Prioritization & delegation worksheet with answers

Which drug reverses the anticoagulant effect of heparin?

1. AProtamine sulfate
2. BVitamin K
3. CAtropine
4. DNaloxone

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABleeding
2. BFluid overload
3. CBlood clots
4. DInfection

Which activity is generally within the scope of a licensed practical or vocational nurse (LPN/LVN) for a stable patient?

1. ADoing the initial admission assessment
2. BGiving scheduled oral medications
3. CWriting the nursing care plan
4. DTriaging new arrivals in the emergency department

Using the Emergency Severity Index, which patient receives the highest acuity level?

1. AA patient with a possible ankle fracture
2. BA patient with a sore throat for three days and normal vital signs
3. CAn unresponsive patient with gasping, irregular breaths
4. DA patient with chest pain and normal vital signs

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. ADo not make the child vomit; call poison control or emergency services now
2. BMake the child vomit straight away to bring up the chemical
3. CGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
4. DWait to see whether the child develops any symptoms first

Which patient is at the highest risk of falling?

1. AAn 84-year-old taking a diuretic who has fallen before and gets up at night
2. BA 45-year-old with asthma who is alert and independent
3. CA 30-year-old after an appendectomy who walks with steady steps
4. DA 60-year-old admitted for chest pain that has since been ruled out by tests

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 patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?

1. AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
2. BRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
3. CDefibrillate as soon as the defibrillator is available, with CPR until then
4. DCheck the blood potassium level before any shock is considered