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.
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.
