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VATI RN Comprehensive Predictor Exam Study Guide Solutions Private rooms - ANSWER-are required for clients who have an infectious disease that requires airborne precautions, or clients who require a protective environment._______ _____ are preferred for clients who are on droplet and contact pr...

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  • November 11, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
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VATI RN Comprehensive Predictor Exam

Study Guide Solutions


Private rooms - ANSWER✔✔-are required for clients who have an infectious disease that requires

airborne precautions, or clients who require a protective environment._______ _____ are preferred for

clients who are on droplet and contact precautions. These clients can cohort if no _______ ______ are

available and if all of the following are true. ●The clients have the same active infection with the same

micro-organisms. ●The clients remain at least 3 feet away from each other. ●The clients have no other

existing infection. ______ _______ is also preferred for the following clients. ●Client who are agitated

●Client who have dementia and a history of wandering ●Clients who require a quiet environment (those

at risk for increased intracranial pressure [stroke, traumatic brain injury]) ●Clients who are at risk for

sensory overload (those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs,

endotracheal], or have reduced cognitive function [head injury]) ●Clients who require privacy (those

who are near death)


Prior to delegating client care, consider the following. - ANSWER✔✔-Predictability of outcome ●Will the

completion of the task have a predictable outcome? ●Is it a routine treatment? ●Is it a new treatment?

Potential for harm ●Is there a chance that something negative can happen to the client (risk for

bleeding, risk for aspiration)? ●Is the client unstable? Complexity of care ●Are complex tasks required as

a part of the client's care? ●Is the delegatee legally able to perform the task and do they have the skills

necessary? Need for problem solving and innovation ●Is nursing judgment required while performing

the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is there a need

to provide psychosocial support or education during the performance of the task?

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Examples of tasks nurses can delegate to practical nurses and assistive personnel - ANSWER✔✔-TO PN

Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client teaching from a

standard care planPerforming tracheostomy careSuctioningChecking NG tube patencyAdministering

enteral feedingsInserting a urinary catheterAdministering medication (excluding IV medication in some

states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding

(without swallowing precautions). Positioning Routine tasks. Bed making. Specimen collection Intake and

output Vital signs (for stable clients).


Right direction/communication (five rights of delegations) - ANSWER✔✔-Data that needs to be collected

●Method and timeline for reporting, including when to report concerns/findings ●Specific task(s) to be

performed; client-specific instructions ●Expected results, timelines, and expectations for follow-up

communication




RIGHT DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with a shower

before 0900 and to notify the nurse when complete.


WRONG DIRECTION AND COMMUNICATION: Delegate an AP to assist the client in room 312 with

morning hygiene.


Steps in providing educational programs - ANSWER✔✔-1. Identify and respond: Determine the need for

knowledge or skill proficiency 2. Analyze: Look for deficiencies, and develop learning objectives to meet

the need 3. Research: Resources available to address learning objectives based on evidence-based

practice 4. Plan: Program to address objectives using available resources 5. Implement: Program(s) at a

time conducive to staff availability; consider online learning modules 6. Evaluate: Use materials and

observations to measure behavior changes secondary to learning objectives



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