Prioritization & delegation worksheet with answers

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

1. AWriting the nursing care plan
2. BTriaging new arrivals in the emergency department
3. CDoing the initial admission assessment
4. DGiving scheduled oral medications

Which phrase in a question usually signals a priority question?

1. A“Which statement describes this drug’s class?”
2. B“Which action should the nurse take first?”
3. C“Which bone is found in the forearm?”
4. D“Which term means inflammation of the liver?”

Which drug reverses the anticoagulant effect of heparin?

1. AProtamine sulfate
2. BNaloxone
3. CVitamin K
4. DAtropine

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

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

A patient has a sudden nosebleed, is alert and is breathing normally. What does the nurse do first?

1. ALie the patient flat on their back with a pillow under the knees
2. BSit the patient up, lean them forward and pinch the soft part of the nose
3. CTilt the head back and apply ice to the back of the neck
4. DAsk the patient to blow the nose hard to clear the clots

Which patient should the nurse see first?

1. AA patient with new slurred speech and a facial droop that started 30 minutes ago
2. BA patient with chronic kidney disease due for dialysis tomorrow
3. CA patient with type 2 diabetes asking about the diet
4. DA patient with long-standing rheumatoid arthritis and the usual morning joint stiffness

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATremor
2. BTachycardia
3. CSweating
4. DPalpitations

In a disaster with very limited resources, a victim with severe burns over almost the whole body is tagged black. Which principle explains this decision?

1. ATreating the youngest victims first
2. BTreating victims in the order in which they arrive
3. CTreating the most severely injured person first
4. DDoing the greatest good for the greatest number