CASE STUDY: HAND-OFF REPORTS
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A nurse is teaching a newly licensed nurse about telephone reporting using the SBAR acronym. Which of
the following responses by the newly licensed nurse indicates an understanding of the teacher? -
ANSWER "S stands for situation."
The nurse should identify that "S" stands for the "situation" of the client when providing a telephone
report using the SBAR acronym.
A nurse is speaking with the provider about a client who has had a change in mental status since
admission. Which of the following statements by the nurse demonstrates the use of assertive
communication? - ANSWER "I am concerned about the client's rapid change in mental status."
This statement by the nurse is demonstrating the use of an "I" statement, which is a form of assertive
communication. The use of the "I" statement by the nurse encourages discussion about the client with
the provider and emphasizes the importance of working together for the benefit of the client.
A nurse is preparing to provide a hand-off report for a group of clients to the oncoming nurse. Which of
the following information should the nurse include in the report? - ANSWER "Mr. Jones had pain
medication last at 1800."
The nurse should include critical data related to the client's care, such as when the client last received a
PRN pain medication, when providing a hand-off report.
A nurse is providing a transfer report to an inpatient rehabilitation facility for a client who has atrial
fibrillation. Which of the following pieces of information is the priority for the nurse to include in the
report? - ANSWER "Today's INR is 2.0."
The greatest risk to this client is injury from bleeding, due to an increased INR as a result of receiving
anticoagulant therapy for atrial fibrillation; therefore, this is the priority piece of information the nurse
should include in the transfer report.
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A nurse is teaching a newly licensed nurse about telephone reporting using the SBAR acronym. Which of
the following responses by the newly licensed nurse indicates an understanding of the teacher? -
ANSWER "S stands for situation."
The nurse should identify that "S" stands for the "situation" of the client when providing a telephone
report using the SBAR acronym.
A nurse is speaking with the provider about a client who has had a change in mental status since
admission. Which of the following statements by the nurse demonstrates the use of assertive
communication? - ANSWER "I am concerned about the client's rapid change in mental status."
This statement by the nurse is demonstrating the use of an "I" statement, which is a form of assertive
communication. The use of the "I" statement by the nurse encourages discussion about the client with
the provider and emphasizes the importance of working together for the benefit of the client.
A nurse is preparing to provide a hand-off report for a group of clients to the oncoming nurse. Which of
the following information should the nurse include in the report? - ANSWER "Mr. Jones had pain
medication last at 1800."
The nurse should include critical data related to the client's care, such as when the client last received a
PRN pain medication, when providing a hand-off report.
A nurse is providing a transfer report to an inpatient rehabilitation facility for a client who has atrial
fibrillation. Which of the following pieces of information is the priority for the nurse to include in the
report? - ANSWER "Today's INR is 2.0."
The greatest risk to this client is injury from bleeding, due to an increased INR as a result of receiving
anticoagulant therapy for atrial fibrillation; therefore, this is the priority piece of information the nurse
should include in the transfer report.
