Interprofessional Comm - 2026 SBAR Handover Mastery: Final
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. A critical lab value that seems inconsistent with the patient's condition, such as potassium 7.0
in a well-appearing patient, should prompt the nurse to:
A. Ignore it
B. Treat it without notifying anyone
C. Assess the patient, consider specimen problems such as hemolysis and notify the provider
promptly
D. Wait until morning
Correct Answer: C. Assess the patient, consider specimen problems such as hemolysis and
notify the provider promptly
Rationale: Spurious results occur but must be verified. Notification still happens promptly.
2. Provider-specified notification parameters, such as "call if systolic BP below 90," help by:
A. Defining clear thresholds for when the nurse must contact the provider
B. Replacing nursing judgment entirely
C. Preventing calls
D. Delaying escalation
Correct Answer: A. Defining clear thresholds for when the nurse must contact the provider
Rationale: Parameters reduce uncertainty. Nurses should still call for concerning changes
outside them.
,3. A handoff (handover) is:
A. A billing transfer
B. A greeting between staff
C. The transfer and acceptance of patient care responsibility through effective communication
D. A discharge only
Correct Answer: C. The transfer and acceptance of patient care responsibility through
effective communication
Rationale: Handoffs transfer information, responsibility and accountability. They occur at shift
changes and transitions.
4. Measuring the impact of a handoff improvement project may include:
A. Only costs
B. Only staff attendance
C. Nothing
D. Rates of handoff-related adverse events, omissions and staff and patient satisfaction
Correct Answer: D. Rates of handoff-related adverse events, omissions and staff and patient
satisfaction
Rationale: Multiple measures show effect. Balancing measures check time burden.
5. A handoff tool for patients with mental health concerns should include:
A. Only diet
B. Only vital signs
C. Only visitor rules
D. Risk assessment, observation level and triggers for agitation
Correct Answer: D. Risk assessment, observation level and triggers for agitation
Rationale: Risk information protects patients and staff. Observation levels must be clear.
,6. Charge nurse handoffs should include:
A. Only one patient
B. Personal matters
C. Unit census, high-risk patients, staffing issues and pending admissions or discharges
D. Nothing
Correct Answer: C. Unit census, high-risk patients, staffing issues and pending admissions or
discharges
Rationale: Unit-level handoffs support coordination. They anticipate needs.
7. Patients transferring from ICU to the ward need handoffs that include:
A. Recent instability, ongoing therapies and monitoring recommendations
B. Only the diagnosis
C. Only bed number
D. Nothing
Correct Answer: A. Recent instability, ongoing therapies and monitoring recommendations
Rationale: Post-ICU patients are vulnerable. Follow-up by critical care outreach may help.
8. Universal transfer forms in long-term care improve:
A. Billing
B. Visitor management
C. Consistency and completeness of information sent with residents
D. Staffing
Correct Answer: C. Consistency and completeness of information sent with residents
Rationale: Standard forms reduce variation. Hospitals receive key data quickly.
, 9. A debrief after a code should address:
A. Who to blame
B. Nothing
C. What went well, what could be improved and system issues
D. Only documentation
Correct Answer: C. What went well, what could be improved and system issues
Rationale: Learning-focused debriefs improve future performance. Emotional support may be
needed.
10. The TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) measures:
A. Staff perceptions of teamwork across the core competencies
B. Patient pain
C. Fall risk
D. Medication levels
Correct Answer: A. Staff perceptions of teamwork across the core competencies
Rationale: It is used before and after training. Results guide improvement.
11. Emotional regulation during conflict helps clinicians:
A. React impulsively
B. Escalate anger
C. Avoid all decisions
D. Think clearly and communicate effectively
Correct Answer: D. Think clearly and communicate effectively
Rationale: Pausing and breathing techniques help. Calm responses improve outcomes.
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. A critical lab value that seems inconsistent with the patient's condition, such as potassium 7.0
in a well-appearing patient, should prompt the nurse to:
A. Ignore it
B. Treat it without notifying anyone
C. Assess the patient, consider specimen problems such as hemolysis and notify the provider
promptly
D. Wait until morning
Correct Answer: C. Assess the patient, consider specimen problems such as hemolysis and
notify the provider promptly
Rationale: Spurious results occur but must be verified. Notification still happens promptly.
2. Provider-specified notification parameters, such as "call if systolic BP below 90," help by:
A. Defining clear thresholds for when the nurse must contact the provider
B. Replacing nursing judgment entirely
C. Preventing calls
D. Delaying escalation
Correct Answer: A. Defining clear thresholds for when the nurse must contact the provider
Rationale: Parameters reduce uncertainty. Nurses should still call for concerning changes
outside them.
,3. A handoff (handover) is:
A. A billing transfer
B. A greeting between staff
C. The transfer and acceptance of patient care responsibility through effective communication
D. A discharge only
Correct Answer: C. The transfer and acceptance of patient care responsibility through
effective communication
Rationale: Handoffs transfer information, responsibility and accountability. They occur at shift
changes and transitions.
4. Measuring the impact of a handoff improvement project may include:
A. Only costs
B. Only staff attendance
C. Nothing
D. Rates of handoff-related adverse events, omissions and staff and patient satisfaction
Correct Answer: D. Rates of handoff-related adverse events, omissions and staff and patient
satisfaction
Rationale: Multiple measures show effect. Balancing measures check time burden.
5. A handoff tool for patients with mental health concerns should include:
A. Only diet
B. Only vital signs
C. Only visitor rules
D. Risk assessment, observation level and triggers for agitation
Correct Answer: D. Risk assessment, observation level and triggers for agitation
Rationale: Risk information protects patients and staff. Observation levels must be clear.
,6. Charge nurse handoffs should include:
A. Only one patient
B. Personal matters
C. Unit census, high-risk patients, staffing issues and pending admissions or discharges
D. Nothing
Correct Answer: C. Unit census, high-risk patients, staffing issues and pending admissions or
discharges
Rationale: Unit-level handoffs support coordination. They anticipate needs.
7. Patients transferring from ICU to the ward need handoffs that include:
A. Recent instability, ongoing therapies and monitoring recommendations
B. Only the diagnosis
C. Only bed number
D. Nothing
Correct Answer: A. Recent instability, ongoing therapies and monitoring recommendations
Rationale: Post-ICU patients are vulnerable. Follow-up by critical care outreach may help.
8. Universal transfer forms in long-term care improve:
A. Billing
B. Visitor management
C. Consistency and completeness of information sent with residents
D. Staffing
Correct Answer: C. Consistency and completeness of information sent with residents
Rationale: Standard forms reduce variation. Hospitals receive key data quickly.
, 9. A debrief after a code should address:
A. Who to blame
B. Nothing
C. What went well, what could be improved and system issues
D. Only documentation
Correct Answer: C. What went well, what could be improved and system issues
Rationale: Learning-focused debriefs improve future performance. Emotional support may be
needed.
10. The TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) measures:
A. Staff perceptions of teamwork across the core competencies
B. Patient pain
C. Fall risk
D. Medication levels
Correct Answer: A. Staff perceptions of teamwork across the core competencies
Rationale: It is used before and after training. Results guide improvement.
11. Emotional regulation during conflict helps clinicians:
A. React impulsively
B. Escalate anger
C. Avoid all decisions
D. Think clearly and communicate effectively
Correct Answer: D. Think clearly and communicate effectively
Rationale: Pausing and breathing techniques help. Calm responses improve outcomes.
