True or false: Any member of the care team can speak up about a safety concern.
5 Implementing Care and Escalating Concerns Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Implementing Care and Escalating Concerns, test your knowledge, and prepare for your next test or exam.
Before giving medication, confirm the patient's identity and .
In SBAR, which section states what response or help you need?
An order is unclear and may conflict with the patient's condition. What should the nurse do before acting?
- A
Proceed using your best judgment, then document the decision.
- B
Pause and clarify the order before acting.
- C
Ask a colleague to guess what the order means.
- D
Delay clarification until the next routine handoff.
True or false: If a patient may be unstable, verify measurements when feasible, but do not let verification delay getting help.
- A
True
- B
False
A safety concern has not been acknowledged, and the risk remains. What organizational pathway can the nurse use to escalate the concern?
Which details should a nurse include in a concise report about a patient safety concern? Select all that apply.
- A
Objective findings about the patient
- B
The reporter's unsupported guess about the cause
- C
Relevant actions already taken
- D
The patient's response to those actions
- E
Unrelated details that do not affect the concern
Before implementing an intervention, which check best supports safe practice?
- A
Use the intervention whenever it is familiar, even if it conflicts with an order.
- B
Follow the intervention another staff member suggests without checking whether it is appropriate.
- C
Confirm that it is appropriate for this patient and within your role, competence, orders, and facility policy.
- D
Proceed first and check relevant orders and policy afterward.
If the patient worsens, help is delayed, or the response does not resolve the concern, the nurse should again.
After an intervention, which actions help evaluate its outcome? Select all that apply.
- A
Compare relevant cues with the patient's baseline.
- B
Assume the intervention worked without reassessing.
- C
Compare the patient's response with the intended outcome.
- D
Look for new symptoms or unintended effects.
A patient may be unstable, but a nonessential task is unfinished. What is the safest priority?
- A
Finish a routine assessment before contacting anyone.
- B
Address immediate threats and get help early; do not delay for a nonessential task.
- C
Wait to see whether the patient improves before seeking assistance.
- D
Complete routine documentation before responding.
True or false: After an intervention, document the findings, intervention, communication, and patient response according to policy, and hand off unresolved concerns.
- A
True
- B
False
A postoperative patient becomes newly restless, with a rising heart rate, falling blood pressure, and lower oxygen saturation than earlier. Which response is most appropriate?
- A
Finish a routine assessment before deciding whether the trend matters.
- B
Wait for the next scheduled observation because the patient is postoperative.
- C
Quickly assess immediate airway, breathing, and circulation needs, stay with the patient, and summon assistance; activate rapid response if criteria are met or the patient is worsening.
- D
Begin an intervention regardless of your role, orders, or facility protocols.
After an intervention, explain how the nurse should evaluate the patient's response and decide whether to continue monitoring or adapt the plan.
Before giving a prescribed medication, which action is an essential safety check?
- A
Give the medication first and check for a reaction afterward.
- B
Confirm the patient’s identity and allergies before giving the medication.
- C
Ask a nearby colleague to identify the patient after administration.
- D
Skip the allergy check if the order is clear.
A nurse receives an order that seems unsafe for the patient’s current condition. What should the nurse do before carrying it out?
An order is unclear, and the nurse cannot determine whether it is appropriate for the patient. What is the safest next step?
- A
Pause and clarify the order with the appropriate person.
- B
Carry out the order as written, then report any concern.
- C
Modify the order based on personal judgment without consultation.
- D
Wait until the next routine handoff to mention the concern.
A patient appears unstable while the nurse is completing a nonessential routine task. Which response best follows safe prioritization?
- A
Finish the routine assessment before deciding whether help is needed.
- B
Complete the scheduled documentation before contacting anyone.
- C
Address immediate threats and get help early.
- D
Wait for the next scheduled set of observations.
In an SBAR report, which component states what response or help the nurse needs?
A nurse is preparing an escalation report about a patient whose condition is changing. Which approach makes the report most actionable?
- A
Give a general impression and ask the recipient to review the chart later.
- B
Report objective findings and trends, actions taken, the patient’s response, and the help needed.
- C
Report only the most recent measurement to keep the message brief.
- D
Describe the concern without stating what response is needed.