NGN ATI LEADERSHIP PROCTORED
EXAM 2024 ACTUAL EXAM 2 WITH
CORRECT ANSWERS
delegation/supervision - Correct 7q 7q 7 q Answer ✔✔- *5 rights*7q 7q 7q 7q
1. task
2. circumstance
3. person
4. direction and communication 7q 7q
5. supervision and evaluation 7q 7q
-based on individual client needs, facility policies and job descriptions, state NPA,
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
professional standards
7q 7q
-consider the individual's education, training, and experience
7q 7q 7q 7q 7q 7q
-RNs can delegate to:
7q 7q 7q
>>other RNs 7q
>>LPNs
>>APs
delegating to AP - Correct Answer ✔✔- -ADLs
7q 7q 7q 7q 7 q 7q 7q 7q
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
7q 7q 7q
-positioning
-bed making
7q
-VS for stable clients
7q 7q 7q
-specimen collection 7q
,-I&O
>>follow facility policies and stage practice guidelines
7q 7q 7q 7q 7q 7q
right task - Correct Answer ✔✔- repetitive, requires little supervision, and relatively
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q
noninvasive
7q
right task: AP to assist pt with bedpan and pneumonia
7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right circumstance - Correct Answer ✔✔- -assess health status and complexity of
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q
care required by the client
7q 7q 7q 7q 7q
-match the complexity of care demands to the skill level of the health care team
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
-consider workload 7q
right circustance: delegate to AP to measure VS on stable pt
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
reverse respiratory depression
7q 7q 7q
right person - Correct Answer ✔✔- -assess and verify competency of the health
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q
care team member
7q 7q 7q
>>within scope of practice and necessary competence and training
7q 7q 7q 7q 7q 7q 7q 7q
-continual performance reviews 7q 7q
right: delegate a LPN to adminster enteral to a client who has a head injury
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong: delegate an AP to adminster enteral feedings to a client who has a head injury
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right direction/communication - Correct Answer ✔✔- -data that needs to be
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q
collected
7q
-method and time line for reporting (when to report concerns/findings
7q 7q 7q 7q 7q 7q 7q 7q 7q
right: delegate an AP to assist in room X with (something very specific) before X amount
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
of time
7q 7q
wrong: delegate an AP to assist with (something nonspecific) in room x
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right supervision/evaluation - Correct Answer ✔✔- -directly or indirectly
7q 7q 7q 7 q 7q 7q 7q 7q 7q
-clear directions and expectations
7q 7q 7q
-monitor performance 7q
-provide feedback 7q
-intervene if necessary 7q 7q
-evaluate and identify needs for quality improvement activities
7q 7q 7q 7q 7q 7q 7q
right: delegate the ambulation of the client and provide positive feedback to the AP after
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
completion of task
7q 7q 7q
,wrong: delegate the ambulation of a client to an AP without supervision to determine the
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
need for intervntion and failing to provide feedback to the AP
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
delegating to LPN - Correct Answer ✔✔- -monitoring client findings as input for the
7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q
RNs ongoing assessment of the client
7q 7q 7q 7q 7q 7q
-reinforcing client teaching from a standardized care plan 7q 7q 7q 7q 7q 7q 7q
-performing tracheostomy care and suction 7q 7q 7q 7q
-perform uncomplicated wound care 7q 7q 7q
-checking NG tube patency 7q 7q 7q
-administering enteral feedings 7q 7q
-inserting urinary catheter 7q 7q
-administering medications 7q
>>not IV meds 7q 7q
responding to inappropriate delegation - Correct Answer ✔✔- *DO NOT 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q
DELEGATE*:
7q
-nursing process 7q
-client education 7q
-tasks that require clinical judgement to LPNs or APs
7q 7q 7q 7q 7q 7q 7q 7q
*CONSIDER*:
-predictability of outcome 7q 7q
-potential for harm 7q 7q
-complexity of care 7q 7q
-need for problem solving and innovation
7q 7q 7q 7q 7q
-level of interaction with the client
7q 7q 7q 7q 7q
when a nurse receives an unsafe assignment - Correct Answer ✔✔- -bring the
7q 7q 7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q
assignment to the attention of the scheduling/charge nurse and negotiate a new
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
assignment
7q
-if unresolved take it up chain of command
7q 7q 7q 7q 7q 7q 7q
-file a written protest to the assignment
7q 7q 7q 7q 7q 7q
>>assignment despite objection 7q 7q
>>document of practice situations 7q 7q 7q
-failure to accept the assignment without following the proper channels can be
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
considered client abandonment
7q 7q 7q
inappropriate use of restraints - Correct Answer ✔✔- *assualt*: threatening to place 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q
a NG tube in a pt who is refusing to eat
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
*battery*: restraining a pt and administering an injection against his wishes
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
*false imprisonment*: using restraints on a competent client to prevent his leaving the
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
health care facility
7q 7q 7q
reporting information to the provider (ch. 2) - Correct Answer ✔✔- should be fostered
7q 7q 7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q
to create a climate of mutual respect and collaborative practice
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
, *-assessment data integral to changes in client status 7q 7q 7q 7q 7q 7q 7q
-recommendations for changes in the plan of care 7q 7q 7q 7q 7q 7q 7q
-clarification of prescriptions* 7q 7q
*Qualities*:
-good communication
7q
-assertiveness
-conflict negotiation skills
7q 7q
-leadership skills 7q
-professional presence 7q
-decision-making and critical thinking 7q 7q 7q
Decision-making styles: 7q
*decisive* - Correct Answer ✔✔- the team uses a minimum amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates one option
7q 7q 7q
Decision-making styles: 7q
*flexible* - Correct Answer ✔✔- the team uses a limited amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates several options
7q 7q 7q
Decision-making styles: 7q
*Hierarchical* - Correct Answer ✔✔- the team uses a large amount of data and 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates one option
7q 7q 7q
Decision-making styles: 7q
*integrative* - Correct Answer ✔✔- the team uses a large amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates several options
7q 7q 7q
breach of confidentiality (ch. 3) - Correct Answer ✔✔- -nurses who disclose client
7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q
information to an unauthorized person can be liable for invasion of privacy,
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
defamation, or slander
7q 7q 7q
-*HIPAA rights of pts* 7q 7q 7q
>>client is able to obtain a copy of their medical record and to submit requests to amend
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
erroneous or incomplete information
7q 7q 7q 7q
>>a requirement for health care and insurance providers to provide written
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
information about how medical information is used and how it is shared with other
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
entities
7q
-->permission must be obtained before information is shared 7q 7q 7q 7q 7q 7q 7q
>>the pt has the right to privacy and confidentiality
7q 7q 7q 7q 7q 7q 7q 7q
*components of privacy rule* - Correct Answer ✔✔- -only healthcare team 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q
members directly responsible for the client's care are allowed access to the patients
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
records.
7q
>>nurses may not share information with other clients or staff not involved in the patient
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
care
7q
-clients have a right to read and obtain a copy fo their medical record, and agency
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
policy should be followed when the client requests to read or have a copy of the record
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
EXAM 2024 ACTUAL EXAM 2 WITH
CORRECT ANSWERS
delegation/supervision - Correct 7q 7q 7 q Answer ✔✔- *5 rights*7q 7q 7q 7q
1. task
2. circumstance
3. person
4. direction and communication 7q 7q
5. supervision and evaluation 7q 7q
-based on individual client needs, facility policies and job descriptions, state NPA,
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
professional standards
7q 7q
-consider the individual's education, training, and experience
7q 7q 7q 7q 7q 7q
-RNs can delegate to:
7q 7q 7q
>>other RNs 7q
>>LPNs
>>APs
delegating to AP - Correct Answer ✔✔- -ADLs
7q 7q 7q 7q 7 q 7q 7q 7q
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
7q 7q 7q
-positioning
-bed making
7q
-VS for stable clients
7q 7q 7q
-specimen collection 7q
,-I&O
>>follow facility policies and stage practice guidelines
7q 7q 7q 7q 7q 7q
right task - Correct Answer ✔✔- repetitive, requires little supervision, and relatively
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q
noninvasive
7q
right task: AP to assist pt with bedpan and pneumonia
7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right circumstance - Correct Answer ✔✔- -assess health status and complexity of
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q
care required by the client
7q 7q 7q 7q 7q
-match the complexity of care demands to the skill level of the health care team
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
-consider workload 7q
right circustance: delegate to AP to measure VS on stable pt
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
reverse respiratory depression
7q 7q 7q
right person - Correct Answer ✔✔- -assess and verify competency of the health
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q
care team member
7q 7q 7q
>>within scope of practice and necessary competence and training
7q 7q 7q 7q 7q 7q 7q 7q
-continual performance reviews 7q 7q
right: delegate a LPN to adminster enteral to a client who has a head injury
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
wrong: delegate an AP to adminster enteral feedings to a client who has a head injury
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right direction/communication - Correct Answer ✔✔- -data that needs to be
7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q
collected
7q
-method and time line for reporting (when to report concerns/findings
7q 7q 7q 7q 7q 7q 7q 7q 7q
right: delegate an AP to assist in room X with (something very specific) before X amount
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
of time
7q 7q
wrong: delegate an AP to assist with (something nonspecific) in room x
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
right supervision/evaluation - Correct Answer ✔✔- -directly or indirectly
7q 7q 7q 7 q 7q 7q 7q 7q 7q
-clear directions and expectations
7q 7q 7q
-monitor performance 7q
-provide feedback 7q
-intervene if necessary 7q 7q
-evaluate and identify needs for quality improvement activities
7q 7q 7q 7q 7q 7q 7q
right: delegate the ambulation of the client and provide positive feedback to the AP after
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
completion of task
7q 7q 7q
,wrong: delegate the ambulation of a client to an AP without supervision to determine the
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
need for intervntion and failing to provide feedback to the AP
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
delegating to LPN - Correct Answer ✔✔- -monitoring client findings as input for the
7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q
RNs ongoing assessment of the client
7q 7q 7q 7q 7q 7q
-reinforcing client teaching from a standardized care plan 7q 7q 7q 7q 7q 7q 7q
-performing tracheostomy care and suction 7q 7q 7q 7q
-perform uncomplicated wound care 7q 7q 7q
-checking NG tube patency 7q 7q 7q
-administering enteral feedings 7q 7q
-inserting urinary catheter 7q 7q
-administering medications 7q
>>not IV meds 7q 7q
responding to inappropriate delegation - Correct Answer ✔✔- *DO NOT 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q
DELEGATE*:
7q
-nursing process 7q
-client education 7q
-tasks that require clinical judgement to LPNs or APs
7q 7q 7q 7q 7q 7q 7q 7q
*CONSIDER*:
-predictability of outcome 7q 7q
-potential for harm 7q 7q
-complexity of care 7q 7q
-need for problem solving and innovation
7q 7q 7q 7q 7q
-level of interaction with the client
7q 7q 7q 7q 7q
when a nurse receives an unsafe assignment - Correct Answer ✔✔- -bring the
7q 7q 7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q
assignment to the attention of the scheduling/charge nurse and negotiate a new
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
assignment
7q
-if unresolved take it up chain of command
7q 7q 7q 7q 7q 7q 7q
-file a written protest to the assignment
7q 7q 7q 7q 7q 7q
>>assignment despite objection 7q 7q
>>document of practice situations 7q 7q 7q
-failure to accept the assignment without following the proper channels can be
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
considered client abandonment
7q 7q 7q
inappropriate use of restraints - Correct Answer ✔✔- *assualt*: threatening to place 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q
a NG tube in a pt who is refusing to eat
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
*battery*: restraining a pt and administering an injection against his wishes
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
*false imprisonment*: using restraints on a competent client to prevent his leaving the
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
health care facility
7q 7q 7q
reporting information to the provider (ch. 2) - Correct Answer ✔✔- should be fostered
7q 7q 7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q
to create a climate of mutual respect and collaborative practice
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
, *-assessment data integral to changes in client status 7q 7q 7q 7q 7q 7q 7q
-recommendations for changes in the plan of care 7q 7q 7q 7q 7q 7q 7q
-clarification of prescriptions* 7q 7q
*Qualities*:
-good communication
7q
-assertiveness
-conflict negotiation skills
7q 7q
-leadership skills 7q
-professional presence 7q
-decision-making and critical thinking 7q 7q 7q
Decision-making styles: 7q
*decisive* - Correct Answer ✔✔- the team uses a minimum amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates one option
7q 7q 7q
Decision-making styles: 7q
*flexible* - Correct Answer ✔✔- the team uses a limited amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates several options
7q 7q 7q
Decision-making styles: 7q
*Hierarchical* - Correct Answer ✔✔- the team uses a large amount of data and 7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates one option
7q 7q 7q
Decision-making styles: 7q
*integrative* - Correct Answer ✔✔- the team uses a large amount of data and
7q 7q 7 q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
generates several options
7q 7q 7q
breach of confidentiality (ch. 3) - Correct Answer ✔✔- -nurses who disclose client
7q 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q 7q
information to an unauthorized person can be liable for invasion of privacy,
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
defamation, or slander
7q 7q 7q
-*HIPAA rights of pts* 7q 7q 7q
>>client is able to obtain a copy of their medical record and to submit requests to amend
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
erroneous or incomplete information
7q 7q 7q 7q
>>a requirement for health care and insurance providers to provide written
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
information about how medical information is used and how it is shared with other
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
entities
7q
-->permission must be obtained before information is shared 7q 7q 7q 7q 7q 7q 7q
>>the pt has the right to privacy and confidentiality
7q 7q 7q 7q 7q 7q 7q 7q
*components of privacy rule* - Correct Answer ✔✔- -only healthcare team 7q 7q 7q 7q 7q 7 q 7q 7q 7q 7q 7q
members directly responsible for the client's care are allowed access to the patients
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
records.
7q
>>nurses may not share information with other clients or staff not involved in the patient
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
care
7q
-clients have a right to read and obtain a copy fo their medical record, and agency
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
policy should be followed when the client requests to read or have a copy of the record
7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q 7q
