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Practice Question

A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool?

Answer Choices:

Correct Answer:

Medical condition

Rationale:

💠 In the ISBARR communication tool (Introduction, Situation, Background, Assessment, Recommendation, Read back), the Situation component focuses on the client’s current condition or reason for care — essentially, why you are communicating right now.

💠 This includes the client’s primary medical diagnosis or presenting problem, such as “The client was admitted with pneumonia” or “The patient is experiencing acute chest pain.”

💠 The Background section would include details like vital signs, medications, and treatment history, while Assessment covers the nurse’s findings and Recommendation outlines next steps or needs.

💠 Providing the medical condition during the “Situation” ensures clarity and helps the receiving nurse immediately understand the context and urgency of the report.

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This question is from Custom N1100 Fall 25 Exam 3 which contains 49 questions.

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A nurse is conducting an interview with a client to collect a medication history. Which question would be used to best ensure safe medication administration?

Answer Choices:

A. "'Do you have any allergies to medications?"
B. "How do you feel about taking medications?"
C. "At what times do you take your medications?"
D. “Have you noticed any changes in your bowel habits?"
Which nursing action is most likely to happen during the ongoing planning stage of a clients care plan?

Answer Choices:

A. The nurse who performs the admission nursing history develops a patient care plan
B. The nurse consults standardized care plans to identify patient problems, outcomes, and interventions
C. The nurse uses teaching and counseling skills to help the patient carry out self-care behaviors at home
D. The nurse collects new data and uses them to update the plan and resolve health problems
Which nursing action is most likely to happen during the ongoing planning stage of a clients care plan?

Answer Choices:

A. The nurse who performs the admission nursing history develops a patient care plan
B. The nurse consults standardized care plans to identify patient problems, outcomes, and interventions
C. The nurse collects new data and uses them to update the plan and resolve hea
D. The nurse collects new data and uses them to update the plan and resolve health problems
A nurse in a clinic setting is completing an assessment for a client from a fall. Which statement represents objective data the nurse is likely to gather and document during this assessment?

Answer Choices:

A. "I am unable to palpate radial pulse in left arm."
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From Exam
Custom N1100 Fall 25 Exam 3

49 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 4
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