Prioritization & delegation worksheet with answers

What is a transient ischemic attack (TIA)?

1. AA type of migraine with no link to stroke
2. BA heart attack that affects the brain
3. CA stroke that leaves permanent weakness or paralysis on one side of the body
4. DBrief stroke-like symptoms that resolve, warning of a possible stroke

In the AVPU scale, what does the P mean?

1. AResponds only to pain
2. BPain score below 5
3. CPulse present and regular
4. DPupils equal and reactive

Which finding should a nursing assistant report to the nurse at once?

1. AA pulse of 42/min in a patient whose usual pulse is 76/min
2. BA patient who wants to shower in the evening
3. CA patient who would like tea instead of coffee
4. DA patient whose weight is unchanged from yesterday

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AAssess the location, character and onset of the pain and the vital signs
2. BTell the patient to wait until the next scheduled dose is due in two hours
3. CGive the strongest analgesic on the chart straight away
4. DAsk the nursing assistant to reposition the patient

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“Only she should press the button when she needs pain relief.”

Which task is most appropriate for the RN to delegate to an LPN/LVN?

1. AInserting an indwelling urinary catheter in a stable patient
2. BStarting the first unit of red blood cells
3. CDoing the admission assessment of a new patient
4. DGiving discharge teaching to a patient newly started on insulin

An older patient with pneumonia is newly confused. Which action comes first?

1. AGive a prescribed as-needed sedative
2. BApply wrist restraints to stop the patient pulling at the IV
3. CAsk the family whether this is normal for the patient
4. DCheck oxygen saturation and the other vital signs

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ALoosen the restraint and assess the circulation
2. BTighten the restraint so the patient moves less
3. CDocument the finding and continue with the medication round
4. DRaise the arm on a pillow and check again in two hours