Prioritization & delegation worksheet with answers

Which patient is the most stable?

1. AA patient with new chest pain
2. BA patient who has become newly confused
3. CA patient two days after knee surgery with pain of 3/10 and normal vital signs
4. DA patient whose blood pressure has fallen from 132/80 to 90/56 mmHg

Which symptoms are classic signs of digoxin toxicity?

1. AA rash, high fever and swollen lymph nodes in the neck
2. BHair loss and weight gain
3. CNausea, poor appetite and yellow-green visual halos
4. DHigh blood sugar and increased thirst

What is the normal baseline fetal heart rate?

1. A110–160/min
2. B60–100/min
3. C40–60/min
4. D160–220/min

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BTopical skin creams
3. CInhaled bronchodilators
4. DAntihypertensive drugs

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ASevere pre-eclampsia on a magnesium sulfate infusion
2. BOne hour after birth with heavy bleeding and a boggy uterus
3. CDay 1 after an uncomplicated vaginal birth, stable vital signs
4. DA new admission transferred from the labor ward with a fever of 38.6 °C

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

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

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. ANormal pain after a fracture
2. BFat embolism syndrome
3. CAn allergic reaction to the cast
4. DAlcohol withdrawal

A nursing assistant measured vital signs 15 minutes after a patient’s first dose of morphine. They report a respiratory rate of 10/min and say the patient is hard to wake. What should the nurse do?

1. AAsk the assistant to recheck the respiratory rate in 15 minutes and report back
2. BDocument the findings and tell the provider at the next scheduled round
3. CGo at once, rouse the patient, support breathing and prepare naloxone per order
4. DPhone the provider for orders before going to see the patient