VATI RN Leadership and Management 2019 Exam Updated 2025
A nurse is caring for a client when they erroneously administer a
medication dosage that is greater than the amount prescribed. Which of the
following ethical principles is the nurse demonstrating when they notify
the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's
bedtime medication sitting at the bedside in a medication cup. Which of the
following actions should the nurse take?
Document the missed medication administration in the client's medical
record.
It is the responsibility of the nurse to record the facts of the missed
medication administration in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the
clients discharge to home with hospice care. Which of the following
statements by the client's adult child indicates an understanding of the
teaching?
The hospice team will provide services for the entire family, not just my
father.
Hospice services are provided by a team of health care professionals and
nonprofessional that offer a full range of services, supporting both the
client and family through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff
members and a client's family. In the meeting, staff and family members
will identify common goals and express their concerns. Which of the
following conflict resolution strategies is the nurse manger implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal
rather than individual goals to fins a mutually satisfying solution to the
, VATI RN Leadership and Management 2019 Exam Updated 2025
conflict. The goal becomes what is best overall, rather than what each
individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving
against medical advice (AMA). Which of the following actions should the
nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to
leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as
complications of the clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly
licensed nurses. Which of the following examples should the charge nurse
include in the teaching as a demonstration of client advocacy? SATA
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.
The nurse should report improper completion of a procedure to the charge
nurse and complete an incident report describing the incident. Reporting to
the charge nurse is an act of client advocacy, which allows the charge
nurse to further monitor the clients condition and prevent negative
outcomes.
Requesting an interpreter for a client who speaks a different language than
the nurse. An interpreter will facilitate understanding of the teaching and
allow the client to communicate their needs to the nurse.
A nurse manger is working with a team to resolve an ethical dilemma. Which
of the following steps should the team take to make an informed decision?
Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
, VATI RN Leadership and Management 2019 Exam Updated 2025
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the
clients dosage of pain medication by 50% without a prescription from the
provider. The nurse checks on the client 1hr later and sees the client
sitting up in a chair. The client tells the nurse, "I am in too much pain
to reach the nurse call button." The nurse is liable for which of the
following legal violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless
disregard of consequences. The nurse's actions were intentional and
reckless, in opposition of the provider's prescription, and placed the
client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which
of the following client statements indicates an understanding of the
teaching?
My health care proxy will make my health care decisions when I am no longer
able.
The client should discuss her health care wishes with the health care proxy
while she is able.
A nurse manger is providing disciplinary action for a staff nurse who is
claiming 1hr of overtime every day for the past month to complete computer
documentation. Which of the following actions should the nurse manager take
first?
Speak with the nurse regarding the incident.
Evidence based practice indicate the nurse manager should first provide a
verbal waring to the nurse as the initial step of the progressive
disciplinary process. This allows the nurse manager to meet with the nurse
privately to address the behavior and explain why this conduct is
unacceptable. If the remaining steps of the progressive disciple process
become necessary, the nurse manager will give written reprimand, then a
A nurse is caring for a client when they erroneously administer a
medication dosage that is greater than the amount prescribed. Which of the
following ethical principles is the nurse demonstrating when they notify
the provider of the medication error?
Veracity.
Holds that one should tell the truth.
A nurse is performing morning rounds for a client and finds the client's
bedtime medication sitting at the bedside in a medication cup. Which of the
following actions should the nurse take?
Document the missed medication administration in the client's medical
record.
It is the responsibility of the nurse to record the facts of the missed
medication administration in the clients medical record.
A nurse is providing teaching to a client's adult child regarding the
clients discharge to home with hospice care. Which of the following
statements by the client's adult child indicates an understanding of the
teaching?
The hospice team will provide services for the entire family, not just my
father.
Hospice services are provided by a team of health care professionals and
nonprofessional that offer a full range of services, supporting both the
client and family through the dying process.
A nurse manager is scheduling a meeting to address a conflict between staff
members and a client's family. In the meeting, staff and family members
will identify common goals and express their concerns. Which of the
following conflict resolution strategies is the nurse manger implementing?
Collaboration
Collaboration involves both parties agreeing to work towards a common goal
rather than individual goals to fins a mutually satisfying solution to the
, VATI RN Leadership and Management 2019 Exam Updated 2025
conflict. The goal becomes what is best overall, rather than what each
individual wants or thinks is best.
A nurse in an acute care facility is caring for a client who is leaving
against medical advice (AMA). Which of the following actions should the
nurse take? SATA
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
A signed AMA form can assist with a counterclaim of negligence.
The nurse should immediately notify the provider of the clients intent to
leave AMA.
The nurse should discuss the potential dangers of leaving AMA, such as
complications of the clients medical condition.
A charge nurse is conducting an in-service on advocacy for a group of newly
licensed nurses. Which of the following examples should the charge nurse
include in the teaching as a demonstration of client advocacy? SATA
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.
The nurse should report improper completion of a procedure to the charge
nurse and complete an incident report describing the incident. Reporting to
the charge nurse is an act of client advocacy, which allows the charge
nurse to further monitor the clients condition and prevent negative
outcomes.
Requesting an interpreter for a client who speaks a different language than
the nurse. An interpreter will facilitate understanding of the teaching and
allow the client to communicate their needs to the nurse.
A nurse manger is working with a team to resolve an ethical dilemma. Which
of the following steps should the team take to make an informed decision?
Identify and state the nature of the ethical dilemma.
List actions to take based on a list of alternatives.
, VATI RN Leadership and Management 2019 Exam Updated 2025
Decide to select one alternative.
Communicate the justification for the decision.
A nurse suspects a client is developing opioid use disorder and reduces the
clients dosage of pain medication by 50% without a prescription from the
provider. The nurse checks on the client 1hr later and sees the client
sitting up in a chair. The client tells the nurse, "I am in too much pain
to reach the nurse call button." The nurse is liable for which of the
following legal violations?
Gross negligence
Gross negligence is an extreme breach of care with an intentional, reckless
disregard of consequences. The nurse's actions were intentional and
reckless, in opposition of the provider's prescription, and placed the
client at risk for pain and injury.
A nurse is providing teaching for a client about advance directives. Which
of the following client statements indicates an understanding of the
teaching?
My health care proxy will make my health care decisions when I am no longer
able.
The client should discuss her health care wishes with the health care proxy
while she is able.
A nurse manger is providing disciplinary action for a staff nurse who is
claiming 1hr of overtime every day for the past month to complete computer
documentation. Which of the following actions should the nurse manager take
first?
Speak with the nurse regarding the incident.
Evidence based practice indicate the nurse manager should first provide a
verbal waring to the nurse as the initial step of the progressive
disciplinary process. This allows the nurse manager to meet with the nurse
privately to address the behavior and explain why this conduct is
unacceptable. If the remaining steps of the progressive disciple process
become necessary, the nurse manager will give written reprimand, then a
