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Question 1

A nurse is receiving a hand-off report using the I-PASS method. Which element addresses the patient's current status?

Accepted Answer

Illness severity

Answer

In I-PASS, 'Illness severity' describes whether the patient is stable, watcher, or unstable, reflecting current clinical status.

Question 2

Which documentation practice best demonstrates continuity of nursing care?

Accepted Answer

Recording assessments, interventions, and patient responses each shift

Answer

Consistent, shift-by-shift documentation of assessments, interventions, and outcomes shows a clear, uninterrupted picture of patient care.

Question 3

A patient asks a nurse not to share health information with any family members. The nurse should:

Accepted Answer

Honor the request and document the patient's preference

Answer

Competent adults have the right to restrict disclosure of their health information, and this preference must be respected and documented.

Question 4

Which statement about electronic health record (EHR) documentation is accurate?

Accepted Answer

Each user must log in with unique credentials and never share passwords

Answer

Unique login credentials protect data integrity, ensure accountability, and are required by security standards for EHR systems.

Question 5

A nurse notes that a postoperative patient has become increasingly confused since the last assessment. Using SBAR, what belongs in the 'A' (Assessment) section?

Accepted Answer

The nurse's clinical interpretation that the patient may be experiencing hypoxia or delirium

Answer

The Assessment component of SBAR contains the nurse's clinical judgment about what is happening with the patient.

(Next) National Exit Test Practice Test

(Next) National Exit Test Practice Test

Next Communication and Documentation 3