UNB IDR Entrance case studies
UNB IDR Entrance · Put your knowledge to work in context.
The UNB Internationally Educated Nurses IDR Entrance Examination is an assessment used in the registration pathway for internationally educated nurses (IENs) seeking licensure in New Brunswick, Canada. It is designed for nurses who completed their nursing education outside Canada and need to demonstrate that their knowledge, clinical judgment, and communication skills meet Canadian entry-level expectations. The exam samples broadly across the realities of Canadian practice: professional practice, ethics, and legal responsibilities; the nursing process and clinical decision-making; health assessment; pharmacology and medication administration; medical-surgical nursing; maternal, newborn, and pediatric care; mental health nursing; community and population-focused care; communication and documentation; and safety, quality improvement, and infection control. Questions are typically multiple choice and written at the application-and-analysis level, asking you to interpret a client situation, prioritize, and choose the safest action rather than recall isolated facts. The UNB IDR Entrance case studies are 5 cases and about 4,188 words.
1Post-Operative Day One: Tachycardia, Low Urine Output, and a Missed Order
Okafor, 68, is 18 hours after an open hemicolectomy. He has a midline incision with a closed suction drain, an epidural for analgesia, and a urinary catheter.
894 words, about 4 min2Anticoagulation, a Fall, and a Head Strike on a Busy Ward
Lindqvist, 79, is admitted with atrial fibrillation and a lower respiratory tract infection. She takes apixaban 5 mg twice daily, which she received at 08:00.
839 words, about 4 min3A 15-Year-Old Who Does Not Want Her Mother in the Room
Amara, 15, is brought to the adolescent clinic by her mother with a two-week history of abdominal pain and missed menses. In the waiting room the mother answers every question and states she must be present because Amara is a minor.
855 words, about 4 min4A Community Outbreak: Vaccine Hesitancy in a Close-Knit Neighbourhood
You are a public health nurse in a town of 14,000. A measles case is confirmed in an unvaccinated 6-year-old at the primary school.
810 words, about 4 min5Two Patients, One Nurse: A Deteriorating Post-Operative Patient and a Confused Boarder
You are the only registered nurse on a 12-bed night ward. At 02:10 you have two concerns.
790 words, about 4 min