ A middle adult client who has a severed lower extremity.
A client who has a traumatic amputation requires immediate intervention for survival.
A nurse is planning interdisciplinary care for a client experiencing an exacerbation of
myasthenia gravis. Which of the following information should the nurse plan to
Quiz VATI, VATI RN Leadership and Management 2019 [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
A nurse is performing morning rounds for a client and finds the client's bedtime
medication sitting at the bedside in a medication cup. Which of the following actions
should the nurse take? - ✔✔✔✔✔ Document the missed medication administration in
the client's medical record.
It is the responsibility of the nurse to record the facts of the missed medication
administration in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the clients discharge to
home with hospice care. Which of the following statements by the client's adult child
indicates an understanding of the teaching? - ✔✔✔✔✔ The hospice team will provide
services for the entire family, not just my father.
Hospice services are provided by a team of health care professionals and
nonprofessional that offer a full range of services, supporting both the client and family
through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff members
and a client's family. In the meeting, staff and family members will identify common
goals and express their concerns. Which of the following conflict resolution strategies is
the nurse manger implementing? - ✔✔✔✔✔ Collaboration
Collaboration involves both parties agreeing to work towards a common goal rather than
individual goals to fins a mutually satisfying solution to the conflict. The goal becomes
what is best overall, rather than what each individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving against medical
advice (AMA). Which of the following actions should the nurse take? SATA - ✔✔✔✔✔
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to leave AMA.
,The nurse should discuss the potential dangers of leaving AMA, such as complications
of the clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly licensed
nurses. Which of the following examples should the charge nurse include in the
teaching as a demonstration of client advocacy? SATA - ✔✔✔✔✔ A nurse reports a
procedure was completed incorrectly by another nurse to the charge nurse.
A nurse arranges for an interpreter for a client who speaks a different language.
The nurse should report improper completion of a procedure to the charge nurse and
complete an incident report describing the incident. Reporting to the charge nurse is an
act of client advocacy, which allows the charge nurse to further monitor the clients
condition and prevent negative outcomes.
Requesting an interpreter for a client who speaks a different language than the nurse.
An interpreter will facilitate understanding of the teaching and allow the client to
communicate their needs to the nurse.
A nurse manger is working with a team to resolve an ethical dilemma. Which of the
following steps should the team take to make an informed decision? - ✔✔✔✔✔ Identify
and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the clients
dosage of pain medication by 50% without a prescription from the provider. The nurse
checks on the client 1hr later and sees the client sitting up in a chair. The client tells the
nurse, "I am in too much pain to reach the nurse call button." The nurse is liable for
which of the following legal violations? - ✔✔✔✔✔ Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless disregard of
consequences. The nurse's actions were intentional and reckless, in opposition of the
provider's prescription, and placed the client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which of the
following client statements indicates an understanding of the teaching? - ✔✔✔✔✔ My
health care proxy will make my health care decisions when I am no longer able.
The client should discuss her health care wishes with the health care proxy while she is
able.
A nurse manger is providing disciplinary action for a staff nurse who is claiming 1hr of
overtime every day for the past month to complete computer documentation. Which of
the following actions should the nurse manager take first? - ✔✔✔✔✔ Speak with the
nurse regarding the incident.
,Evidence based practice indicate the nurse manager should first provide a verbal
waring to the nurse as the initial step of the progressive disciplinary process. This allows
the nurse manager to meet with the nurse privately to address the behavior and explain
why this conduct is unacceptable. If the remaining steps of the progressive disciple
process become necessary, the nurse manager will give written reprimand, then a
suspension, and finally the nurse manger will terminate the nurse if the behavior does
not change.
A nurse is admitting a client who has heart failure and speaks a different language than
the nurse. Which of the following actions should the nurse take when communicating
with the client using an interpreter? - ✔✔✔✔✔ Observe the clients nonverbal
expressions.
Body language and nonverbal expressions can assist the nurse to determine the client
understanding of the information.
A nurse manager is considering changing the policy for administering medications to
clients on a unit. Which of the following actions should the nurse manager take first? -
✔✔✔✔✔ Determine the unit staff's perception of the need for change.
The first action using the nursing process is assessment. By determining the unit staff's
perception of the need for change, the nurse manager will be able to implement
effective change.
A nurse is developing a plan of care for a client who has chronic kidney disease. The
client gives the nurse copies of his advance directives which state that he does not want
to begin dialysis. Which of the following actions should the nurse include in the plan? -
✔✔✔✔✔ Document within the medical record that the client has advance directives in
place.
The patient self determination act requires acute care facilities to have documentation in
the medical record that a client has advance directives. The nurse should document the
clients wishes for other health care workers who are caring for the client so that they
understand the clients plan of care.
A nurse from an acute pediatric unit who has not cared for adult clients in more than 5
years is assigned to float to a medical surgical unit. Which of the following actions
should the nurse take? - ✔✔✔✔✔ Negotiate specific tasks to perform with the nursing
supervisor.
Specific tasks to perform in order to ensure the nurse is providing safe care at the
nurse's level of training and competence.
A nurse is caring for a client who was involved in a motor vehicle crash with his partner.
The client asks the nurse about his partner's condition. WHich of the following actions
, should the nurse take? - ✔✔✔✔✔ Let the client know that he will be updated as soon
as possible.
The nurse should obtain permission from the client's partner to release health condition
information to the client.
A nurse manager is meeting with a staff nurse who is consistently late for work. Which
of the following statements by the nurse manager demonstrates an assertive
communication style? - ✔✔✔✔✔ When you come to work late, I am concerned that
client care will be jeopardized.
Assertive communication focuses on the impact the staff nurses behavior has on the
function of the unit.
A nurse manager on a maternal newborn unit is completing a chart audit on discharged
clients to evaluate the success of breastfeeding education by a lactation consultant.
Which of the following types of audits is the nurse manager utilizing? - ✔✔✔✔✔
Outcome audit.
Measure whether the services that nurses provide make any difference in a clients
resulting health status.
A nurse is receiving change of shift report for a group of clients. Which of the following
clients should the nurse assess first? - ✔✔✔✔✔ A client who is postoperative and has
respiratory rate of 10/min.
A respiratory rate of 10/min is below the expected reference range of 12-20/min and can
indicate that the client is experiencing an adverse effect from anesthesia or pain
medication.
A nurse is teaching a newly licensed nurse about do not resuscitate (DNR) orders.
Which of the following information should the nurse include in the teaching? - ✔✔✔✔✔
The provider should periodically evaluate the DNR order.
An revise it if the clients condition changes.
A nurse is performing mass casualty triage of clients following a tornado. Which of the
following clients should the nurse identify as a priority for transportation to the acute
care facility? - ✔✔✔✔✔ A middle adult client who has a severed lower extremity.
A client who has a traumatic amputation requires immediate intervention for survival.
A nurse is planning interdisciplinary care for a client experiencing an exacerbation of
myasthenia gravis. Which of the following information should the nurse plan to
