Prioritization & delegation worksheet with answers

What does “scope of practice” mean?

1. AThe highest number of patients a nurse may care for during a single shift
2. BThe salary range that applies to each nursing role
3. CThe hospital areas where a nurse is allowed to work
4. DThe activities a nurse is educated, competent and legally allowed to do

Which of these is one of the five rights of delegation?

1. ARight route and site of injection
2. BRight time and frequency
3. CRight supervision and evaluation
4. DRight dose and strength

In the AVPU scale, what does the P mean?

1. APupils equal and reactive
2. BResponds only to pain
3. CPulse present and regular
4. DPain score below 5

Which patient can the nurse safely see last?

1. AA patient with new crackles and pink, frothy sputum
2. BA patient with COPD on 1 L/min oxygen, SpO₂ 90% (target 88–92%), talking in full sentences
3. CA patient with a sudden severe headache
4. DA patient two hours after surgery with a heart rate rising from 88 to 118/min

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AMeasure blood pressure on the left arm only, every 4 hours
2. BDo not measure blood pressure on the left arm
3. CKeep the left arm wrapped tightly in a bandage at night
4. DHelp the patient carry shopping bags on the left arm

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

1. AA patient with depression who has given away his belongings and has a suicide plan
2. BA patient asking for written information about tomorrow’s discharge
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

During a continuous tube feed, a patient suddenly starts coughing, becomes breathless and the SpO₂ falls. What is the nurse’s first action?

1. AFlush the tube with 50 mL of water, then continue the feed as before
2. BLie the patient flat so they can rest
3. CStop the feed, sit the patient upright and assess breathing
4. DIncrease the feed rate so that it finishes sooner

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. ADim the room lights so the pupil can get smaller
2. BRecheck it at the next routine observation in four hours
3. CDocument it, because pupils often differ slightly after a head injury
4. DReport it at once, as it may mean the brain is being compressed