Prioritization & delegation worksheet with answers

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BWhile in severe pain, so the lesson feels important
3. CStraight after hearing bad news about a serious new diagnosis
4. DWhen pain is controlled and basic physical needs are met

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BMinor, and can safely wait for several hours
3. CAlready deceased on arrival
4. DLife-threatening and needs care immediately

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A2.0–3.0
2. B0.5–1.0
3. C4.0–5.0
4. D6.0–7.0

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient on a continuous heparin infusion with rising aPTT values
2. BA patient with sepsis whose blood pressure is falling
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient with a new tracheostomy who needs frequent suctioning

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ATurn the patient onto their side
2. BRaise the legs above the heart
3. CGive an oral anti-sickness tablet
4. DGive a drink of water

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BKeeping the drainage bag below the level of the bladder
3. CRaising the drainage bag above the bladder when walking
4. DDisconnecting the bag every shift to empty it

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

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

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. AGive the transfusion while the patient is asleep, because saving their life comes first
2. BTell the patient that refusing treatment is not allowed in hospital
3. CRespect the refusal, check the patient understands the risks and inform the provider
4. DAsk the family to persuade the patient until they agree