Prioritization & delegation worksheet with answers

Which body temperature is a fever in an adult?

1. A36.4 °C
2. B36.8 °C
3. C37.1 °C
4. D38.5 °C

In delegation, what does “right supervision and evaluation” mean?

1. AThe charge nurse signs off all delegated tasks at the end of the shift
2. BThe delegate checks and signs off their own work afterwards
3. CThe nurse watches every second of every delegated task
4. DThe nurse follows up, intervenes if needed and checks the outcome

What does a root cause analysis look for after a serious event?

1. AWhich patient made the complaint
2. BThe single staff member who should be blamed
3. CHow much the event cost the hospital
4. DThe underlying system causes of the event

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will keep my INR blood test appointments.”
2. B“If I miss a dose, I will take two the next day.”
3. C“I will tell my dentist and pharmacist that I take warfarin.”
4. D“I will use a soft toothbrush.”

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA rise in blood pressure with flushed cheeks
2. BIncreased appetite and thirst
3. CIncreasing sleepiness that is hard to rouse
4. DA sudden rise in pain scores

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

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

Which patient’s planned discharge should the nurse question?

1. AA patient with pneumonia who has been without fever for 48 hours on oral antibiotics
2. BA patient two days after surgery with a new heart rate of 112/min and a temperature of 38.4 °C
3. CA patient with a stable cast who is walking safely with crutches
4. DA patient after a hernia repair who is passing urine and eating

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ASharp chest pain that is worse on deep breathing
2. BA small air leak seen on a routine chest X-ray
3. CTrachea shifted away from the affected side, with low blood pressure
4. DMild breathlessness with reduced breath sounds on one side of the chest only