Advanced Interprofessional Communication and Teamwork in Med-
Surg Nursing 2026 |WCU
1. A nurse is using the SBAR technique to report a patient’s deteriorating
condition to a provider. Under which section should the nurse include the
patient’s current oxygen saturation and recent lab results?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
Rationale: The Assessment component of SBAR involves reporting clinical findings, such
as vital signs, physical exam findings, and lab results, to provide context for the nurse’s
concern.
2. In the TeamSTEPPS framework, which tool is specifically designed to facilitate
communication during a high-stress, time-sensitive emergency?
A. Huddle
B. Call-out
C. Check-back
D. Debrief
Answer: B
Rationale: Call-outs are used in emergency situations to communicate important
information quickly to all team members simultaneously, ensuring everyone is on the same
page during critical events.
,3. A nurse notices a surgeon about to perform a procedure on the wrong limb.
Using the ‘CUS’ tool, which statement should the nurse use first?
A. This is a Safety issue; we must stop now.
B. I am Uncomfortable with continuing this procedure until we re-verify the site.
C. I am Concerned that the site marking is on the left side while the consent says right.
D. Doctor, please check the chart again.
Answer: C
Rationale: CUS stands for Concerned, Uncomfortable, and Safety. The first step is to
express concern (‘I am concerned…’).
4. Which interprofessional team member is primarily responsible for evaluating
a patient’s ability to perform activities of daily living (ADLs) and recommending
adaptive equipment?
A. Physical Therapist
B. Occupational Therapist
C. Case Manager
D. Speech-Language Pathologist
Answer: B
Rationale: Occupational therapists focus on ADLs and the use of adaptive devices, whereas
physical therapists focus on mobility and gross motor function.
5. During a multidisciplinary rounds session, a nurse identifies a discrepancy
between the pharmacist’s medication list and the patient’s home medications.
Which communication principle is the nurse demonstrating?
A. Closed-loop communication
B. Shared Mental Model
C. Lateral violence prevention
D. Information exchange
Answer: B
, Rationale: A Shared Mental Model ensures that all team members have the same
understanding of the plan and the patient’s status, helping to catch discrepancies early.
6. A nurse is delegating a task to a Licensed Practical Nurse (LPN). Which of the
following is an essential component of ‘Closed-Loop’ communication in this
scenario?
A. The LPN repeats the instructions back to the nurse to confirm understanding.
B. The nurse provides a written list of tasks.
C. The nurse checks the patient’s chart after the LPN finishes.
D. The LPN asks the nurse for help if the task is too difficult.
Answer: A
Rationale: Closed-loop communication involves the receiver repeating the message back
to the sender to verify that the information was received correctly.
7. When resolving a conflict with a colleague regarding a patient care priority,
which approach is most effective for maintaining a positive interprofessional
relationship?
A. Compromising to ensure both parties give something up.
B. Avoiding the conflict until the end of the shift.
C. Competing to ensure the nurse’s clinical judgment prevails.
D. Collaboration to find a mutually beneficial solution.
Answer: D
Rationale: Collaboration is the ‘win-win’ approach where both parties work together to
find the best outcome for the patient, fostering team cohesion.
Surg Nursing 2026 |WCU
1. A nurse is using the SBAR technique to report a patient’s deteriorating
condition to a provider. Under which section should the nurse include the
patient’s current oxygen saturation and recent lab results?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
Rationale: The Assessment component of SBAR involves reporting clinical findings, such
as vital signs, physical exam findings, and lab results, to provide context for the nurse’s
concern.
2. In the TeamSTEPPS framework, which tool is specifically designed to facilitate
communication during a high-stress, time-sensitive emergency?
A. Huddle
B. Call-out
C. Check-back
D. Debrief
Answer: B
Rationale: Call-outs are used in emergency situations to communicate important
information quickly to all team members simultaneously, ensuring everyone is on the same
page during critical events.
,3. A nurse notices a surgeon about to perform a procedure on the wrong limb.
Using the ‘CUS’ tool, which statement should the nurse use first?
A. This is a Safety issue; we must stop now.
B. I am Uncomfortable with continuing this procedure until we re-verify the site.
C. I am Concerned that the site marking is on the left side while the consent says right.
D. Doctor, please check the chart again.
Answer: C
Rationale: CUS stands for Concerned, Uncomfortable, and Safety. The first step is to
express concern (‘I am concerned…’).
4. Which interprofessional team member is primarily responsible for evaluating
a patient’s ability to perform activities of daily living (ADLs) and recommending
adaptive equipment?
A. Physical Therapist
B. Occupational Therapist
C. Case Manager
D. Speech-Language Pathologist
Answer: B
Rationale: Occupational therapists focus on ADLs and the use of adaptive devices, whereas
physical therapists focus on mobility and gross motor function.
5. During a multidisciplinary rounds session, a nurse identifies a discrepancy
between the pharmacist’s medication list and the patient’s home medications.
Which communication principle is the nurse demonstrating?
A. Closed-loop communication
B. Shared Mental Model
C. Lateral violence prevention
D. Information exchange
Answer: B
, Rationale: A Shared Mental Model ensures that all team members have the same
understanding of the plan and the patient’s status, helping to catch discrepancies early.
6. A nurse is delegating a task to a Licensed Practical Nurse (LPN). Which of the
following is an essential component of ‘Closed-Loop’ communication in this
scenario?
A. The LPN repeats the instructions back to the nurse to confirm understanding.
B. The nurse provides a written list of tasks.
C. The nurse checks the patient’s chart after the LPN finishes.
D. The LPN asks the nurse for help if the task is too difficult.
Answer: A
Rationale: Closed-loop communication involves the receiver repeating the message back
to the sender to verify that the information was received correctly.
7. When resolving a conflict with a colleague regarding a patient care priority,
which approach is most effective for maintaining a positive interprofessional
relationship?
A. Compromising to ensure both parties give something up.
B. Avoiding the conflict until the end of the shift.
C. Competing to ensure the nurse’s clinical judgment prevails.
D. Collaboration to find a mutually beneficial solution.
Answer: D
Rationale: Collaboration is the ‘win-win’ approach where both parties work together to
find the best outcome for the patient, fostering team cohesion.
