RN VATI Leadership 2019 SCORE A+

RN VATI Leadership 2019 1. A nurse is caring for a client who is 4 hr postoperative following an appendectomy. 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. 3. A nurse is providing discharge teaching to a client’s adult child regarding the client’s discharge to home with hospice care. 4. A nurse manager is scheduling a meeting to address a conflict between staff members and a client’s family. 5. A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Select all that apply 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 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. 9. A nurse is providing teaching for a client about advance directives 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. 11. A nurse is admitting a client who has heart failure and speaks a different language that the nurse. 12. A nurse manager is considering changing the policy for administering medications to clients on a unit. 13. A nurse is developing a plan of care for a client who has chronic kidney disease 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 15. A nurse is caring for client who was involved in a medical vehicle crash with his partner 16. A nurse manager is meeting with a staff nurse who is consistently late for work. 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. 18. A nurse is receiving change-of shift report for a group of clients. Assess first 19. A nurse is teaching a newly licensed nurse about do-not-resuscitate (DNR) orders. 20. A nurse is performing mass casualty triage of clients following a tornado. 21. A nurse is planning interdisciplinary care for client experiencing an exacerbation of myasthenia gravis. 22. A nurse manager is evaluating staffing needs for a unit. 23. A charge nurse is assigning tasks for a group of clients. AP assign 24. A charge nurse is walking outside on the facility’s grounds during break time and overhears two nurses discussing the biopsy results of a client who is on the unit. (Select all that apply) 25. A nurse is caring for a client who received pain medication 1 hr ago. 26. A nurse is planning care after receiving report of four clients. 27. A nurse in an acute care facility is preparing to discharge an older adult client to home 28. A nurse is using the SBAR format to provide hand-off report for a client. 29. A nurse is providing care to a group of clients. Time effectively. (select all that apply) 30. A nurse is prioritizing care of four clients 31. A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an adult client who is cognitively impaired. 32. A nurse in the emergency department is assessing an adult client from a long term care facility who has a developmental disability. 33. A charge nurse is planning an in-service for a group of nurses about caring for clients who has active tuberculosis 34. A nurse at a long-term care facility discovers flames coming from a trash can in the day room 35. A nurse manager is changing ratio of registered nurses to licensed practical nurses on a unit to decrease costs. 36. A nurse manager is planning the staff’s annual performance appraisals. 37. Administer RBC’s steps 38. A nurse is preparing for a surgical procedure to continue the revision of a large burn scar on the left arm. 39. A nursing supervisor in an acute care facility has to recommend a client for discharge to make room for a client who was injured during an explosion 40. A nurse is delegating client care on a labor and delivery unit 41. A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. 42. A nurse manager calls a staff nurse to come in and work due to staffing shortage on several unit 43. A nurse manager witnesses an AP using incorrect procedure when transferring a client using a mechanical lift. 44. A nurse is planning for discharge of a client who has advanced lung cancer. 45. A nurse is planning care for a client who has hemiparesis and dysphagia following a stroke. (select all that apply) 46. A nurse manager is conducting a disaster-preparedness drill and observes nurses applying triage tags to clerical staff who are posing as injured clients 47. A nurse in an emergency department is admitting a 15-year-old client who is accompanied by her grandparent. 48. A nurse manager is anticipating a period when staffing will be specifically short. 49. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder 50. A nurse is teaching a group of newly licensed nurses about caring for a client who has clostridium difficle 51. A nurse is developing a plan of care for a client who is immobile and at risk for developing a pressure injury 52. A nurse encounters a client sitting on the floor in the hallways 53. A nurse in a long-care facility is caring for a group of clients 54. A charge nurse is following up on tasks delegated to another nurse and discovers an erros that could harm the client. 55. A nurse manager is preparing a nurse’s performance appraisal 56. A nurse manager is performing a record as part of the unit’s quality improvement program 57. A nurse is assisting a client who is scheduled to undergo a hysterectomy after signing an informed consent form 58. A nurse is using the SBRA. S portion 59. A nurse manager is implementing a plan to motivate unit personnel to provide quality care to client on the unit