Prioritization & delegation worksheet with answers

Who is responsible for developing the nursing plan of care?

1. AThe nursing assistant
2. BThe registered nurse
3. CThe LPN/LVN alone
4. DThe ward clerk

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow ill the patient is and how much nursing care they need
2. BHow many visitors the patient is expected to have
3. CHow long the patient has been in the hospital since admission
4. DHow far the patient’s room is from the nurses’ station

What does the Morse Fall Scale measure?

1. AA patient’s nutrition status
2. BA patient’s risk of falling
3. CA patient’s pain level
4. DA patient’s skin integrity

A patient asks the nursing assistant about the side effects of a new medication. What should the assistant do?

1. AReassure the patient that side effects are rare
2. BExplain the side effects listed in the drug’s patient leaflet
3. CSay the nurse will come to answer, and tell the nurse
4. DLook the drug up online and read out what it says

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BRinse the hub with tap water and dry it
3. CScrub the hub with an antiseptic such as chlorhexidine and let it dry
4. DBlow on the hub to remove any dust before connecting the syringe or line

A patient taking clozapine reports a sore throat and fever. What is the priority action?

1. AIncrease the dose because the symptoms suggest a relapse
2. BHold the dose and report so the white cell count can be checked
3. CAdvise the patient to gargle with warm salt water and rest in bed
4. DOffer throat lozenges and continue the usual dose

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with C. difficile diarrhea
2. BA patient with an MRSA wound infection
3. CA patient with influenza on droplet precautions
4. DA patient with neutropenia after chemotherapy

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. ARaise her legs while she stays on her back
2. BSit her upright with her head between her knees
3. CGive her a sugary drink and keep her flat
4. DTurn her onto her left side