Prioritization & delegation worksheet with answers

Which fasting blood glucose value is normal for an adult without diabetes?

1. A210 mg/dL (11.7 mmol/L)
2. B55 mg/dL (3.1 mmol/L)
3. C145 mg/dL (8.0 mmol/L)
4. D85 mg/dL (4.7 mmol/L)

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Braden Scale
2. BThe FLACC scale
3. CThe Morse Fall Scale
4. DThe Glasgow Coma Scale

What does a root cause analysis look for after a serious event?

1. AWhich patient made the complaint
2. BHow much the event cost the hospital
3. CThe underlying system causes of the event
4. DThe single staff member who should be blamed

Which scheduled medication is the most time-critical?

1. AA daily stool softener due with breakfast
2. BA daily multivitamin tablet due at 08:00
3. CA daily cholesterol-lowering statin tablet due with breakfast at 08:00
4. DRapid-acting insulin due with a breakfast tray that has arrived

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will wear shoes that fit well, even at home.”
2. B“I will dry well between my toes after washing.”
3. C“I will check the soles of my feet every day with a mirror.”
4. D“I will soak my feet in hot water every evening.”

After handover, which patient should the nurse see first?

1. AA patient with pneumonia, temperature 38.2 °C, who had an antipyretic 30 minutes ago
2. BA patient two days after hip replacement with pain of 5/10
3. CA patient with asthma who is using accessory muscles and has an SpO₂ of 88%
4. DA patient with diabetes whose glucose before breakfast is 160 mg/dL (8.9 mmol/L)

A patient with a central venous catheter suddenly becomes breathless, with chest pain and a falling SpO₂, as the line is being removed. What does the nurse do first?

1. AAsk the patient to take slow deep breaths and continue
2. BSit the patient upright and finish removing the line quickly
3. CCover the site, turn onto the left side head down, give oxygen and call for help
4. DFlush the catheter with saline to clear any blockage

A nurse thinks a prescribed dose is unsafe. The prescriber says to give it anyway. What should the nurse do?

1. ASkip the dose quietly and say nothing to avoid conflict
2. BHold the dose and escalate through the chain of command
3. CGive the dose, because the prescriber is now responsible for it
4. DGive half the dose as a compromise and document the reason