Virtual ATI Comprehensive Predictor Exam 2023 Actual
Questions and Answers Verified
Delegation for effective task management.
A nurse is responsible for providing clear directions when a task is initially delegated
and for periodic reassessment and evaluation of the outcome of the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task, and the
training?
Need for problem solving: Does this require the nursing process? Assessment skills or
judgment
Level of client interaction: Is there psychosocial support needed?
TO PN
Monitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
TO AP
ADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health
problems
Planning
Organizing:
Controlling:
,Directing:
Staffing:
Planning:
What needs to be done, and who is going to do it
Organizing:
Lines of authority, communications, and where decisions are made
Directing:
Influences and motivates people to perform
Controlling:
The evaluation of performance and unit goals to ensure outcomes are met
Staffing:
Adequate staffing, and staffing mix
Characteristics of managers:
Hold formal positions of authority and power, Possess clinical expertise, Network with
members of the team, Coach subordinates, Make decisions for the organization:
Resources, Budget, Hiring, and Firing
Conflict Management between health care workers
...
Autonomy:
The ability of the client to make personal decisions, even when those decisions might
not be in the client's own best interest
Beneficence:
Care that is in the best interest of the client
Fidelity:
Keeping one's promise to the client about care that was offered
Justice:
Fair treatment in matters related to physical and psychosocial care and use of
resources
Nonmaleficence:
The nurse's obligation to avoid causing harm to the client
Veracity:
The nurse's duty to tell the truth
Examples when an incident report should be filed:
Medication errors, Procedure/treatment errors, Equipment related injuries/errors,
Needlestick injuries, Client falls, Visitor/Volunteer injuries, Threat made to client or staff,
Loss of property.
Establishing Priorities---Facility Protocols: Triage evaluation of peds
Emergent:
Urgent
Nonurgent:
Expectant:
Emergent:
Highest priority, life threatening injuries but also have high survival rate once stable
Urgent:
Second highest priority can wait 40-60 mins for treatment
Nonurgent:
, Minor injuries that are not life threatening and do not need immediate attention
Expectant:
Lowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of clients
...
Prioritizing Care for multiple home care clients
Life before limb
Acute before Chronic
Actual problems before potential problems
Listen carefully to clients and don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients
Airway, Breathing, Circulation, Disability, Examination/Exposure
Maslow's Hierarchy
Physiological, Safety and Security, Love and Belonging, Self-esteem, Self-Actualization
Speaking to a client who has a hearing Impairment
Learn the clients' preferred method of communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
Try lowering vocal pitch before increasing volume
Do not shout
Use brief sentences with simple words
Minimize background noise
Ask for a sign language interpreter if necessary
Write down what clients do not understand
Fractures: Care for a new Cast
Show the procedure on a doll
Assist with crutches and use
Assess for warmth Assess skin
Apply ice for 24hrs Assess
Questions and Answers Verified
Delegation for effective task management.
A nurse is responsible for providing clear directions when a task is initially delegated
and for periodic reassessment and evaluation of the outcome of the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task, and the
training?
Need for problem solving: Does this require the nursing process? Assessment skills or
judgment
Level of client interaction: Is there psychosocial support needed?
TO PN
Monitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
TO AP
ADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health
problems
Planning
Organizing:
Controlling:
,Directing:
Staffing:
Planning:
What needs to be done, and who is going to do it
Organizing:
Lines of authority, communications, and where decisions are made
Directing:
Influences and motivates people to perform
Controlling:
The evaluation of performance and unit goals to ensure outcomes are met
Staffing:
Adequate staffing, and staffing mix
Characteristics of managers:
Hold formal positions of authority and power, Possess clinical expertise, Network with
members of the team, Coach subordinates, Make decisions for the organization:
Resources, Budget, Hiring, and Firing
Conflict Management between health care workers
...
Autonomy:
The ability of the client to make personal decisions, even when those decisions might
not be in the client's own best interest
Beneficence:
Care that is in the best interest of the client
Fidelity:
Keeping one's promise to the client about care that was offered
Justice:
Fair treatment in matters related to physical and psychosocial care and use of
resources
Nonmaleficence:
The nurse's obligation to avoid causing harm to the client
Veracity:
The nurse's duty to tell the truth
Examples when an incident report should be filed:
Medication errors, Procedure/treatment errors, Equipment related injuries/errors,
Needlestick injuries, Client falls, Visitor/Volunteer injuries, Threat made to client or staff,
Loss of property.
Establishing Priorities---Facility Protocols: Triage evaluation of peds
Emergent:
Urgent
Nonurgent:
Expectant:
Emergent:
Highest priority, life threatening injuries but also have high survival rate once stable
Urgent:
Second highest priority can wait 40-60 mins for treatment
Nonurgent:
, Minor injuries that are not life threatening and do not need immediate attention
Expectant:
Lowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of clients
...
Prioritizing Care for multiple home care clients
Life before limb
Acute before Chronic
Actual problems before potential problems
Listen carefully to clients and don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients
Airway, Breathing, Circulation, Disability, Examination/Exposure
Maslow's Hierarchy
Physiological, Safety and Security, Love and Belonging, Self-esteem, Self-Actualization
Speaking to a client who has a hearing Impairment
Learn the clients' preferred method of communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
Try lowering vocal pitch before increasing volume
Do not shout
Use brief sentences with simple words
Minimize background noise
Ask for a sign language interpreter if necessary
Write down what clients do not understand
Fractures: Care for a new Cast
Show the procedure on a doll
Assist with crutches and use
Assess for warmth Assess skin
Apply ice for 24hrs Assess
