Prioritization & delegation worksheet with answers

What is a transient ischemic attack (TIA)?

1. ABrief stroke-like symptoms that resolve, warning of a possible stroke
2. BA heart attack that affects the brain
3. CA type of migraine with no link to stroke
4. DA stroke that leaves permanent weakness or paralysis on one side of the body

In general, which type of problem is addressed before the others?

1. AA risk problem that might develop later
2. BA learning need for discharge
3. CA problem listed in an older care plan
4. DAn actual problem the patient has now

Which general priority rule is correct?

1. AA psychological problem always comes before a physical one
2. BA systemic problem usually comes before a local one
3. CA problem that is easy to fix always comes first
4. DA local problem usually comes before a systemic one

Which patient should the nurse see first?

1. AA patient with long-standing rheumatoid arthritis and the usual morning joint stiffness
2. BA patient with chronic kidney disease due for dialysis tomorrow
3. CA patient with new slurred speech and a facial droop that started 30 minutes ago
4. DA patient with type 2 diabetes asking about the diet

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreased appetite and thirst
2. BA rise in blood pressure with flushed cheeks
3. CIncreasing sleepiness that is hard to rouse
4. DA sudden rise in pain scores

Which task should the nurse delegate to a nursing assistant for a patient on fall precautions?

1. ATeaching the family how to prevent falls at home
2. BHelping the patient to the toilet every 2 hours as planned
3. CAssessing and recording the patient’s fall risk score each morning
4. DDeciding whether the bed alarm is still needed

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AAsk the mother to stop pushing and wait an hour
2. BHelp with the McRoberts position and give suprapubic pressure as directed
3. CPush firmly on the top of the uterus (fundal pressure)
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. AYellow skin with dark urine on the second day
2. BRight shoulder pain from the gas used during surgery
3. CIncreasing abdominal pain with a temperature of 39 °C
4. DA heart rate of 125/min with a falling blood pressure