NEW
Font size
WorksheetsPractice Final Pt. 1
Total questions: 25
Worksheet time: 13mins
A nurse calls a provider and says, “Mr. Lopez’s BP has dropped from 130/80 to 84/50 in the last 10 minutes, his skin is cold and clammy, and he is complaining of chest pressure. I’m concerned he may be unstable and need to be seen immediately.” Which SBAR pieces are MOST clearly included here?
Situation and Background
Background and Recommendation
Assessment and Recommendation
Situation and Assessment
Which statement would BEST improve the Background part of an SBAR handoff about a patient with shortness of breath?
His wife is very worried.
He lives alone in a two-story home.
He has COPD, smokes 1 pack per day, and was admitted last week for pneumonia.
He says he doesn’t like hospitals.
A nurse states in SBAR: “Based on his worsening oxygen levels and increased work of breathing, I’m worried he might need higher-level care or a rapid response.” This represents which component AND why is it important?
Situation; it summarizes the chief complaint
Assessment; it shares the nurse’s clinical impression
Background; it lists history details
Recommendation; it documents vital signs
A new nurse gives SBAR but forgets to include allergies and current medications in the Background. What is the MOST likely risk?
Delayed lab processing
Increased chance of duplicate tests
Possible ordering of a harmful or contraindicated medication
The patient might be discharged too early
During a shift handoff, the outgoing nurse only says, “He’s fine, just keep an eye on his pain meds.” What is the BIGGEST problem with this handoff?
It uses too much medical jargon
It doesn’t follow a structured format like SBAR
It’s too long and detailed
It focuses too much on vitals
Which of the following SBAR errors is MOST likely to lead to miscommunication in an emergency?
Speaking too loudly
Including the patient’s date of birth in the Situation
Failing to clearly state what you are asking the provider to do
Writing down key points before calling
A nurse brings lab tubes into the room already labeled with a patient’s sticker but then realizes there are two patients with very similar names on the unit. What is the BEST action?
Use the tubes anyway to save time
Cross out one name and write the other
Discard the pre-labeled tubes and relabel new ones at the bedside after confirming ID
Ask the lab to fix any labeling issues later
A patient is extremely anxious about a blood draw and moves suddenly as the needle is inserted. What is the MOST important immediate priority?
Finish filling all tubes quickly
Stabilize the needle, stop if needed, and ensure patient safety and vein integrity
Tighten the tourniquet further
Ignore the movement if blood is flowing
A nurse notices mild swelling and coolness around an IV site while the infusion is running. The patient reports discomfort. What is the BEST first action?
Increase the IV rate to flush the vein
Stop the infusion and assess for infiltration
Ignore the findings if vitals are stable
Tape the IV more tightly in place
During an IV start, the nurse palpates a vein that feels “hard and rope-like” and the patient reports tenderness. What is the BEST interpretation?
This is a perfect vein for IV insertion
The vein is likely sclerosed or thrombosed and should be avoided
The patient is dehydrated but the vein is normal
The vein is superficial and ideal for large-bore catheters
Which combination of findings is MOST consistent with a correctly placed peripheral IV site?
No redness, no swelling, patient reports minimal discomfort, and fluids run easily
Redness, warmth, and severe pain with any infusion
Extreme swelling, cool skin, and no blood return
Fluid leaking onto the skin around the catheter
A patient reports burning pain along the vein during IV medication administration. What is the nurse’s BEST action?
Ignore it if the IV is still running
Immediately stop the medication, assess the site, and check for phlebitis or infiltration
Tighten the tubing to reduce flow
Ask the patient not to complain
A patient’s WBC count has risen from 8,000 to 19,000 over 24 hours and they have a new fever and productive cough. Which conclusion is MOST appropriate?
This is a normal variation and not concerning
This suggests a possible developing infection
This is probably a lab error and should be ignored
This proves the patient has leukemia
A patient with anemia has hemoglobin of 7 g/dL (low). Which symptom is MOST consistent with this lab result?
Sudden joint swelling
Fatigue, shortness of breath with activity, and pale skin
Increased hair growth
High fever and stiff neck
A patient has platelets of 35,000 (very low). Which nursing instruction is MOST appropriate?
It’s okay to play contact sports as usual.
Avoid shaving with a razor; use an electric shaver and watch for unusual bruising or bleeding.
Drink a lot of water for your kidneys.
Take extra aspirin for pain relief.
Which combination of lab values is MOST consistent with worsening kidney function?
High BUN, high creatinine, low GFR
Low BUN, low creatinine, high GFR
High AST, high ALT, normal creatinine
Normal BUN, high HDL, low LDL
A patient with chronic kidney disease has a rising creatinine and complains of nausea and metallic taste in the mouth. What is the BEST explanation for these symptoms?
Liver failure
Build-up of waste products in the blood due to poor filtration
Low platelet count
Excess stomach acid
A patient with liver damage has very high AST and ALT and an elevated INR. Which complication is MOST concerning?
Increased risk of clot formation
Increased risk of bleeding because clotting factor production is impaired
Improved oxygen transport
Increased bone density
A patient has chest pain and their troponin is within normal range. What conclusion is MOST appropriate?
They definitely do not have heart disease
A heart attack is less likely at that moment, but clinical symptoms still need evaluation
The lab is wrong; ignore the result
Troponin has no value in evaluating chest pain
Which patient is at the HIGHEST risk of cardiovascular disease based on lipid profile alone?
LDL 80, HDL 60, triglycerides 90
LDL 110, HDL 50, triglycerides 100
LDL 190, HDL 30, triglycerides 220
LDL 130, HDL 70, triglycerides 70
A patient’s PT/INR is much higher than the target range while taking a blood thinner. Which symptom would be MOST concerning?
Mild thirst
Nosebleeds and bleeding gums
Restless legs at night
Increased appetite
Why are trends in GFR over several months more helpful than a single GFR value?
Lab machines can only report averages
Trends show whether kidney function is stable, improving, or worsening over time
Single values are never accurate
GFR does not change over time
Which combination BEST describes the three main skin layers from outermost to innermost AND one key feature of each?
Hypodermis – pigment; Epidermis – fat; Dermis – bone
Epidermis – barrier; Dermis – vessels/nerves; Hypodermis – fat/insulation
Dermis – barrier; Hypodermis – pigments; Epidermis – cushioning
Epidermis – cushioning; Hypodermis – immune cells; Dermis – hair only
A patient with extensive loss of the epidermis and dermis is at high risk for which complication and why?
Improved immunity because skin is gone
Dehydration and infection due to loss of barrier and fluid regulation
Higher blood pressure
Increased bone density
Which statement BEST describes how the integumentary system supports immune function?
The skin produces antibodies directly
The skin acts as a physical barrier and contains immune cells that detect pathogens
The skin replaces white blood cells
The skin pumps lymph through the body
