VATI RN 2ND COMPREHENSIVE PREDICTOR 2024 (DOWNLOAD TO SCORE A)
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VATI RN 2ND COMPREHENSIVE PREDICTOR 2024
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VATI RN 2ND COMPREHENSIVE PREDICTOR 2024
1.Private rooms
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 ava...
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VATI RN 2ND COMPREHENSIVE PREDICTOR 2024
1.Private rooms
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)
2.Prior to delegating client care, consider the following.
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?
3.Examples of tasks nurses can delegate to practical nurses and assistive personnel
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).
4.Right direction/communication (five rights of delegations)
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.
5.Steps in providing educational programs
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
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, 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
6.Tetralogy of Fallot.
Four defects that result in mixed blood flow: Pulmonary stenosis, ventricular septal defect,
overriding aorta, right ventricular hypertrophy. Cyanosis at birth: progressive cyanosis over the first
year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or "Tet" spells knee
chest position or squating). SURGICAL PROCEDURES Shunt placement until able to undergo
primary repair. Complete repair within the first year of life.
8.Defects that increase pulmonary blood flow Ventricular septal defect (VSD)
_______ A hole in the septum between the right and left ventricle that results in increased
pulmonary blood flow (left-to-right shunt) ●Loud, harsh murmur auscultated at the left sternal
border ●Heart failure ●Many VSDs close spontaneously early in life.
9.Defects that increase pulmonary blood flow Atrial septal defect (ASD)
A hole in the septum between the right and left atria that results in increased pulmonary blood flow
(left-to-right shunt) ●Loud, harsh murmur with a fixed split second heart sound ●Heart failure
●Asymptomatic (possibly)
10.Defects that increase pulmonary blood flow Patent ductus arteriosus (PDA)
A condition in which the normal fetal circulation conduit between the pulmonary artery and the
aorta fails to close and results in increased pulmonary blood flow (left-to-right shunt) ●Systolic
murmur (machine hum) ●Wide pulse pressure ●Bounding pulses ●Asymptomatic (possibly)
●Heart failure ●Rales
11.Obstructive defects
include those where blood flow exiting the heart meets an area of narrowing (stenosis), which
causes obstruction of blood flow. ●The pressure that occurs before the defect is increased
(ventricle) and the pressure that occurs after the defect is decreased. This results in a decrease in
cardiac output. ●These children can present with manifestations of heart failure. Pulmonary
stenosis (20.2), Aortic stenosis, Coarctation of the aorta (20.3)
12.Pulmonary stenosis (20.2)
A narrowing of the pulmonary valve or pulmonary artery that results in obstruction of blood flow
from the ventricles ●Systolic ejection murmur ●Asymptomatic (possibly) ●Cyanosis varies with
defect, worse with severe narrowing ●Cardiomegaly ●Heart failure
13.Aortic stenosis
A narrowing of the aortic valve ●INFANTS: Faint pulses, hypotension, tachycardia, poor feeding
tolerance ●CHILDREN: Intolerance to exercise, dizziness, chest pain, possible ejection murmur
14.Coarctation of the aorta (20.3)
A narrowing of the lumen of the aorta, usually at or near the ductus arteriosus, that results in
obstruction of blood flow from the ventricle ●Elevated blood pressure in the arms ●Bounding
pulses in the upper extremities ●Decreased blood pressure in the lower extremities ●Cool skin of
lower extremities ●Weak or absent femoral pulses ●Heart failure in infants ●Dizziness,
headaches, fainting, or nosebleeds in older children
15.Cultural Sensitivity
means that nurses are knowledgeable about the cultures prevalent in their area of practice.
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