SBAR ASSESSMENT

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

SBAR ASSESSMENT

THIS ASSESSMENT IS POWERED BY ACHIEVERS NCLEX-RN CONSULT. Visit Us At www.achievernclexrn.com

ASSESSEMENT AREA: SBAR NCLEX-RN RELATED QUESTIONS

BEST WISHES!

PASSMARK: 10/15

Email *

Q1. Two nurses are discussing a client’s plan of care during hand-off report at the change of shift. They are following the SBAR technique to ensure accuracy of communication and to avoid missing pertinent data. The R in SBAR stands for:
*

1 point

A. Recommendations

B. Report

C. Risks

D. Rationales

Q2. A nurse reports to the health care provider that a client was admitted with episodes of syncope. Which part of SBAR is this statement?
*

1 point

1. Assessment

2. Situation

3. Recommendation

4. Background

Q3. What assessment finding would be priority in the SBAR report to the health care provider?
*

1 point

130/60 blood pressure

68 heart rate

84% oxygen saturation

18 respirations

Q4. What is the benefit of using SBAR when the nurse is giving reports to the oncoming staff?
*

1 point

Allows nursing staff to make a diagnosis

Improves communication between staff

Provides the clients complete medical history

Avoids stating recommendations

Q5. The nurse is caring for a client recently admitted with the diagnosis of a stroke. When providing a bedside report at shift change, which statements by the nurse are required pieces of an SBAR report? Select all that apply.
*

1 point

• A. "The client is a 78-year-old male who is a full code."

• B. "The client arrived two hours ago and has completed a CT scan."

• C. "The client is married and recently retired."

• D. "The client is receiving oxygen at 2L via nasal cannula."

• E. "The client needs wound care teaching before discharge."

Required

Q6. The nurse is preparing to call report to the receiving unit on a client in their care. They are preparing to use the SBAR report method. The nurse is aware the acronym SBAR includes the following components:

Select all the apply

1 point

A. Situation

B. Scheduled Tests

C. Background

D. Arrhythmias

E. Assessment

F. Report

G. Recommendation

Required

Q7. The nurse prepares an SBAR report for a client. The client wakes after receiving a firm shake on the shoulder but drifts back to sleep quickly thereafter. Which statement will the nurse include in the “B” section of the report?
*

1 point

• A. “The client is fully conscious.”

• B. “The client is lethargic.”

• C. “The client is obtunded.”

• D. “The client is stuporous.”

Q8. The nurse calls the primary health care provider to report the status of a postsurgical client. Place the statements in the correct SBAR communication format.

A. "Mr. Jones is experiencing pain of a 7 on a scale of 1 to 10. Vital signs are B/P 150/88, HR 90, and RR 26, with an O2 sat of 95%."
B. "This is Mary Smith, RN, calling about Mr. Jones in room 325 at Memorial Hospital."
C. "Mr. Jones had an open cholecystectomy yesterday and reports inadequate pain control with his current medication regimen since the surgery."
D. "Would you like to make a change in his pharmacologic regimen?"

1 point

A. C, B, A, D

B. B, C, A, D

C. A, B, C, D

D. A, C, D, B

Q9. Using SBAR (Situation, Background, Assessment, Recommendation/Request) to communicate with the health care provider, which statement should the nurse include to describe the situation?

1 point

1. "I'm calling about the client in 711 who has low blood pressure and is symptomatic."

2. "The client has a limited code status and requests no intubation or compressions."

3. "The client was admitted for acute respiratory failure and intubated on September 16."

4. "The client's blood pressure was 97/45 mm Hg an hour ago and is now 88/40 mm Hg."

Clear selection

Q10. A nurse is calling the primary healthcare provider about a client who is experiencing dyspnea and chest pain two days post total knee replacement. Which statements by the nurse are appropriate according to the communication tool SBAR (Situation, Background, Assessment and Recommendation)?

Select all that apply
*

1 point

1. "Hello Dr, I am calling about one of your clients."

2. "Jane Doe is having increasing dyspnea and is reporting chest pain."

3. "Jane Doe had a total knee replacement two days ago. Pulse is 120, BP 128/54, Resp 32. She is restless."

4. "From my assessment, I think she may be having a cardiac event or a pulmonary embolism."

5. "I recommend that you see the client immediately and that we start oxygen stat. Do you agree?"

Required

Q11. A nurse is preparing to contact a provider regarding a client. When using the SBAR communication tool, which of the following statements should the nurse include in the B step?
*

1 point

A. "The client should be seen by a neurologist."

B. "The client was found unconscious on the floor in her home."

C. "The client is a 32-year-old female who was admitted this morning following a syncopal episode and is now experiencing seizures."

D. "The client is disoriented. Pupils are slow to respond to light."

Q12. The nurse is using the SBAR technique to communicate with the health care provider. Which of the following phrases would be associated with "B-Background"?
*

1 point

"Vital signs are..."

"I would like you to..."

"The client's treatments are..."

"I'm not sure what the problem is, but the client's condition is deteriorating."

Q13. The nurse notifies the health care provider of a change in client condition. Which of the following reports given by the nurse includes the most appropriate and complete information?
*

1 point

1. "A 43-year-old client with pneumonia in room 343 has wheezing, crackles, and diminished breath sounds. Temperature is 101.2 F (38.4 C), respirations are 36/min, and pulse oximeter shows 90%. I think the client may need arterial blood gas testing."

2. "A 75-year-old client in room 474 is in respiratory distress. The respiratory therapist (RT) gave a breathing treatment, but the client is deteriorating rapidly. The RT did not hear left side breath sounds and recommends a chest x-ray."

3. "An 80-year-old client in room 234 with a history of heart failure was admitted today for pneumonia and is receiving oxygen and antibiotics. The client is dyspneic and restless, and oxygen saturation is now 89%. Would you like me to increase the oxygen flow rate?"

4. "The client with pneumonia in room 265 is reporting shortness of breath. The RT gave the client a breathing treatment 30 minutes ago, but the client is no better. Would you like to prescribe any laboratory tests or make any changes to the treatment?"

Q14. The parent of a 7-month-old reports that the child has been crying and vomiting with a distended belly for the past 4 hours. The infant is now lying quietly in the parent's arms with a pulse of 200/min and respirations of 60/min. Which of the following components of SBAR (situation, background, assessment, recommendation/read-back) communication is most important for the nurse to report to the health care provider?
*

1 point

1.Client has been ill for approximately 4 hours

2.Client has improved from apparent earlier distress

3.Client is now lethargic with abnormal vital signs

4.Does the health care provider want to order a laxative?

Q15. The nurse has called a physician to obtain orders about their mutual client. Below is the transcript of the call:

Hello Dr. B this is Nurse A calling about our client Mr. F. The client is a 63-year-old male 24 hours post-surgical appendectomy who is having pain. He has a history of hearing loss and urinary tract infections. I would like to increase Mr. F's morphine from 0.5 mg per hour as needed to 1 mg per hour as needed.

What communication step did the nurse forget to include? *

1 point

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms