Prioritization & delegation worksheet with answers

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the bed number
2. BOne, the room number
3. CNone, if the nurse already knows the patient well
4. DAt least two, such as name and date of birth

Which task should the registered nurse not delegate to a nursing assistant?

1. AWalking a stable patient up and down the corridor after lunch
2. BMaking an occupied bed
3. CGiving a bed bath to a stable patient
4. DEvaluating whether the patient understood discharge teaching

What is status epilepticus?

1. AA faint caused by standing up too quickly
2. BA seizure lasting 5 minutes or more, or repeated seizures without recovery
3. CA single short seizure that stops on its own within a minute or two
4. DA seizure that happens only during sleep

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BGive a warm drink and recheck the blood pressure in an hour
3. CApply extra blankets to keep the patient warm and calm
4. DLay the patient flat with the legs raised

A nurse asks a nursing assistant to use a mechanical lift. The assistant says they have never been trained to use it. Which right of delegation would be violated if the nurse insisted?

1. ARight person
2. BRight supervision and evaluation
3. CRight task
4. DRight directions and communication

During START triage, a non-walking adult breathes 22 times a minute, has a radial pulse and follows simple commands, but has an obvious leg fracture. Which category is the victim given?

1. ABlack (expectant)
2. BRed (immediate)
3. CGreen (minor)
4. DYellow (delayed)

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. AA blocked urinary catheter
2. BCardiac tamponade
3. CHypovolemic shock from dehydration
4. DLeft-sided heart failure

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it and write “sedated” beside the signature
2. BAsk a family member to sign on the patient’s behalf
3. CWitness it quickly before the sedative takes full effect
4. DNot witness the consent and inform the surgeon