01
True or false
1 point
True or false: Once a nurse has carried out an intervention, the clinical judgment process is complete.
Free Practice Quiz Question List
6 Take Action Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Take Action, test your knowledge, and prepare for your next test or exam.
20 questions
02
Fill in the blank
1 point
In SBAR communication, the component that states what is happening now is .
03
Choose one
1 point
A nurse is deciding which work may be delegated. Which approach is appropriate?
- A
Delegate assessment of a changing condition and retain only responsibility for documenting the result.
- B
Keep assessment and decisions about a changing condition with the licensed nurse, while delegating only tasks permitted by policy and suited to the delegatee.
- C
Delegate any task if the delegatee says they are comfortable performing it.
- D
Transfer accountability for oversight to the delegatee once a task has been assigned.
04
Written response
1 point
What structured communication format is named for Situation, Background, Assessment, and Recommendation/Request?
05
Choose all
1 point
Which actions support safe care before or during an intervention? Select all that apply.
- A
Use two identifiers when providing care, treatment, or services.
- B
Skip checking allergies when an intervention is familiar to the nurse.
- C
Check relevant allergies, orders, and contraindications.
- D
Complete routine tasks before explaining an intervention to the patient.
- E
Explain actions and preserve the patient's privacy and dignity.
06
True or false
1 point
True or false: The nurse should always apply an airway-breathing-circulation rule mechanically, regardless of the patient's cues and stability.
- A
True
- B
False
07
Fill in the blank
1 point
When required for a critical instruction, use a confirmation.
08
Choose one
1 point
A patient is stable, and the nurse needs more information to determine the next appropriate action. What should the nurse do?
- A
Begin an intervention without clarifying the concern, even when no immediate threat is evident.
- B
Complete routine documentation before assessing the concern.
- C
Perform a focused assessment to clarify the concern and guide the next action.
- D
Activate emergency procedures for every unclear concern, regardless of the patient's condition.
09
Written response
1 point
What team brings additional clinicians to assess and treat a patient at risk of serious deterioration?
10
Choose one
1 point
A postoperative patient becomes newly restless and increasingly short of breath, and the oxygen saturation is falling. Which response is most appropriate?
- A
Finish routine postoperative documentation before reassessing the patient.
- B
Assess airway and breathing promptly, call for assistance, provide authorized immediate support, activate the escalation pathway, and continue monitoring.
- C
Wait for the next scheduled observation to confirm that the oxygen saturation remains low.
- D
Ask the patient to describe all symptoms before summoning assistance or taking any immediate measures.
11
Choose all
1 point
A patient's condition is worsening despite initial care. Which actions are appropriate? Select all that apply.
- A
Reassess promptly and compare the findings with the patient's baseline and expected course.
- B
Continue the existing plan without reassessment until the next routine check.
- C
Call for help or activate the rapid response system according to local criteria if the patient is deteriorating.
- D
If the response does not address the concern or the patient worsens, escalate again through the appropriate process.
12
Choose one
1 point
A nurse has communicated a concern, but the response does not address it and the patient continues to worsen. What should the nurse do?
- A
Wait for the next scheduled handoff before raising the concern again.
- B
Repeat the same request to the same person without clarifying the urgency.
- C
Document the concern and take no further action unless another clinician asks.
- D
Escalate through the chain of command or emergency process.
13
Open ended
1 point
A patient is stable, but the reason for a reported concern is unclear. Describe how the nurse should proceed from focused assessment through selecting and evaluating an intervention. Include how urgency, prerequisites, scope, and new findings affect the plan.
14
Choose one
1 point
A stable patient reports a new, mild symptom, and no immediate danger is evident. What should the nurse do next?
- A
Activate the emergency response system before gathering any focused information.
- B
Perform a focused assessment to clarify what action is needed next.
- C
Complete routine documentation before deciding on care.
- D
Delegate the assessment of the patient’s changing condition.
15
Choose one
1 point
Before providing a treatment, which action supports verifying that it is being given to the right patient?
- A
Confirm the patient’s room number and diagnosis.
- B
Ask a nearby visitor to identify the patient.
- C
Use two patient identifiers before providing care.
- D
Proceed if the patient recognizes the nurse.
16
Choose one
1 point
Which task must remain with the licensed nurse rather than be delegated?
- A
Assessing a patient whose condition is changing
- B
Completing a task that policy permits and that matches the delegatee’s competence
- C
Performing a routine task appropriate to the patient’s condition
- D
Carrying out a delegated task under the nurse’s appropriate oversight
17
Choose one
1 point
A postoperative patient becomes increasingly short of breath and has falling oxygen saturation. Which response is most appropriate?
- A
Finish routine documentation before responding.
- B
Wait for the next scheduled assessment to confirm the change.
- C
Ask a delegatee to decide whether the patient needs emergency care.
- D
Assess airway and breathing, call for assistance, and begin indicated immediate measures within role and protocol.
18
True or false
1 point
Once a nurse has implemented an intervention, the clinical judgment process is complete and the plan should not change.
- A
True
- B
False
19
Written response
1 point
What confirmation method should be used for critical instructions when required?
20
Written response
1 point
Which SBAR component states what the nurse needs and how urgently it is needed?