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VATI RN Leadership and Management questions and answers latest.
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VATI RN Leadership and Management questionsand answers latest.
1 A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when
transferring a client using a mechanical lift. After reinforcing proper procedure, which of the
following methods should the nurse manager use to evaluate the AP s understanding of the
teaching
Require the AP”s attendance at an in service about the lift
Assign the AP to work with a senior staff member when using the lift
Observe the AP’s technique with the lift at random times throughout the day
Enforce the staff s completion of skills modules about medical equipment
2 A nurse is caring for a client who received pain medication 1hr ago. The client tells the nurse
the medication is not working because they are still experiencing pain. Which of the following
actions by the nurse demonstrates client advocacy?
Provide the client with watch television as a distraction from the pain
Recommend the client watch television as a distraction from the pain
Attempt obtain a prescription for a different analgesic medication
Inform the client that they can receive their next dose in 3hr
3 A charge nurse is teaching a newly licensed nurse about providing written discharge
instructions for a client who is postoperative following an arthroplasty. The charge nurse should
identify that which of the following discharge instructions written by the newly licensed nurse
indicates understanding
Take oxycodone 10 mg q6h, prn for pain
Report pus-lie drainage from the wound
Resume Na-restricted diet
Perform quadriceps setting exercises when supine
4 A nurse is using the SBAR communication tool for reporting a client condition to the provider.
Which of the following information should the nurse include in the S portion of the tool
The client was medicated with morphine 2mg IV 1hr ago
,The client needs a change in pain medication prescription
The client is reporting a pain level of 8 on a scale from 0 to 10
The client has a heart rate of 110/min and a BP of 148/88mmHg
5 A nurse manager is anticipating a period when staffing will be especially short. The nurse
manager decides to reorganize the delivery of care on the unit until staffing improves by
appointing a charge nurse a medication nurse and a treatment nurse which of the following
delivery systems is the nurse manager using
Primary nursing
Team nursing
Functional nursing
Modular nursing
6 A nurse manager is preparing a nurse “s performance appraisal.
which of the following actions should the nurse manager take?
Avoid using specific examples of client care to maintain confidentiality
Focus on the nurses”s most recent performance just before the evaluation
Present goals to the nurse at the initial meeting
Use a formalized system to discuss important issues
7 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)
Attempt to detain the client
Sedate the client while waiting for the provider to arrive
Request the client sing an AMA form
Notify the provider of client “s intent
Advise the client about the dangers of leaving
, 8 A nurse is using the situation, background assessment recommendation (SBAR) format to
provide hand off report for a client in which of the following components of the SBAR report
should the nurse include information about the client’s current vital signs
Situation
Background
Assessment
Recommendation
9 A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an
adult client who is cognitively impaired which of the following statements by the newly licensed
nurse indicates an understanding of the teaching
I will let the client sit at the nurses station during the day
I will assign the client to a room close to the nurse station
I will elevate full length bed rails while the client is in bed
I will place a red wrist band on the client to indicate fall risk
10 A nurse manager on a maternal newborn unit completing a chart audit to determine the
percentage of clients over the past 3 months who breastfed their newborns successfully prior to
discharge which of the following standards is the nurse using to complete this audit
Structure
Outcome
Process
Practice
11 A nurse manager is changing the ratio of registered nurse (RNs) to licensed practical nurses
(LPNs) on a unit to decrease cost which of the following strategies should the nurse manager
implement to reduce resistance from the staff
Send a memo to each staff member announcing the new RN/LPN ratio
Assign the staff to read research articles about the process of change
Formulate a sample staffing schedule covering 1 month
Discuss the planned change with other nurse manager
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