# The receiving nurse reviews an interfacility transfer note. Which findings require follow-up before accepting responsibility for the client? Highlight the unresolved handoff risks. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=494425&lang=en > language: en > subject: Assignment/Delegation/Supervision > category: MOC ## Question The receiving nurse reviews an interfacility transfer note. Which findings require follow-up before accepting responsibility for the client? Highlight the unresolved handoff risks. Nurses' Notes 1430: The transfer coordinator confirms that the client's full name and date of birth match both records. The referral lists a history of hypertension and type II diabetes. The sending nurse reports that penicillin anaphylaxis is missing from the transfer form. At 1400, the receiving nurse read back the planned arrival time and unit location. The most recent blood pressure, pulse, respirations, temperature, and oxygen saturation are documented. At 1415, rapid-acting insulin was given while the meal is delayed. The note states that oxygen at 2 L/min and the current saturation are included. A repeat troponin was collected at 1420. The transfer packet shows no clinician owns the pending troponin result. The family received the destination and telephone number. The coordinator verifies that the family contact information was updated before departure. The belongings form is complete, and the clothing and glasses are listed on the inventory. The electronic chart says full code, while the signed summary says do not resuscitate. At 1440, the receiving nurse had time to ask questions and confirm responsibility. Transport is waiting outside the room. ## Explanation Clarify the missing anaphylaxis alert, insulin given without the planned meal, an unassigned pending troponin result, and conflicting code-status records. Safe handoff transfers information, responsibility, and an opportunity to confirm. ## In-depth explanation Quick answer Follow up before transfer because a severe allergy is missing, insulin was given without the expected meal, no clinician owns the pending troponin result, and the code-status documents conflict. These gaps can change immediate care. Why this is correct A handoff transfers information together with authority and responsibility. The receiver needs current hazards, time-sensitive treatments, pending results with clear ownership, and a consistent plan of care. A read-back and a chance to clarify help close the communication loop rather than assuming that an electronic form is complete.[2] Easy analogy or mental picture Picture a relay race in which the baton contains both the facts and the duty to act. The transfer is not complete if critical pieces fall out or nobody knows who is carrying the next task. The analogy does not mean every historical detail has equal urgency. Memory hook Hazard, treatment, pending task, plan: name each one and name the owner. NCLEX decision rule Before accepting a transfer, resolve information that can alter immediate treatment or emergency decisions and confirm who owns pending work. Routine inventory details do not outrank an allergy, an active medication-food mismatch, an unassigned result, or a code-status conflict. Why the other choices are wrong The other findings demonstrate identification, recent assessment data, current oxygen needs, family contact, belongings documentation, and a read-back opportunity. They support continuity but do not show the unresolved high-risk gap targeted by the question.References - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]AHRQ TeamSTEPPS: Handoff CommunicationAgency for Healthcare Research and Quality ## Related questions - [A 67-year-old client with chronic obstructive pulmonary disease attends a routine primary …](https://mymerci.kr/pages/nclex_q.php?qn_id=360522&lang=en) - [A registered nurse on a medical-surgical unit is delegating tasks at the start of shift. 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