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SNLE Leadership, Ethics & Prioritisation Nursing Practice Questions

What this topic covers

Prioritisation using ABCs, delegation, consent, confidentiality, ethics, incident reporting and patient advocacy.

Free SNLE leadership, ethics & prioritisation nursing questions

1. A nurse phones a doctor using SBAR. Which statement belongs in the 'Recommendation' section?
  1. "Mr Jones is a 68-year-old admitted with pneumonia."
  2. "I would like you to review him within 15 minutes and consider a chest X-ray."
  3. "His respiratory rate is 28 and SpO2 is 89%."
  4. "I think he is deteriorating."
Show answer and rationale

Answer: B. "I would like you to review him within 15 minutes and consider a chest X-ray."

The Recommendation states what the nurse wants done and by when. Admission details are Background, observations support the Situation/Assessment, and 'I think he is deteriorating' is Assessment.

Reference: Standard patient safety – SBAR communication

2. Which action best supports effective multidisciplinary teamwork?
  1. Keeping nursing concerns out of ward rounds
  2. Communicating only through written notes
  3. Deferring every decision to the most senior doctor
  4. Sharing relevant observations clearly and respectfully with the team
Show answer and rationale

Answer: D. Sharing relevant observations clearly and respectfully with the team

Clear, respectful and timely sharing of information among professionals improves coordination and patient safety.

Reference: WHO Patient Safety – teamwork

3. A nurse returns to a patient who was expected to have a routine bath and finds them unresponsive. What should the nurse do first?
  1. Finish documenting the previous patient
  2. Call the family
  3. Check responsiveness and breathing and call for help
  4. Notify the nursing assistant to continue the bath
Show answer and rationale

Answer: C. Check responsiveness and breathing and call for help

An unresponsive patient needs immediate assessment of airway, breathing and circulation and a call for help/emergency team.

Reference: AHA BLS 2020

4. Which documentation entry is most appropriate?
  1. "Patient seems difficult today."
  2. "Patient ate well."
  3. "Patient ate 3/4 of lunch; reported pain 3/10 in left hip at 13:00."
  4. "Patient probably fell because of confusion."
Show answer and rationale

Answer: C. "Patient ate 3/4 of lunch; reported pain 3/10 in left hip at 13:00."

Good documentation is objective, specific and measurable, avoiding opinions, labels and assumptions.

Reference: Potter & Perry Fundamentals – documentation

5. A nurse is caring for a patient from a culture where the family traditionally makes decisions together. The competent patient wants the family involved. What should the nurse do?
  1. Exclude the family to protect confidentiality
  2. Tell the patient they alone must decide
  3. Ask the family to decide without the patient
  4. Respect the patient's wish and involve the family in discussions
Show answer and rationale

Answer: D. Respect the patient's wish and involve the family in discussions

A competent patient may choose to involve family in decisions; respecting this honours both autonomy and cultural values.

Reference: Standard nursing – cultural competence

Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question

Study tip

Delegate stable, predictable tasks; keep assessment, teaching and evaluation with the registered nurse.

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