Prioritization & delegation worksheet with answers

In delegation, what does the “right circumstance” mean?

1. AThe task is clearly listed in the delegate’s written job description
2. BThe setting and the patient’s condition make delegation safe
3. CThe nurse checks the outcome after the task is finished
4. DThe nurse gives the delegate clear, specific instructions

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. ANo hand hygiene is needed if gloves were worn
2. BUse alcohol hand rub only
3. CWipe hands on a clean towel
4. DWash with soap and water

In the ABC framework, which problem is a circulation problem?

1. AStridor
2. BA respiratory rate of 32/min
3. CAnxiety
4. DUncontrolled bleeding

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with a temperature of 38.2 °C after vaccination
4. DA child with asthma who is now quiet with very little air movement

A nursing assistant refuses a delegated task, saying they have not been trained to do it. What is the best response from the nurse?

1. ALeave the task for the next shift, when someone trained is on
2. BTell the assistant it is in the job description and must be done
3. CThank the assistant, make sure the task is done safely and arrange training
4. DReport the assistant to the manager for refusing a task

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AGive the dose with food to reduce the stomach upset
2. BEncourage the patient to cut down on salt and fluids
3. CReassure the patient that a coarse tremor is expected at first
4. DHold the next dose and report for an urgent lithium level

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AUrinary retention
2. BAcute kidney injury with no urine made
3. CDehydration from fasting before surgery
4. DA normal effect of the anesthetic

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ATalk to the assistant privately, restate what must be reported and follow up closely
2. BComplain about the assistant to the patients during care
3. CStop delegating any tasks to the assistant for the rest of the year
4. DSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret