A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (ISBARR) on a client. Which of the following information should be included in the situation component?

Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason:All U.S. jurisdictions use the NCLEX passing standard set by NCSBN, expressed in logits (0.2700 for RN and 0.1800 for PN). No matter which state you test in, the computer-adaptive testing model applies the same cut-score to determine pass or fail.
Choice D reason:The CAT model actually uses a 95% confidence criterion: once the system is 95% certain your ability estimate is above (pass) or below (fail) the cut-score, the exam ends, regardless of how many items you’ve answered up to the 150-item maximum

Choice A reason: Planning time for disruptions is a time management strategy, as it allows the nurse to anticipate and cope with unexpected events that may interfere with their schedule. By allocating some buffer time for potential delays, emergencies, or interruptions, the nurse can avoid stress and maintain their productivity.

Choice B reason: Offering to complete another nurse’s task is not a time management strategy, but rather a sign of poor boundary setting. While helping others is commendable, the nurse should not take on more responsibilities than they can handle, as this may compromise their own work quality and wellbeing. The nurse should learn to say no politely and focus on their own priorities.

Choice C reason: Skipping a meal break to catch up on charting is not a time management strategy, but rather a counterproductive habit. Taking regular breaks is essential for the nurse to replenish their energy, reduce fatigue, and prevent burnout. Skipping breaks may impair the nurse’s concentration, memory, and decision-making, and increase the risk of errors.

Choice D reason: Completing the easiest tasks first is not a time management strategy, but rather a form of procrastination. The nurse should prioritize their tasks based on their importance and urgency, not their difficulty or preference. Completing the easiest tasks first may create a false sense of accomplishment, while leaving the most critical or challenging tasks for later, when the nurse may have less time or motivation.