RN VATI Leadership 2019
1. A nurse is caring for a client who is 4 hr postoperative following an appendectomy.
Nonmaleficence
2. A nurse is performing morning rounds for a client and finds the client’s bedtime medications sitting at the
bedside in a medication cup.
Document the missed medication administration in the client’s medical record
3. A nurse is providing discharge teaching to a client’s adult child regarding the client’s discharge to home with
hospice care.
The hospice team will provide services for the entire family, not just my father
4. A nurse manager is scheduling a meeting to address a conflict between staff members and a client’s family.
Collaboration
5. A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Select all
that apply
Request the client sign an AMA form
Notify the provider
Advise the client about the dangers of leaving
6. A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. (select all that
apply)
A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse
A nurse arranges for an interpreter for a client who speaks a different language
7. A nurse manager is working with a team to resolve an ethical dilemma. STEPS
Identify and state
List actions
Decide
Communicate
8. A nurse suspects a client is developing opioid use disorder and reduces the client’s dosage of pain medication
by 50% without a prescription from the provider.
Gross negligence
9. A nurse is providing teaching for a client about advance directives
My health care proxy will make my health care decisions when I am no longer able
10. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1 hr of overtime every day
for the past month to complete computer documentation.
Speak with the nurse regarding the incident
11. A nurse is admitting a client who has heart failure and speaks a different language that the nurse.
Observe the client’s nonverbal expressions
12. A nurse manager is considering changing the policy for administering medications to clients on a unit.
Determine the unit staff’s perception of the need for change
13. A nurse is developing a plan of care for a client who has chronic kidney disease
Document within the medical record that the client has advance directives in place
14. A nurse from an acute pediatric unit who has not cared for adult clients in more than 5 yeard in assigned to float
to a medical-surgical unit
Negotiate specific tasks to perform with the nursing supervisor
15. A nurse is caring for client who was involved in a medical vehicle crash with his partner
Let the client know that he will be updated as soon as possible
16. A nurse manager is meeting with a staff nurse who is consistently late for work.
When you come to work late, I am concerned that client care will be jeopardized
17. A nurse manager on a maternal newborn is completing a chart audit to determine the percentage of clients over
the past 3 months who breastfed their newborns prior to discharge.
Outcome
18. A nurse is receiving change-of shift report for a group of clients. Assess first
A client who is postoperative and has respiratory rate of 10/min
19. A nurse is teaching a newly licensed nurse about do-not-resuscitate (DNR) orders.
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