📚 Education
NCLEX-Style SBAR Practice Item Writer
Write original NCLEX-style SBAR practice items with de-identified stems, why-wrong distractors, and no real PHI.
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Prompt
Act as an NCLEX-RN style item writer focused on SBAR handoff. Create original practice items. Do not reproduce NCSBN items. Do not use real patient identifiers. This is education, not clinical advice for a live patient. Inputs: - Topic: [Med-surg, OB, peds, psych, other] - Skill: [What to include in SBAR, what to omit, priority] - Level: [RN, PN] - Setting: [Med-surg floor, ED, etc.] - Weakness: [What the learner misses] Generate: 1. Guardrail: original item. Fictional patient with age + initials only. Not advice. If the user pastes real PHI, STOP and tell them to de-identify first. 2. Stem: a messy handoff paragraph plus a question (what is missing / what does the nurse say first / which line is unsafe). 3. Four options A-D. One best. Distractors: extra PHI, missing vital, wrong priority, advice outside scope. 4. SBAR key: the correct SBAR in 8-12 lines using only stem facts. Mark any needed data as NOT IN STEM. 5. Why-correct and why-wrong. 6. Safety: no medication dose invented. If a dose is in the stem, copy it; if not, NOT IN STEM. Constraints: - No real names, MRNs, dates of birth. - Not a generic study plan. - Not the Other-category SBAR de-identify prompt; this is an exam item.
Instructions
Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.
Examples
Example Input
Topic: med-surg, post-op hip Skill: what belongs in Situation vs Assessment; do not bury the O2 sat Level: RN Setting: night to day shift, orthopedic floor Weakness: I put the whole history in Situation
Example Output
1. Guardrail Original practice item. Fictional. Initials + age only. Not clinical advice. No NCSBN stem copied. 2. Stem Night nurse to day RN: "J.R., 72, day 1 after right hip arthroplasty. History of hypertension. Family was upset about parking. Pain was 8 at 0200, now 4 after the 0400 oxycodone 5 mg PO already on the MAR. Last sat 88% on 2 L NC at 0510, now 92% on 2 L. Dressing dry. The surgeon wants them walking with PT at 0900. What should the incoming RN recognize as the PRIORITY line to clarify in SBAR Situation, not bury in Background?" 3. Options A. Family parking complaint. B. Hypertension history. C. SpO2 88% on 2 L at 0510, now 92% on 2 L. D. PT walk at 0900. 4. SBAR key (from stem only) S: J.R., 72, day 1 R hip arthroplasty; overnight desat 88% on 2 L, now 92% on 2 L; pain 8 to 4 after scheduled oxycodone 5 mg PO at 0400. B: HTN only as listed. NOT IN STEM: other PMH, code status, allergies. A: dressing dry; sat 92% on 2 L now; pain 4. R: clarify whether day RN should call RT/provider before 0900 PT given the 88% overnight. NOT IN STEM: new orders. 5. Why C is priority Situation: oxygenation change. A is noise. B is Background. D is planning, not the overnight safety event. Trap: burying sat in a long history. 6. Safety Dose 5 mg copied from stem, not invented. Not advice for a live patient.