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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
- "Mr Jones is a 68-year-old admitted with pneumonia."
- "I would like you to review him within 15 minutes and consider a chest X-ray."
- "His respiratory rate is 28 and SpO2 is 89%."
- "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
- Keeping nursing concerns out of ward rounds
- Communicating only through written notes
- Deferring every decision to the most senior doctor
- 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
- Finish documenting the previous patient
- Call the family
- Check responsiveness and breathing and call for help
- 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
- "Patient seems difficult today."
- "Patient ate well."
- "Patient ate 3/4 of lunch; reported pain 3/10 in left hip at 13:00."
- "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
- Exclude the family to protect confidentiality
- Tell the patient they alone must decide
- Ask the family to decide without the patient
- 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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