ATI Leadership Proctored
VERSION 1 2 3 REAL EXAM
ABCDE principle for prioritization - CORRECT ANSWER Airway
Breathing
Circulation
Disability
Exposure
True/False: Rarely will you ever prioritize giving pain medications - CORRECT
ANSWER True
rules for prioritization - CORRECT ANSWER - assess before taking action (calling the
dr)
- prioritize unstable over stable patients
- prioritize acute over chronic conditions
- prioritize systemic over local issues
- pick least invasive procedure first
examples of efficient nursing practice - CORRECT ANSWER - take time at the
beginning of your shift to plan and prioritize your day
- chart interventions/nursing care as soon as you complete them
- group tasks together for a single patient
- complete time consuming or challenging tasks earlier in your shift
- wait to perform non-essential tasks for later in the day
5 rights of delegation - CORRECT ANSWER - right task
- right circumstance
- right person
- right direction/communication
- right supervision and evaluation
what can be delegated to LPN's - CORRECT ANSWER medications
enteral feeding
foley insertions
suctioning
trach care
wound care
reinforce teaching
what can be delegated to CNA's - CORRECT ANSWER bathing
dressing the patient
ambulation
toileting
oral feeding if no swallowing precautions
positioning
I&Os
collecting specimens
VS
basic CPR
RN's role - CORRECT ANSWER patient education
patient assessment
blood transfusions
any tasks that involve nursing judgement
right task - CORRECT ANSWER should be repetitive, noninvasive, and should not
require a lot of supervision
right circumstance - CORRECT ANSWER do not delegate tasks for unstable patients.
we want to monitor and assess the patients ourselves
right person - CORRECT ANSWER make sure the delegate is working within their
scope of practice and is competent to provide the care we are delegating
right direction/communication - CORRECT ANSWER provide a timeline and how you
expect them to report back to you
what is quality improvement? - CORRECT ANSWER · Process we use to improve the
quality of care on a particular unit or team. It is also used to correct performance
deficiencies that may be present.
components of performance review - CORRECT ANSWER - data collection over the
course of a year
- allow employee to turn in self assessment
- peer review
- performance checklist and compare to standards not other RNs
- discuss employees goals
- if employee doesn't agree with their evaluation, they can write comments on their
evaluation
intrapersonal conflict - CORRECT ANSWER internal conflict or struggle
interpersonal conflict - CORRECT ANSWER conflict between 2 or more people
stages of conflict - CORRECT ANSWER latent
perceived
felt
manifest
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