Prioritization & delegation worksheet with answers

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ADehydration
2. BHypertension
3. CInfection
4. DBleeding

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out within the next 24 hours
3. CCarry it out only if the patient asks for it
4. DCarry it out immediately

Which medication is the first-line treatment for anaphylaxis?

1. AOral paracetamol (acetaminophen)
2. BAn inhaled corticosteroid
3. CAn oral antihistamine
4. DIntramuscular epinephrine

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CPlace a tongue depressor between the teeth
4. DGive a drink of water to help the patient wake

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AEncourage the patient to cut down on salt and fluids
2. BHold the next dose and report for an urgent lithium level
3. CGive the dose with food to reduce the stomach upset
4. DReassure the patient that a coarse tremor is expected at first

On a pediatric unit, which child does the nurse assess first?

1. AA child with croup who has a barking cough but no stridor at rest
2. BA child in a new arm cast with pink, warm fingers and pain of 5/10
3. CA child with a temperature of 38.2 °C after vaccination
4. DA child with asthma who is now quiet with very little air movement

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AReassure her that this is normal “baby blues”
2. BLeave her alone with the baby to bond
3. CAdvise more sleep and book a routine follow-up visit for next month
4. DKeep the mother and baby safe and arrange urgent psychiatric care

A nurse thinks a prescribed dose is unsafe. The prescriber says to give it anyway. What should the nurse do?

1. ASkip the dose quietly and say nothing to avoid conflict
2. BGive half the dose as a compromise and document the reason
3. CHold the dose and escalate through the chain of command
4. DGive the dose, because the prescriber is now responsible for it