Nursing Acceleration Challenge Exam I PN Communication and Documentation

Question 1

A patient says, 'I feel like no one really listens to me.' Which nurse response demonstrates the best therapeutic communication technique?

Accepted Answer

'Tell me more about what you mean by that.'

Answer

Open-ended statements like 'Tell me more' encourage the patient to elaborate and show genuine interest. Reassuring ('don't worry') or minimizing responses block communication. Redirecting to another nurse dismisses the patient's concern.

Question 2

A nurse needs to hand off a patient to the oncoming nurse. Which communication framework is the standard for structured handoff reporting?

Accepted Answer

SBAR

Answer

SBAR (Situation, Background, Assessment, Recommendation) is the standardized handoff communication tool used to provide concise, organized information during patient transfers and shift changes, reducing communication errors.

Question 3

A nurse discovers a medication error was made by a previous nurse. Which documentation action is correct?

Accepted Answer

Document the error in the patient's chart and file an incident report

Answer

Medication errors must be documented in the patient's chart (objective facts only—what happened and patient's response) and reported via an incident/occurrence report. Altering another's documentation is falsification; omitting it from the chart is incomplete documentation.

Question 4

Which of the following is an example of a nonverbal communication barrier that a nurse should be aware of?

Accepted Answer

Standing over a seated patient while delivering bad news

Answer

Standing over a seated patient creates a power imbalance and communicates dominance rather than partnership—this is a nonverbal barrier. The other options are verbal communication issues. Sitting at eye level with a patient during sensitive conversations conveys respect and openness.

Question 5

A nurse is documenting assessment findings. Which entry is written correctly?

Accepted Answer

'Patient rates pain 7/10, diaphoretic, guarding abdomen, BP 152/94.'

Answer

Nursing documentation must be objective, specific, and measurable. Option C uses a numeric pain scale, observable signs (diaphoresis, guarding), and a vital sign—all objective data. The other options contain subjective interpretation ('seemed,' 'probably,' 'uncooperative') which are inappropriate in clinical documentation.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam I PN Communication and Documentation