ATI LEADERSHIP PROCTORED CORE EXAM SET QUESTIONS
AND SOLUTIONS MARKED A+
✔✔Assigning - ✔✔the process of transferring authority, accountability, responsibility of
pt, care to another health care member.
✔✔Delegating - ✔✔Process of transferring authority and responsibility to another
member of the health care team to complete a task, while retaining accountability
✔✔Supervising - ✔✔Process of directing, monitoring, and evaluating the performance
of tasks by another member of the health care team
✔✔Delegation Factors - ✔✔RNs cannot deligate the nursing process, client education,
or tasks that require clinical judgment to LPNs or AP
✔✔Tasks that nurses may delegate to practical nurses - ✔✔-Monitoring findings (as
input to the RN's ongoing assessment)
-Reinforcing client teaching from a standard care plan
-performing trach care
-suctioning
-check NG tube patency
-admin enteral feedings
-inserting a urinary cath
-administering med (excluding IV in some states
✔✔Tasks that nurses may delegate to assistive personnel - ✔✔-ADLs
-Bathing
-Grooming
-dressing
-toileting
-ambulating
-feeding (without swallowing precautions)
-positioning
-Routine tasks
-bed making
-specimen collection
_-I&O
-vital signs
✔✔5 rights of delegation - ✔✔right task
right circumstance
right person
right direction/communication
right supervision/evaluation
,✔✔Socialization - ✔✔the process by which a person learns a new role and the values
and culture of the group within which that role is implemented
✔✔Steps in providing educational programs - ✔✔Identify and respond: To identify need
for knowledge or
skill proficiency.
Analyze: Deficiencies, and develop learning objectives to meet need.
Research: Resources available to address learning objectives based on
evidence-based practice.
Plan: Program to address objectives using available resources.
5. Implement: Program(s) at time conducive to staff attendance; consider online
learning modules.
6. Evaluate: Use materials and observations to measure behavior changes secondary
to learning objectives.
✔✔Competence - ✔✔the ability of an employee to meet the requirements of a particular
role at an established level of performance
✔✔Novice nurse - ✔✔Can be students or newly licensed nurses who have minimal
clinical experience.
They approach situations from theoretical perspective relying on context-free facts and
established guidelines.
Rules govern practice.
✔✔Advanced beginner - ✔✔Most new nurses function at the level of the advanced
beginner. Practice independently in the performance of many tasks and can make some
clinical judgments. Begin to rely on prior experience to make practice decisions.
✔✔Competent Nurse - ✔✔nurses who've been nurses for 2-3yrs. demonstrate
increasing levels of skills and proficiency and clinical judgment. exhibit the ability to
organize and plan care using abstract and analytical thinking. can anticipate the long-
term outcomes of personal actions
✔✔Proficient nurse - ✔✔nurses who have a significant amount of experience upon
which to base their practice. Enhanced observational abilities allow nurses to be able to
conceptualize situations more holistically. Well-developed critical thinking and decision-
making skills allow nurses to recognize and respond to unexpected changes
✔✔Expert nurse - ✔✔have garnered our wealth of experience so they can view
situations holistically and process information efficiently. Make decisions using an
, advanced level of intuition and analytical ability. Do not need to rely and rules to
comprehend the situation and take action.
✔✔Types of audits - ✔✔-structure audits- evaluate the influence of elements that exist
separate from or outside of the client-staff interaction
-process audits- review how care was provided and assume a relationship exists
between nurses and quality of care provided
-outcome audits- determine what results, if any, occurred as a result of the nursing care
provided
✔✔Timing of audits - ✔✔retrospective audits- after client receives care
concurrent audits- while client receives care
prospective audits- predict how future client care will be affected by current level of
services
✔✔performance appraisal - ✔✔process by which a supervisor evaluates an employee's
performance in relation to the job description for that employee's position as well as
other expectations the facility can have
✔✔Evaluation of an employee's performance - ✔✔-data should be collected over time
and not just represent isolated incidents
-actual observed behavior should be documented/used as evidence of satisfactory or
unsatisfactory performance (anecdotal notes & are kept in unit manager or equivalent
position's files)
-peer review: begin with an orientation of staff to the peer review process, only part of
data
-employee should be given opportunity to provide input into the evaluation
-private setting
-provide opportunity for feedback
✔✔Disciplinary Action - ✔✔should be presented in writing, and corrective action should
be based on institutional policy regarding disciplinary actions and/or termination of
employment
-notify charge nurse, unit manager, and documentation
✔✔Conflict Resolution - ✔✔result of opposing thoughts, ideas, feelings, perceptions,
behaviors, values, opinions, or actions between individuals
✔✔Common causes of conflict - ✔✔Ineffective communication.
Unclear expectations of team members in their various roles.
Poorly defined or actualized organizational structure.
Conflicts of interest and variance in standards.
Incompatibility of individuals.
Management or staffing changes.
Diversity related to age, gender, race, or ethnicity.
AND SOLUTIONS MARKED A+
✔✔Assigning - ✔✔the process of transferring authority, accountability, responsibility of
pt, care to another health care member.
✔✔Delegating - ✔✔Process of transferring authority and responsibility to another
member of the health care team to complete a task, while retaining accountability
✔✔Supervising - ✔✔Process of directing, monitoring, and evaluating the performance
of tasks by another member of the health care team
✔✔Delegation Factors - ✔✔RNs cannot deligate the nursing process, client education,
or tasks that require clinical judgment to LPNs or AP
✔✔Tasks that nurses may delegate to practical nurses - ✔✔-Monitoring findings (as
input to the RN's ongoing assessment)
-Reinforcing client teaching from a standard care plan
-performing trach care
-suctioning
-check NG tube patency
-admin enteral feedings
-inserting a urinary cath
-administering med (excluding IV in some states
✔✔Tasks that nurses may delegate to assistive personnel - ✔✔-ADLs
-Bathing
-Grooming
-dressing
-toileting
-ambulating
-feeding (without swallowing precautions)
-positioning
-Routine tasks
-bed making
-specimen collection
_-I&O
-vital signs
✔✔5 rights of delegation - ✔✔right task
right circumstance
right person
right direction/communication
right supervision/evaluation
,✔✔Socialization - ✔✔the process by which a person learns a new role and the values
and culture of the group within which that role is implemented
✔✔Steps in providing educational programs - ✔✔Identify and respond: To identify need
for knowledge or
skill proficiency.
Analyze: Deficiencies, and develop learning objectives to meet need.
Research: Resources available to address learning objectives based on
evidence-based practice.
Plan: Program to address objectives using available resources.
5. Implement: Program(s) at time conducive to staff attendance; consider online
learning modules.
6. Evaluate: Use materials and observations to measure behavior changes secondary
to learning objectives.
✔✔Competence - ✔✔the ability of an employee to meet the requirements of a particular
role at an established level of performance
✔✔Novice nurse - ✔✔Can be students or newly licensed nurses who have minimal
clinical experience.
They approach situations from theoretical perspective relying on context-free facts and
established guidelines.
Rules govern practice.
✔✔Advanced beginner - ✔✔Most new nurses function at the level of the advanced
beginner. Practice independently in the performance of many tasks and can make some
clinical judgments. Begin to rely on prior experience to make practice decisions.
✔✔Competent Nurse - ✔✔nurses who've been nurses for 2-3yrs. demonstrate
increasing levels of skills and proficiency and clinical judgment. exhibit the ability to
organize and plan care using abstract and analytical thinking. can anticipate the long-
term outcomes of personal actions
✔✔Proficient nurse - ✔✔nurses who have a significant amount of experience upon
which to base their practice. Enhanced observational abilities allow nurses to be able to
conceptualize situations more holistically. Well-developed critical thinking and decision-
making skills allow nurses to recognize and respond to unexpected changes
✔✔Expert nurse - ✔✔have garnered our wealth of experience so they can view
situations holistically and process information efficiently. Make decisions using an
, advanced level of intuition and analytical ability. Do not need to rely and rules to
comprehend the situation and take action.
✔✔Types of audits - ✔✔-structure audits- evaluate the influence of elements that exist
separate from or outside of the client-staff interaction
-process audits- review how care was provided and assume a relationship exists
between nurses and quality of care provided
-outcome audits- determine what results, if any, occurred as a result of the nursing care
provided
✔✔Timing of audits - ✔✔retrospective audits- after client receives care
concurrent audits- while client receives care
prospective audits- predict how future client care will be affected by current level of
services
✔✔performance appraisal - ✔✔process by which a supervisor evaluates an employee's
performance in relation to the job description for that employee's position as well as
other expectations the facility can have
✔✔Evaluation of an employee's performance - ✔✔-data should be collected over time
and not just represent isolated incidents
-actual observed behavior should be documented/used as evidence of satisfactory or
unsatisfactory performance (anecdotal notes & are kept in unit manager or equivalent
position's files)
-peer review: begin with an orientation of staff to the peer review process, only part of
data
-employee should be given opportunity to provide input into the evaluation
-private setting
-provide opportunity for feedback
✔✔Disciplinary Action - ✔✔should be presented in writing, and corrective action should
be based on institutional policy regarding disciplinary actions and/or termination of
employment
-notify charge nurse, unit manager, and documentation
✔✔Conflict Resolution - ✔✔result of opposing thoughts, ideas, feelings, perceptions,
behaviors, values, opinions, or actions between individuals
✔✔Common causes of conflict - ✔✔Ineffective communication.
Unclear expectations of team members in their various roles.
Poorly defined or actualized organizational structure.
Conflicts of interest and variance in standards.
Incompatibility of individuals.
Management or staffing changes.
Diversity related to age, gender, race, or ethnicity.
