Prioritization & delegation worksheet with answers

Which task can be delegated to unlicensed assistive personnel?

1. AMeasuring and recording a patient’s urine output
2. BDeciding whether to call the provider about a finding
3. CAssessing a pressure injury
4. DTeaching a patient about a low-sodium diet

In delegation, what does supervision mean?

1. AGuidance, follow-up and evaluation of the delegated task by the nurse
2. BDoing every delegated task yourself to make sure that it is done right
3. CLeaving the delegate to finish without any contact
4. DSigning the delegate’s documentation without checking it

Which body temperature is a fever in an adult?

1. A38.5 °C
2. B37.1 °C
3. C36.8 °C
4. D36.4 °C

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

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

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 type 2 diabetes asking about the diet
4. DA patient with new slurred speech and a facial droop that started 30 minutes ago

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ATurn the nasal cannula up to 15 L/min
2. BRecheck the SpO₂ at the next routine set of observations in four hours
3. CRemove the oxygen to see if the SpO₂ changes
4. DReport it, because a different oxygen device is likely to be needed

In an emergency department, which patient should go straight to a treatment room?

1. AA 45-year-old asking for a repeat prescription
2. BA 25-year-old with a sprained wrist and normal vital signs
3. CA 30-year-old with a sore throat for two days and a temperature of 38.0 °C
4. DA 60-year-old with chest pressure, sweating and nausea for 20 minutes

A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
3. CCheck the blood potassium level before any shock is considered
4. DDefibrillate as soon as the defibrillator is available, with CPR until then