Prioritization & delegation worksheet with answers

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AAcetaminophen (paracetamol)
2. BAspirin, chewed
3. CIbuprofen
4. DCodeine

In Maslow’s hierarchy, which level comes directly after physiological needs?

1. ALove and belonging
2. BEsteem and recognition
3. CSelf-actualization
4. DSafety and security

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BLife-threatening and needs care immediately
3. CMinor, and can safely wait for several hours
4. DAlready deceased on arrival

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. ADetails of the nurse’s own break times that shift
2. BThe patient’s current condition, recent changes and pending tasks
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DThe patient’s favorite television programs and hobbies

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ATurn the nasal cannula up to 15 L/min
2. BReport it, because a different oxygen device is likely to be needed
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DRemove the oxygen to see if the SpO₂ changes

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. ATell the patient to wait and do nothing until the tray comes
2. BAsk the patient to walk around the ward until the food arrives
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DGet the patient some carbohydrate food now and check the glucose

Which patient is the best choice to move out of intensive care to make room for a new admission?

1. AAdmitted overnight with a GI bleed and still receiving blood
2. BOn a norepinephrine infusion whose dose was increased this morning
3. CExtubated 2 days ago, stable on 2 L/min nasal oxygen, no vasoactive infusions
4. DIntubated 1 hour ago for respiratory failure, still sedated

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe nursing assistant shows the patient again at lunch
2. BThe RN reassesses the patient’s learning needs and adjusts the teaching
3. CThe patient is discharged with a leaflet to read at home
4. DThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift