New Graduate Nurse Interview Questionnaire
Please complete this form to provide information and responses for your interview as a new graduate nurse.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Highest Nursing Degree Obtained
*
Please Select
Associate Degree in Nursing (ADN)
Bachelor of Science in Nursing (BSN)
Master of Science in Nursing (MSN)
Diploma in Nursing
Other
Year of Graduation
*
Are you currently licensed as a Registered Nurse (RN)?
*
Yes
No
Please rate your confidence in the following clinical skills:
*
Rows
Not Confident
Somewhat Confident
Confident
Very Confident
Vital Signs Measurement
1
2
3
4
Medication Administration
5
6
7
8
Wound Care
9
10
11
12
IV Insertion
13
14
15
16
Patient Assessment
17
18
19
20
You are assigned a patient who suddenly develops shortness of breath. What are your immediate actions?
*
Which nursing specialty are you most interested in?
Please Select
Medical-Surgical
Pediatrics
Emergency
Intensive Care Unit (ICU)
Obstetrics
Other
How would you describe your ability to work in a team environment?
*
Excellent
Good
Average
Needs Improvement
Please provide a brief self-assessment of your strengths and areas for improvement as a new nurse.
Please rate your overall readiness to begin your nursing career.
*
1
2
3
4
5
Additional Comments (Optional)
Submit Interview Questionnaire
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