Prioritization & delegation worksheet with answers

Which teaching activity belongs to the registered nurse rather than the LPN/LVN?

1. AReminding a patient to use the incentive spirometer hourly
2. BReinforcing teaching the RN has already given
3. CHanding out a leaflet the RN has already explained
4. DFirst teaching about a new diagnosis and its treatment

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA large protein meal
2. BIV glucose through a new cannula as the first choice for every patient
3. CA fast-acting carbohydrate by mouth, such as glucose tablets or juice
4. DThe next dose of insulin

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AFear of slipping in the shower
2. BWorry about body image after a mastectomy
3. CThirst after a long period of fasting before a test
4. DMissing friends from home

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe out slowly through pursed lips.”
2. B“I will breathe in through my mouth and out quickly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe in slowly through my nose.”

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BIncrease the infusion rate to overcome the resistance
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?

1. AA little bleeding when cleaned
2. BMoist and pink-red
3. CSlightly swollen
4. DDark purple or black

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe nursing assistant shows the patient again at lunch
2. BThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
3. CThe patient is discharged with a leaflet to read at home
4. DThe RN reassesses the patient’s learning needs and adjusts the teaching

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

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