Prioritization & delegation worksheet with answers

Which serum potassium result should the nurse report to the provider promptly?

1. A4.2 mEq/L (4.2 mmol/L)
2. B4.9 mEq/L (4.9 mmol/L)
3. C3.8 mEq/L (3.8 mmol/L)
4. D6.4 mEq/L (6.4 mmol/L)

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

1. AA respiratory rate of 32/min
2. BAnxiety
3. CUncontrolled bleeding
4. DStridor

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe hospital areas where a nurse is allowed to work
3. CThe highest number of patients a nurse may care for during a single shift
4. DThe salary range that applies to each nursing role

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BRemove the catheter and wait for the patient to void
3. CCheck the tubing for kinks or obstruction
4. DGive a prescribed diuretic straight away

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CAssess the lungs, oxygen saturation and swelling, then inform the provider
4. DLay the patient flat to help them breathe more easily

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will keep the crutch tips in good condition.”
2. B“I will take my weight on my hands, not on my armpits.”
3. C“I will remove loose rugs from the floor at home.”
4. D“I will lean on the crutch pads under my arms to rest.”

Which assignment by the charge nurse should be changed?

1. AAn LPN/LVN is assigned to admit a new patient from the emergency department
2. BAn RN is assigned to a patient receiving a blood transfusion
3. CA nursing assistant is assigned to help several stable patients with their meals
4. DAn LPN/LVN is assigned to give oral medications to stable patients

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

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