Prioritization & delegation worksheet with answers

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

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

What should the nurse try before using physical restraints on a confused patient?

1. AUsing restraints at once and removing them later if they turn out not to be needed
2. BAsking the family to bring restraints from home
3. CRestraining all four limbs to be fully safe
4. DLess restrictive measures, such as more frequent checks or a bed alarm

In SBAR communication, what does the letter R stand for?

1. AResult
2. BResponse
3. CReassessment
4. DRecommendation

Which patient with diabetes should the nurse see first?

1. AHbA1c result of 8.2%, asking about diet
2. BGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
3. CNeeds foot care teaching before discharge tomorrow
4. DGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AReassure him that things usually look better in the morning after some sleep
2. BArrange a psychiatry appointment for next week
3. CAsk him to promise he will not harm himself
4. DEnsure constant observation and remove anything he could use to harm himself

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

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

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AA possible myocardial infarction that needs urgent action
2. BStable angina that will pass without treatment
3. CIndigestion that is best treated with an antacid and a glass of milk
4. DMuscle strain that needs a warm compress

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. ACover the eye with a dry patch and wait for the provider
2. BFlush the eye with plenty of water or saline straight away
3. CGive antibiotic eye drops first
4. DRub the eye gently with a clean tissue to remove the chemical