ATI Leadership Practice Questions With
Correct Answers
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
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should 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 -
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CORRECT ANSWER✔✔-D. The degree of supervision that the AP will require to
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complete the task | |
Rationales....
Successful delegation involves assigning the right task to the right person under
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the right circumstances. The person who will perform the task must be given
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adequate direction & specification regarding the amount of supervision that will
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be provided. The right communication of expectations & the right feedback about
| | | | | | | | | | |
performance must also be supplied.
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A. The nurse does not have to obtain consent from the AP when delegating tasks
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w/in 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
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tasks as efficiently & effectively as the nurse. Due to the time constraints on
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nurses, tasks 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
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do 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
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provider"
D." It is only valid when a pt is lucid & able to make informed decisions
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independently" - CORRECT ANSWER✔✔-B. It allows the pt to express personal
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wishes regarding health care decisions
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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
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living 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
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care decisions independently
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A nurse manager notes that a full-time nurse has been absent from work 6 times
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over the last 6 weeks. Using a nonpunitive approach, which of the following
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actions should 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
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these absences - CORRECT ANSWER✔✔-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
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manager 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
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teaching
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 -
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CORRECT ANSWER✔✔-C. a pt who has a prescription for irrigation of an
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indwelling urinary catheter | |
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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Correct Answers
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 -
| | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-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" - CORRECT ANSWER✔✔-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 - CORRECT ANSWER✔✔-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 -
| | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-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
| | | | | | | | | | |
