VATI RN COMPREHENSIVE PREDICTOR
EXPANDED ORIGINAL Q&A; STUDY GUIDE
Adult Health • Pediatrics • Mental Health • Pharmacology • Leadership • Safety • Acute Care
Source orientation: The linked Stuvia listing is a 6-page summary/Q&A; resource, uploaded June 11, 2020, and its
public preview contains 32 numbered remediation topics. Visible examples include advance directives, delegation,
Tetralogy of Fallot, diuretics, seizure precautions, brachytherapy, pediatric home safety, breastfeeding, postpartum
uterine atony, newborn assessment, hepatitis B, immunization principles, pregnancy exposure precautions,
contraception, child abuse, OCD/anorexia, personality disorders, Alzheimer disease, mobility, hearing impairment,
urinary catheters, kidney stones, postmortem care, antipsychotic adverse effects, acetaminophen overdose,
thrombocytopenia, and central venous access. cite turn0view0
Important: This is an original study resource based on publicly visible topic signals. It does not reproduce the paid
document, and the questions below are not represented as actual or guaranteed predictor items. Exact clinical policies
and medication guidance should be checked against current course materials and institutional protocols.
How to study: Master priority frameworks first, then use the Q&A; for retrieval practice. For delegation, ask 'Can this
task be safely delegated?' For medication questions, ask 'What is the dangerous adverse effect?' For pediatrics, ask
'What is expected vs. an emergency?' For mental health, ask 'What is the immediate safety issue?'
VATI RN Comprehensive Predictor • Expanded Original Q&A Review Page 1
, 1. Leadership, Delegation & Scope of Practice
Q: What are the five rights of delegation?
A: Right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
Q: What factors should an RN consider before delegating?
A: Predictability of the outcome, potential for harm, complexity of the task, need for nursing judgment/problem
solving, and the level of interaction or teaching required. State scope-of-practice rules and facility policy also matter.
Q: What is the RN's responsibility after delegating?
A: The RN remains accountable for appropriate delegation, communication, follow-up, and evaluation of the patient's
response. Delegation transfers a task, not the RN's overall professional accountability.
Q: What types of activities are commonly appropriate for assistive personnel?
A: Routine, predictable tasks for stable patients, such as basic ADLs, routine vital signs, intake/output, ambulation
when safe, hygiene, and specimen collection according to policy.
Q: What types of activities may be appropriate for an LPN/LVN?
A: Depending on jurisdiction and facility policy, routine treatments, medication administration within scope, data
collection, wound care, enteral feeding, catheter care, and reinforcement of established teaching may be appropriate.
Q: What should not be delegated to unlicensed personnel?
A: Tasks requiring nursing assessment, clinical judgment, independent teaching, evaluation of an unstable patient, or
interpretation of abnormal findings.
2. Advance Directives, Ethics & End-of-Life Care
Q: What is a living will?
A: A legal document expressing a person's preferences for future medical treatment if the person becomes unable to
make decisions.
Q: What is a durable power of attorney for health care?
A: A document designating another person to make health-care decisions when the patient lacks decision-making
capacity.
Q: What is an Allow Natural Death (AND) order?
A: A provider order directing that cardiopulmonary resuscitation not be initiated when the patient experiences
cardiopulmonary arrest, consistent with the patient's goals and applicable policy.
Q: What is the nurse's role with advance directives?
A: Provide information, clarify the patient's expressed wishes within the nurse's role, document appropriately,
communicate the status to the care team, and advocate for the patient's preferences.
Q: What is the difference between autonomy and beneficence?
A: Autonomy respects the patient's right to make informed choices; beneficence means acting to promote the
patient's well-being.
3. Cardiovascular & Pediatric Cardiac Disorders
Q: What are the four classic defects in Tetralogy of Fallot?
A: Pulmonary outflow obstruction/pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular
hypertrophy.
Q: Why does Tetralogy of Fallot cause cyanosis?
A: Right-to-left shunting can allow deoxygenated blood to enter systemic circulation, especially when pulmonary
outflow obstruction is significant.
VATI RN Comprehensive Predictor • Expanded Original Q&A Review Page 2
EXPANDED ORIGINAL Q&A; STUDY GUIDE
Adult Health • Pediatrics • Mental Health • Pharmacology • Leadership • Safety • Acute Care
Source orientation: The linked Stuvia listing is a 6-page summary/Q&A; resource, uploaded June 11, 2020, and its
public preview contains 32 numbered remediation topics. Visible examples include advance directives, delegation,
Tetralogy of Fallot, diuretics, seizure precautions, brachytherapy, pediatric home safety, breastfeeding, postpartum
uterine atony, newborn assessment, hepatitis B, immunization principles, pregnancy exposure precautions,
contraception, child abuse, OCD/anorexia, personality disorders, Alzheimer disease, mobility, hearing impairment,
urinary catheters, kidney stones, postmortem care, antipsychotic adverse effects, acetaminophen overdose,
thrombocytopenia, and central venous access. cite turn0view0
Important: This is an original study resource based on publicly visible topic signals. It does not reproduce the paid
document, and the questions below are not represented as actual or guaranteed predictor items. Exact clinical policies
and medication guidance should be checked against current course materials and institutional protocols.
How to study: Master priority frameworks first, then use the Q&A; for retrieval practice. For delegation, ask 'Can this
task be safely delegated?' For medication questions, ask 'What is the dangerous adverse effect?' For pediatrics, ask
'What is expected vs. an emergency?' For mental health, ask 'What is the immediate safety issue?'
VATI RN Comprehensive Predictor • Expanded Original Q&A Review Page 1
, 1. Leadership, Delegation & Scope of Practice
Q: What are the five rights of delegation?
A: Right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
Q: What factors should an RN consider before delegating?
A: Predictability of the outcome, potential for harm, complexity of the task, need for nursing judgment/problem
solving, and the level of interaction or teaching required. State scope-of-practice rules and facility policy also matter.
Q: What is the RN's responsibility after delegating?
A: The RN remains accountable for appropriate delegation, communication, follow-up, and evaluation of the patient's
response. Delegation transfers a task, not the RN's overall professional accountability.
Q: What types of activities are commonly appropriate for assistive personnel?
A: Routine, predictable tasks for stable patients, such as basic ADLs, routine vital signs, intake/output, ambulation
when safe, hygiene, and specimen collection according to policy.
Q: What types of activities may be appropriate for an LPN/LVN?
A: Depending on jurisdiction and facility policy, routine treatments, medication administration within scope, data
collection, wound care, enteral feeding, catheter care, and reinforcement of established teaching may be appropriate.
Q: What should not be delegated to unlicensed personnel?
A: Tasks requiring nursing assessment, clinical judgment, independent teaching, evaluation of an unstable patient, or
interpretation of abnormal findings.
2. Advance Directives, Ethics & End-of-Life Care
Q: What is a living will?
A: A legal document expressing a person's preferences for future medical treatment if the person becomes unable to
make decisions.
Q: What is a durable power of attorney for health care?
A: A document designating another person to make health-care decisions when the patient lacks decision-making
capacity.
Q: What is an Allow Natural Death (AND) order?
A: A provider order directing that cardiopulmonary resuscitation not be initiated when the patient experiences
cardiopulmonary arrest, consistent with the patient's goals and applicable policy.
Q: What is the nurse's role with advance directives?
A: Provide information, clarify the patient's expressed wishes within the nurse's role, document appropriately,
communicate the status to the care team, and advocate for the patient's preferences.
Q: What is the difference between autonomy and beneficence?
A: Autonomy respects the patient's right to make informed choices; beneficence means acting to promote the
patient's well-being.
3. Cardiovascular & Pediatric Cardiac Disorders
Q: What are the four classic defects in Tetralogy of Fallot?
A: Pulmonary outflow obstruction/pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular
hypertrophy.
Q: Why does Tetralogy of Fallot cause cyanosis?
A: Right-to-left shunting can allow deoxygenated blood to enter systemic circulation, especially when pulmonary
outflow obstruction is significant.
VATI RN Comprehensive Predictor • Expanded Original Q&A Review Page 2
