2026 FINAL REVIEW BUNDLED SOLUTION
PACKAGE
◉ Nurse Mary gave a report to Nurse Susan; SBAR format: Answer: S:
4 yo male pt, with his mom, admitted for dehydration
B: The pt has had diarrhea for 2 days. Has poor appetite and only had
sips of fluid for more than 1 day. He is crying and reports abd pain. He
attends day care full time and is potty trained but is wearing diaper briefs
because of diarrhea.
A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He
has clear lungs, no murmurs, hyperactive bowel sounds. He is crying
and has pain level of 3 using the FACES scale.
R: Admitting prescriptions for the hospital are in the computer.
◉ Which of the following is the priority action based on the assessment?
Answer: Initiate IV access
◉ Appropriate supplies to insert an IV cath for saline lock? Answer:
Image B
◉ IV flow rate Answer: 133 mL/hr
◉ Correct documentation of I&O Answer: Image D