Prioritization & delegation worksheet with answers

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe patient has eaten recently
2. BThe liver is making too much bile
3. CThe tissues are not getting enough oxygen
4. DThe kidneys are working harder than usual

Which task can be delegated to unlicensed assistive personnel?

1. AAssessing a pressure injury
2. BTeaching a patient about a low-sodium diet
3. CDeciding whether to call the provider about a finding
4. DMeasuring and recording a patient’s urine output

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo calculate the correct drug doses for each patient
2. BTo measure the patient’s satisfaction with care
3. CTo spot deterioration early from routine vital signs
4. DTo decide the patient’s diet

During an IV antibiotic infusion, a patient develops hives, wheezing and a hoarse voice. What does the nurse do first?

1. ADocument the reaction in the chart
2. BSlow the infusion to half the rate
3. CGive oral diphenhydramine
4. DStop the infusion

Before giving a medication to a child, which check is especially important?

1. AThat the parent agrees with the time it is given
2. BThat the medicine cup is the child’s favorite color
3. CThat the child likes the taste of the drug
4. DThat the dose is correct for the child’s weight

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will call if my child has trouble breathing.”
2. B“I will keep my child home from school and away from others while unwell.”
3. C“I will give my child plenty of fluids.”
4. D“I will give my child aspirin to bring the fever down.”

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient on a new IV medication that needs frequent titration
2. BA patient with a tracheostomy placed this morning who is coughing up blood
3. CA patient with a long-standing tracheostomy who needs routine suctioning and care
4. DA patient who has just arrived from the emergency department with pneumonia and confusion

Which assignment by the charge nurse should be changed?

1. AAn RN is assigned to a patient receiving a blood transfusion
2. BAn LPN/LVN is assigned to give oral medications to stable patients
3. CA nursing assistant is assigned to help several stable patients with their meals
4. DAn LPN/LVN is assigned to admit a new patient from the emergency department