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 task should the registered nurse keep rather than delegate to unlicensed assistive personnel?

1. AThe initial assessment of a newly admitted patient
2. BHelping a stable patient walk to the bathroom and back
3. CMeasuring and recording intake and output
4. DBathing a stable patient

A patient has a new deep vein thrombosis and also says they feel lonely on the ward. Using Maslow’s hierarchy, which need comes first?

1. AThe need for self-actualization
2. BThe need for love and belonging during the hospital stay
3. CThe need for esteem and respect
4. DThe physiological need related to the thrombosis

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AGive a sedative from the as-needed list without first assessing the patient
2. BRaise all four bed rails so the patient cannot climb out
3. CCheck for pain, thirst or a full bladder, and offer toileting
4. DApply wrist restraints for the rest of the night

A nursing assistant refuses a delegated task, saying they have not been trained to do it. What is the best response from the nurse?

1. AThank the assistant, make sure the task is done safely and arrange training
2. BTell the assistant it is in the job description and must be done
3. CLeave the task for the next shift, when someone trained is on
4. DReport the assistant to the manager for refusing a task

Which patient should a nurse see first after report?

1. AA patient on a diuretic who has passed 400 mL of urine since 08:00
2. BA patient with a new cast who says the foot feels numb and the toes are cool
3. CA patient who wants help to shower before visitors arrive
4. DA patient with osteoarthritis who reports stiffness every morning

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AIndigestion that is best treated with an antacid and a glass of milk
2. BA possible myocardial infarction that needs urgent action
3. CMuscle strain that needs a warm compress
4. DStable angina that will pass without treatment

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AAn epidural hematoma
2. BNormal tiredness after a fall
3. CA mild concussion that is settling
4. DLow blood sugar from missing a meal