NCLEX: A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills…

Professional nursing practice (clinical transition) Management of Care

Case Study

A senior nursing student during a supervised medication pass is being evaluated for transition-to-practice skills and simulation debriefing. Assessment data include the student receives feedback about incomplete SBAR during handoff. Which communication to the oncoming nurse or provider is most appropriate?

Question

A. "The client is doing fine; no issues to report."
B. Vague statements without measurable assessment data.
C. Blaming the client for nonadherence instead of stating facts.
D. SBAR format with specific objective findings, current status, and a clear recommendation.

Rationale

Correct answer: D. SBAR format with specific objective findings, current status, and a clear recommendation.

Rationale: Handoff and escalation require concise, objective communication such as SBAR with current assessment data.

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Foundational

Difficulty: Easy

Subtopic: Simulation debriefing