VATI: Medical-Surgical Alternate Item
Format Quiz
A charge nurse is delegating a task. The nurse understands which of the following
represents effective delegation? Select all that apply.
Select one or more:
a. Asking the nurse if they are capable of completing the delegated task.
b. Delineating the desired outcomes of the delegation.
c. Referring to the ANA Code of Ethics for effective delegation practices.
d. Monitoring how the delegated task is being accomplished.
e. Delegating a task that should be assigned to a manager. - Answer - a. Asking the
nurse if they are capable of completing the delegated task.
b. Delineating the desired outcomes of the delegation.
d. Monitoring how the delegated task is being accomplished.
- Asking the individual who is being delegated if they are capable of completing the
delegated task is considered effective delegating. Identifying the qualified person best
able to complete the job in terms of capability and time to do so is considered effective
delegation.
- Effective delegation means planning ahead when identifying tasks to be accomplished.
Assess the situation, and clearly delineate the desired outcomes.
- Monitoring how the task is being accomplished is considered effective delegating.
A nurse is aware that priorities need to be continuously set and reset in order to meet
the needs of multiple clients. Which principles of client care should the nurse use for
prioritization when giving report? Select all that apply.
Select one or more:
, a. Prioritize systemic before local.
b. Prioritize potential problems before actual.
c. Prioritize acute before chronic.
d. Recognize and respond to transient findings.
e. Listen carefully and don't assume. - Answer - a. Prioritize systemic before local.
c. Prioritize acute before chronic.
e. Listen carefully and don't assume.
- Prioritizing systemic before local ("life before limb") is a prioritization principle in client
care. Examples include prioritizing interventions for a client in shock over interventions
for a client with a localized limb injury.
- Prioritizing acute (less opportunity for physical adaptation) before chronic (greater
opportunity for physical adaptation) is a prioritization principle in client care. Examples
include prioritizing the care of a client with a new injury/illness (e.g., mental confusion,
chest pain) or an acute exacerbation of a previous illness over the care of a client with a
long-term chronic illness.
- Listen carefully and don't assume is a prioritization principle used in client care.
Recognizing that a postoperative client's report of pain could be due to pain in another
location rather than expected surgical pain.
A nurse is obtaining a sterile specimen from an indwelling urinary catheter. Place the
following steps in the order the nurse should use to obtain this specimen:
A. Remover clamp to resume drainage.
B. Drain the cathether's tubing of urine.
C. Place urine sample in sterile container.
D. Clamp the catheter's tubing below port for 20 minutes.
Format Quiz
A charge nurse is delegating a task. The nurse understands which of the following
represents effective delegation? Select all that apply.
Select one or more:
a. Asking the nurse if they are capable of completing the delegated task.
b. Delineating the desired outcomes of the delegation.
c. Referring to the ANA Code of Ethics for effective delegation practices.
d. Monitoring how the delegated task is being accomplished.
e. Delegating a task that should be assigned to a manager. - Answer - a. Asking the
nurse if they are capable of completing the delegated task.
b. Delineating the desired outcomes of the delegation.
d. Monitoring how the delegated task is being accomplished.
- Asking the individual who is being delegated if they are capable of completing the
delegated task is considered effective delegating. Identifying the qualified person best
able to complete the job in terms of capability and time to do so is considered effective
delegation.
- Effective delegation means planning ahead when identifying tasks to be accomplished.
Assess the situation, and clearly delineate the desired outcomes.
- Monitoring how the task is being accomplished is considered effective delegating.
A nurse is aware that priorities need to be continuously set and reset in order to meet
the needs of multiple clients. Which principles of client care should the nurse use for
prioritization when giving report? Select all that apply.
Select one or more:
, a. Prioritize systemic before local.
b. Prioritize potential problems before actual.
c. Prioritize acute before chronic.
d. Recognize and respond to transient findings.
e. Listen carefully and don't assume. - Answer - a. Prioritize systemic before local.
c. Prioritize acute before chronic.
e. Listen carefully and don't assume.
- Prioritizing systemic before local ("life before limb") is a prioritization principle in client
care. Examples include prioritizing interventions for a client in shock over interventions
for a client with a localized limb injury.
- Prioritizing acute (less opportunity for physical adaptation) before chronic (greater
opportunity for physical adaptation) is a prioritization principle in client care. Examples
include prioritizing the care of a client with a new injury/illness (e.g., mental confusion,
chest pain) or an acute exacerbation of a previous illness over the care of a client with a
long-term chronic illness.
- Listen carefully and don't assume is a prioritization principle used in client care.
Recognizing that a postoperative client's report of pain could be due to pain in another
location rather than expected surgical pain.
A nurse is obtaining a sterile specimen from an indwelling urinary catheter. Place the
following steps in the order the nurse should use to obtain this specimen:
A. Remover clamp to resume drainage.
B. Drain the cathether's tubing of urine.
C. Place urine sample in sterile container.
D. Clamp the catheter's tubing below port for 20 minutes.
