Prioritization & delegation worksheet with answers

Which patient problem is generally the highest priority?

1. AA knowledge deficit about medications
2. BAcute pain
3. CAirway obstruction
4. DAnxiety

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BHeart rate below 60/min
3. CTemperature below 36.5 °C on one reading
4. DBlood glucose above 100 mg/dL

Which of these is one of the five rights of delegation?

1. ARight dose and strength
2. BRight time and frequency
3. CRight route and site of injection
4. DRight supervision and evaluation

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AWait for the provider to arrive before doing anything else
2. BPlace the end of the tube in a bottle of sterile water
3. CClamp the tube for the rest of the shift
4. DRemove the tube and cover the site

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will tell my dentist and other doctors that I take a steroid.”
2. B“I will take the tablets with food.”
3. C“I will stop the tablets as soon as I feel better.”
4. D“I will report signs of infection early.”

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the drainage for blood
2. BIrrigating the tube when it blocks
3. CChecking the tube’s position
4. DGiving mouth care

Which assignment to an LPN/LVN is most appropriate?

1. AA patient who needs discharge teaching for newly started warfarin
2. BA patient transferred from intensive care one hour ago
3. CA patient with new atrial fibrillation who has just started an IV diltiazem infusion
4. DA patient with stable COPD who needs scheduled nebulized bronchodilators and oral medications

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ALoosen the restraint and assess the circulation
2. BRaise the arm on a pillow and check again in two hours
3. CTighten the restraint so the patient moves less
4. DDocument the finding and continue with the medication round