RN VATI COMPREHENSIVE PREDICTOR COMPREHENSIVE
QUESTIONS AND SOLUTIONS
◉ Prior to delegating client care, consider the following.
Answer: Predictability of outcome ●Will the completion of the task have a predictable outcome? ●Is it
a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance that something
negative can happen to the client (risk for bleeding, risk for aspiration)? ●Is the client unstable?
Complexity of care ●Are complex tasks required as a part of the client's care? ●Is the delegatee legally
able to perform the task and do they have the skills necessary? Need for problem solving and
innovation ●Is nursing judgment required while performing the task? ●Does it require nursing
assessment skills? Level of interaction with the client ●Is there a need to provide psychosocial
support or education during the performance of the task?
◉ Examples of tasks nurses can delegate to practical nurses and assistive personnel
Answer: TO PN Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client
teaching from a standard care planPerforming tracheostomy careSuctioningChecking NG tube
,patencyAdministering enteral feedingsInserting a urinary catheterAdministering medication
(excluding IV medication in some states). TO AP Activities of daily living (ADLs) Bathing Grooming
Dressing Toileting Ambulating Feeding (without swallowing precautions). Positioning Routine tasks.
Bed making. Specimen collection Intake and output Vital signs (for stable clients).
◉ Right direction/communication (five rights of delegations)
Answer: Data that needs to be collected ●Method and timeline for reporting, including when to report
concerns/findings ●Specific task(s) to be performed; client-specific instructions ●Expected results,
timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with a
shower before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with
morning hygiene.
◉ Steps in providing educational programs
, Answer: 1. Identify and respond: Determine the need for knowledge or skill proficiency 2. Analyze:
Look for deficiencies, and develop learning objectives to meet the need 3. Research: Resources
available to address learning objectives based on evidence-based practice 4. Plan: Program to address
objectives using available resources 5. Implement: Program(s) at a time conducive to staff availability;
consider online learning modules 6. Evaluate: Use materials and observations to measure behavior
changes secondary to learning objectives
◉ Tetralogy of Fallot.
Answer: Four defects that result in mixed blood flow: Pulmonary stenosis, ventricular septal defect,
overriding aorta, right ventricular hypertrophy. Cyanosis at birth: progressive cyanosis over the first
year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or "Tet" spells knee chest
position or squating). SURGICAL PROCEDURES Shunt placement until able to undergo primary repair.
Complete repair within the first year of life.
◉ Defects that increase pulmonary blood flow
Answer: Ventricular septal defect (VSD) (20.1) Atrial septal defect (ASD), Patent ductus arteriosus
(PDA),
QUESTIONS AND SOLUTIONS
◉ Prior to delegating client care, consider the following.
Answer: Predictability of outcome ●Will the completion of the task have a predictable outcome? ●Is it
a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance that something
negative can happen to the client (risk for bleeding, risk for aspiration)? ●Is the client unstable?
Complexity of care ●Are complex tasks required as a part of the client's care? ●Is the delegatee legally
able to perform the task and do they have the skills necessary? Need for problem solving and
innovation ●Is nursing judgment required while performing the task? ●Does it require nursing
assessment skills? Level of interaction with the client ●Is there a need to provide psychosocial
support or education during the performance of the task?
◉ Examples of tasks nurses can delegate to practical nurses and assistive personnel
Answer: TO PN Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client
teaching from a standard care planPerforming tracheostomy careSuctioningChecking NG tube
,patencyAdministering enteral feedingsInserting a urinary catheterAdministering medication
(excluding IV medication in some states). TO AP Activities of daily living (ADLs) Bathing Grooming
Dressing Toileting Ambulating Feeding (without swallowing precautions). Positioning Routine tasks.
Bed making. Specimen collection Intake and output Vital signs (for stable clients).
◉ Right direction/communication (five rights of delegations)
Answer: Data that needs to be collected ●Method and timeline for reporting, including when to report
concerns/findings ●Specific task(s) to be performed; client-specific instructions ●Expected results,
timelines, and expectations for follow-up communication
RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with a
shower before 0900 and to notify the nurse when complete.
WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with
morning hygiene.
◉ Steps in providing educational programs
, Answer: 1. Identify and respond: Determine the need for knowledge or skill proficiency 2. Analyze:
Look for deficiencies, and develop learning objectives to meet the need 3. Research: Resources
available to address learning objectives based on evidence-based practice 4. Plan: Program to address
objectives using available resources 5. Implement: Program(s) at a time conducive to staff availability;
consider online learning modules 6. Evaluate: Use materials and observations to measure behavior
changes secondary to learning objectives
◉ Tetralogy of Fallot.
Answer: Four defects that result in mixed blood flow: Pulmonary stenosis, ventricular septal defect,
overriding aorta, right ventricular hypertrophy. Cyanosis at birth: progressive cyanosis over the first
year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or "Tet" spells knee chest
position or squating). SURGICAL PROCEDURES Shunt placement until able to undergo primary repair.
Complete repair within the first year of life.
◉ Defects that increase pulmonary blood flow
Answer: Ventricular septal defect (VSD) (20.1) Atrial septal defect (ASD), Patent ductus arteriosus
(PDA),
