NCLEX TEST- 6 TYPES OF NURSING REPORT

1. Which communication tool is the universal standard for nursing reports?. SOAP. PIE. SBAR. DAR.

2. Which type of report transfers responsibility at the end of a shift?. Incident report. Telephone report. Change-of-shift report. Transfer report.

3. A patient is moved from ICU to Med-Surg. Which report is required?. Incident report. Telephone report. Transfer report. Variance report.

4. The primary purpose of an incident report is to: Assign blame. Update the chart. Support legal defense and risk management. Notify the family.

5. Which event requires completion of an incident report?. Stable vital signs. Visitor fall. Routine medication administration. Patient education.

6. Which statement is appropriate for an unwitnessed fall?. 'Patient fell out of bed'. 'Patient found on floor'. 'Patient slipped'. 'Patient lost balance'.

7. Which documentation principle applies to incident reports?. Narrative detail. Conclusions. Radical objectivity. Patient opinions.

8. Where should an incident report be stored?. Patient chart. EMR. Risk management file. Nurse notes.

9. Which phrase should NOT appear in the medical record?. 'Patient reports pain'. 'Incident report completed'. 'Patient found on floor'. 'Vitals stable'.

10. How should subjective patient complaints be documented?. As nurse interpretation. In quotation marks. As diagnosis. As assumptions.

11. Which communication tool is the universal standard for nursing reports?. SOAP. PIE. SBAR. DAR.

12. Which type of report transfers responsibility at the end of a shift?. Incident report. Telephone report. Change-of-shift report. Transfer report.

13. A patient is moved from ICU to Med-Surg. Which report is required?. Incident report. Telephone report. Transfer report. Variance report.

14. The primary purpose of an incident report is to: Assign blame. Update the chart. Support legal defense and risk management. Notify the family.

15. Which event requires completion of an incident report?. Stable vital signs. Visitor fall. Routine medication administration. Patient education.

16. Which statement is appropriate for an unwitnessed fall?. 'Patient fell out of bed'. 'Patient found on floor'. 'Patient slipped'. 'Patient lost balance'.

17. Which documentation principle applies to incident reports?. Narrative detail. Conclusions. Radical objectivity. Patient opinions.

18. Where should an incident report be stored?. Patient chart. EMR. Risk management file. Nurse notes.

19. Which phrase should NOT appear in the medical record?. 'Patient reports pain'. 'Incident report completed'. 'Patient found on floor'. 'Vitals stable'.

20. How should subjective patient complaints be documented?. As nurse interpretation. In quotation marks. As diagnosis. As assumptions.

21. Which communication tool is the universal standard for nursing reports?. SOAP. PIE. SBAR. DAR.

22. Which type of report transfers responsibility at the end of a shift?. Incident report. Telephone report. Change-of-shift report. Transfer report.

23. A patient is moved from ICU to Med-Surg. Which report is required?. Incident report. Telephone report. Transfer report. Variance report.

24. The primary purpose of an incident report is to: Assign blame. Update the chart. Support legal defense and risk management. Notify the family.

25. Which event requires completion of an incident report?. Stable vital signs. Visitor fall. Routine medication administration. Patient education.

26. Which statement is appropriate for an unwitnessed fall?. 'Patient fell out of bed'. 'Patient found on floor'. 'Patient slipped'. 'Patient lost balance'.

27. Which documentation principle applies to incident reports?. Narrative detail. Conclusions. Radical objectivity. Patient opinions.

28. Where should an incident report be stored?. Patient chart. EMR. Risk management file. Nurse notes.

29. Which phrase should NOT appear in the medical record?. 'Patient reports pain'. 'Incident report completed'. 'Patient found on floor'. 'Vitals stable'.

30. How should subjective patient complaints be documented?. As nurse interpretation. In quotation marks. As diagnosis. As assumptions.

31. Which communication tool is the universal standard for nursing reports?. SOAP. PIE. SBAR. DAR.

32. Which type of report transfers responsibility at the end of a shift?. Incident report. Telephone report. Change-of-shift report. Transfer report.

33. A patient is moved from ICU to Med-Surg. Which report is required?. Incident report. Telephone report. Transfer report. Variance report.

34. The primary purpose of an incident report is to: Assign blame. Update the chart. Support legal defense and risk management. Notify the family.

35. Which event requires completion of an incident report?. Stable vital signs. Visitor fall. Routine medication administration. Patient education.

36. Which statement is appropriate for an unwitnessed fall?. 'Patient fell out of bed'. 'Patient found on floor'. 'Patient slipped'. 'Patient lost balance'.

37. Which documentation principle applies to incident reports?. Narrative detail. Conclusions. Radical objectivity. Patient opinions.

38. Where should an incident report be stored?. Patient chart. EMR. Risk management file. Nurse notes.

39. Which phrase should NOT appear in the medical record?. 'Patient reports pain'. 'Incident report completed'. 'Patient found on floor'. 'Vitals stable'.

40. How should subjective patient complaints be documented?. As nurse interpretation. In quotation marks. As diagnosis. As assumptions.

41. Which communication tool is the universal standard for nursing reports?. SOAP. PIE. SBAR. DAR.

42. Which type of report transfers responsibility at the end of a shift?. Incident report. Telephone report. Change-of-shift report. Transfer report.

43. A patient is moved from ICU to Med-Surg. Which report is required?. Incident report. Telephone report. Transfer report. Variance report.

44. The primary purpose of an incident report is to: Assign blame. Update the chart. Support legal defense and risk management. Notify the family.

45. Which event requires completion of an incident report?. Stable vital signs. Visitor fall. Routine medication administration. Patient education.

46. Which statement is appropriate for an unwitnessed fall?. 'Patient fell out of bed'. 'Patient found on floor'. 'Patient slipped'. 'Patient lost balance'.

47. Which documentation principle applies to incident reports?. Narrative detail. Conclusions. Radical objectivity. Patient opinions.

48. Where should an incident report be stored?. Patient chart. EMR. Risk management file. Nurse notes.

49. Which phrase should NOT appear in the medical record?. 'Patient reports pain'. 'Incident report completed'. 'Patient found on floor'. 'Vitals stable'.

50. How should subjective patient complaints be documented?. As nurse interpretation. In quotation marks. As diagnosis. As assumptions.