ATI Leadership Practice Questions with verified answers
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A nurse is working w/ an assistive personnel (AP) in a long-term care facility.
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According to the 5 rights of delegation, which of the following determinations should
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the nurse make prior to assigning tasks?
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A. Whether the AP has consented to the performance of delegated tasks
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B. the pt's willingness to consent to care from the AP
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C. Whether the task can be more efficiently completed by the nurse
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D. The degree of supervision that the AP will required to complete the task - ✔✔D.
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The degree of supervision that the AP will require to complete the task
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Rationales....
Successful delegation involves assigning the right task to the right person under the
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right circumstances. The person who will perform the task must be given adequate
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direction & specification regarding the amount of supervision that will be provided.
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The right communication of expectations & the right feedback about performance
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must also be supplied. || || ||
A. The nurse does not have to obtain consent from the AP when delegating tasks w/in
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the scope of practice & job descriptions for APs
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B. Tasks that can be delegated to an AP do not require the pt's consent
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C. One of the barriers to successful delegation is the belief that no one can do a tasks
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as efficiently & effectively as the nurse. Due to the time constraints on nurses, tasks
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that can be done by an AP should be duly delegated
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,A home health nurse is caring for a pt who asks about the purpose of a living will.
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Which of the following statements should the nurse include in the teaching?
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A. "It est. who will make health care decisions for the pt if the pt is not about to do
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so"
B. "it allows the pt to express personal wishes regarding health care decisions"
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C. "It serves as an informed consent form for any procedure prescribed by a provider"
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D." It is only valid when a pt is lucid & able to make informed decisions
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independently" - ✔✔B. It allows the pt to express personal wishes regarding health || || || || || || || || || || || || ||
care decisions ||
Rationales...
A living will allows the pt to specify what aspects of care & tx are to be accepted /
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refused in the event that the pt can no longer communicate those decisions
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A. this described a health care proxy document, which frequently accompanies a living
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will but is not considered a part of it
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C. A living will does not serve the same function as informed consent. Prior to any
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procedure, consent must always be obtained form the pt, a family member, or a
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designated health care proxy || || ||
D. A living will is not valid / necessary when a pt is able to make informed health care
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decisions independently
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A nurse manager notes that a full-time nurse has been absent from work 6 times over
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the last 6 weeks. Using a nonpunitive approach, which of the following actions should
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the nurse manager take?
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,A. verbally remind the employee about the facility's employment standards
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B. recommend that the employee review the facility's policy regarding absences
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C. Inform the employee in writing about the facilities employment policy
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D. ask the employee for a written action plan after discussing the reasons for these
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absences - ✔✔A. verbally remind the employee about the facility's employment
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standards
Rationales...
Verbal admonishment is the first step in the disciplinary process for this type of
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infraction. The employee might not know or remember the existing standard, and a
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verbal reminder may be sufficient to change the employee's behavior
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B. Recommending that the employee reviews the policy does not ensure that the
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employee will read & fully understand the employment standards
|| || || || || || || ||
C. written admonishment is the second step in the disciplinary process for this type of
|| || || || || || || || || || || || || || ||
infraction. If the employee fails to make a positive behavioral change after being
|| || || || || || || || || || || || ||
verbally reminded by the manager about the facility's employment standards, the
|| || || || || || || || || || ||
nurse manager should inform the employee writing
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D. this is an example of performance-deficiency coaching, which the nurse manager
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should use to correct unacceptable behaviors over time
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A charge nurse on a med surg unit is making assignments for the oncoming shift.
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Which of the following pts should the charge nurse assign to a LPN?
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, A. a pt who requires an updated plan of care following a dx of cancer
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B. a pt who is postop following a total hip replacement & requires discharge teaching
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C. a pt who has a prescription for irrigation of an indwelling urinary catheter
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D. a pt who has just arrived from PACU & requires a head-to-toe assessment - ✔✔C. a
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pt who has a prescription for irrigation of an indwelling urinary catheter
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Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter
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when prescribed by a provider
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A. an RN should develop & update a pt's plan of care
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B. an RN should provide discharge teaching to a pt
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D. an RN should perform an assessment of a pt
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A nurse is speaking w/ the family member of a pt who has early Alzheimer's disease.
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The family member would like to keep the pt living at home, but the pt requires
|| || || || || || || || || || || || || || || ||
assistance whole the family member is away at work. Which of the following services
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should the nurse include in the discussion?
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A. hospice care
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B. adult day care
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C. assisted-living facility
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D. long-term care facility - ✔✔B. adult day care
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|| || || || || ||
A nurse is working w/ an assistive personnel (AP) in a long-term care facility.
|| || || || || || || || || || || || || ||
According to the 5 rights of delegation, which of the following determinations should
|| || || || || || || || || || || || ||
the nurse make prior to assigning tasks?
|| || || || || ||
A. Whether the AP has consented to the performance of delegated tasks
|| || || || || || || || || || ||
B. the pt's willingness to consent to care from the AP
|| || || || || || || || || ||
C. Whether the task can be more efficiently completed by the nurse
|| || || || || || || || || || ||
D. The degree of supervision that the AP will required to complete the task - ✔✔D.
|| || || || || || || || || || || || || || || ||
The degree of supervision that the AP will require to complete the task
|| || || || || || || || || || || ||
Rationales....
Successful delegation involves assigning the right task to the right person under the
|| || || || || || || || || || || || ||
right circumstances. The person who will perform the task must be given adequate
|| || || || || || || || || || || || ||
direction & specification regarding the amount of supervision that will be provided.
|| || || || || || || || || || || ||
The right communication of expectations & the right feedback about performance
|| || || || || || || || || || ||
must also be supplied. || || ||
A. The nurse does not have to obtain consent from the AP when delegating tasks w/in
|| || || || || || || || || || || || || || || ||
the scope of practice & job descriptions for APs
|| || || || || || || ||
B. Tasks that can be delegated to an AP do not require the pt's consent
|| || || || || || || || || || || || || ||
C. One of the barriers to successful delegation is the belief that no one can do a tasks
|| || || || || || || || || || || || || || || || || ||
as efficiently & effectively as the nurse. Due to the time constraints on nurses, tasks
|| || || || || || || || || || || || || || ||
that can be done by an AP should be duly delegated
|| || || || || || || || || ||
,A home health nurse is caring for a pt who asks about the purpose of a living will.
|| || || || || || || || || || || || || || || || || ||
Which of the following statements should the nurse include in the teaching?
|| || || || || || || || || || ||
A. "It est. who will make health care decisions for the pt if the pt is not about to do
|| || || || || || || || || || || || || || || || || || || ||
so"
B. "it allows the pt to express personal wishes regarding health care decisions"
|| || || || || || || || || || || ||
C. "It serves as an informed consent form for any procedure prescribed by a provider"
|| || || || || || || || || || || || || ||
D." It is only valid when a pt is lucid & able to make informed decisions
|| || || || || || || || || || || || || || || ||
independently" - ✔✔B. It allows the pt to express personal wishes regarding health || || || || || || || || || || || || ||
care decisions ||
Rationales...
A living will allows the pt to specify what aspects of care & tx are to be accepted /
|| || || || || || || || || || || || || || || || || || ||
refused in the event that the pt can no longer communicate those decisions
|| || || || || || || || || || || ||
A. this described a health care proxy document, which frequently accompanies a living
|| || || || || || || || || || || ||
will but is not considered a part of it
|| || || || || || || || ||
C. A living will does not serve the same function as informed consent. Prior to any
|| || || || || || || || || || || || || || || ||
procedure, consent must always be obtained form the pt, a family member, or a
|| || || || || || || || || || || || || ||
designated health care proxy || || ||
D. A living will is not valid / necessary when a pt is able to make informed health care
|| || || || || || || || || || || || || || || || || ||
decisions independently
|| ||
A nurse manager notes that a full-time nurse has been absent from work 6 times over
|| || || || || || || || || || || || || || || ||
the last 6 weeks. Using a nonpunitive approach, which of the following actions should
|| || || || || || || || || || || || || ||
the nurse manager take?
|| || ||
,A. verbally remind the employee about the facility's employment standards
|| || || || || || || || ||
B. recommend that the employee review the facility's policy regarding absences
|| || || || || || || || || ||
C. Inform the employee in writing about the facilities employment policy
|| || || || || || || || || ||
D. ask the employee for a written action plan after discussing the reasons for these
|| || || || || || || || || || || || || || ||
absences - ✔✔A. verbally remind the employee about the facility's employment
|| || || || || || || || || || ||
standards
Rationales...
Verbal admonishment is the first step in the disciplinary process for this type of
|| || || || || || || || || || || || || ||
infraction. The employee might not know or remember the existing standard, and a
|| || || || || || || || || || || || ||
verbal reminder may be sufficient to change the employee's behavior
|| || || || || || || || ||
B. Recommending that the employee reviews the policy does not ensure that the
|| || || || || || || || || || || || ||
employee will read & fully understand the employment standards
|| || || || || || || ||
C. written admonishment is the second step in the disciplinary process for this type of
|| || || || || || || || || || || || || || ||
infraction. If the employee fails to make a positive behavioral change after being
|| || || || || || || || || || || || ||
verbally reminded by the manager about the facility's employment standards, the
|| || || || || || || || || || ||
nurse manager should inform the employee writing
|| || || || || ||
D. this is an example of performance-deficiency coaching, which the nurse manager
|| || || || || || || || || || || ||
should use to correct unacceptable behaviors over time
|| || || || || || ||
A charge nurse on a med surg unit is making assignments for the oncoming shift.
|| || || || || || || || || || || || || || ||
Which of the following pts should the charge nurse assign to a LPN?
|| || || || || || || || || || || ||
, A. a pt who requires an updated plan of care following a dx of cancer
|| || || || || || || || || || || || || ||
B. a pt who is postop following a total hip replacement & requires discharge teaching
|| || || || || || || || || || || || || ||
C. a pt who has a prescription for irrigation of an indwelling urinary catheter
|| || || || || || || || || || || || ||
D. a pt who has just arrived from PACU & requires a head-to-toe assessment - ✔✔C. a
|| || || || || || || || || || || || || || || ||
pt who has a prescription for irrigation of an indwelling urinary catheter
|| || || || || || || || || || || ||
Rationales...
It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter
|| || || || || || || || || || || || || || || ||
when prescribed by a provider
|| || || ||
A. an RN should develop & update a pt's plan of care
|| || || || || || || || || || ||
B. an RN should provide discharge teaching to a pt
|| || || || || || || || ||
D. an RN should perform an assessment of a pt
|| || || || || || || || ||
A nurse is speaking w/ the family member of a pt who has early Alzheimer's disease.
|| || || || || || || || || || || || || || || ||
The family member would like to keep the pt living at home, but the pt requires
|| || || || || || || || || || || || || || || ||
assistance whole the family member is away at work. Which of the following services
|| || || || || || || || || || || || || ||
should the nurse include in the discussion?
|| || || || || ||
A. hospice care
|| ||
B. adult day care
|| || ||
C. assisted-living facility
|| ||
D. long-term care facility - ✔✔B. adult day care
|| || || || || || || ||
