NACE Communication and Documentation 4

Question 1

In the SBAR communication format, what information goes in the 'B' section?

Accepted Answer

Pertinent history such as admitting diagnosis, relevant labs, and current treatments

Answer

Background gives the relevant clinical context, such as diagnosis, history, medications, and recent results.

Question 2

A provider gives a telephone order for a new medication. What is the nurse's priority action?

Accepted Answer

Write the order down, read it back to the provider, and get confirmation

Answer

The write-down/read-back process confirms the order is accurate and is a Joint Commission patient-safety requirement.

Question 3

Which practice best supports safe shift-to-shift handoff communication?

Accepted Answer

Using a standardized tool, at the bedside when possible, with time for questions

Answer

Standardized, interactive handoffs with a chance to ask questions reduce omissions and errors.

Question 4

As an LPN transitions to the RN role, which documentation responsibility belongs to the RN rather than the LPN?

Accepted Answer

Completing the initial comprehensive admission assessment and nursing care plan

Answer

Comprehensive assessment and care planning are within the RN scope, and LPNs contribute data to them.

Question 5

The lab calls the nurse with a critical potassium level of 6.8 mEq/L. Which action is required after the nurse notifies the provider?

Accepted Answer

Document the critical value, the time, the name of the person notified, and any orders received

Answer

Documenting critical-result communication creates a clear record that the result was reported and acted on.

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