Prioritization & delegation worksheet with answers

Which statement belongs in the Background part of an SBAR report?

1. A“I am calling about Mr Khan because his blood pressure has dropped.”
2. B“He was admitted three days ago with pneumonia and also has COPD.”
3. C“I would like you to see him within the next 15 minutes.”
4. D“I think he may be developing sepsis.”

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA chest CT scan
2. BAn exercise stress test
3. CA 12-lead ECG
4. DA lipid profile

When is a patient most ready to learn about self-care?

1. ADuring a period of acute breathlessness
2. BStraight after hearing bad news about a serious new diagnosis
3. CWhile in severe pain, so the lesson feels important
4. DWhen pain is controlled and basic physical needs are met

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. ARelieve pressure on the cord by lifting the presenting part with a gloved hand
2. BWait for the next contraction before acting
3. CAsk the patient to walk around the room to bring the baby lower and speed up labor
4. DPush the cord back into the uterus

On a mixed medical unit, which patient should the nurse see first?

1. AA patient asking for written information about tomorrow’s discharge
2. BA patient with depression who has given away his belongings and has a suicide plan
3. CA patient with a mild tension headache who is asking for acetaminophen
4. DA patient with hypertension whose blood pressure is 136/84 mmHg

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AAsk the patient to lie still for another hour
2. BMassage the uterus firmly for ten minutes
3. CGive a dose of oxytocin straight away
4. DHelp the patient empty her bladder

Four laboratory results come back at once. Which one should the nurse report first?

1. APotassium 3.4 mEq/L in a patient on a diuretic
2. BHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
3. CGlucose 180 mg/dL after a meal in a patient with diabetes
4. DCreatinine 1.3 mg/dL in an older adult, unchanged from last week

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. AFlat on the back with the head turned well over to one side
2. BHead of the bed at about 30 degrees with the neck straight
3. CSitting forward with the chin on the chest
4. DHead down with the legs raised above the heart