Prioritization & delegation worksheet with answers

All else being equal, which problem usually takes priority?

1. AA long-standing chronic problem, because it affects more of the patient’s life
2. BThe problem that takes the least time to fix
3. CThe problem the family is most worried about
4. DA new, acute problem

What is triage?

1. ASharing patients equally between the nurses on duty
2. BSorting patients by how urgently they need care
3. CTreating patients strictly in the order they arrive
4. DMoving patients between units by bed availability

Which fasting blood glucose value is normal for an adult without diabetes?

1. A55 mg/dL (3.1 mmol/L)
2. B145 mg/dL (8.0 mmol/L)
3. C85 mg/dL (4.7 mmol/L)
4. D210 mg/dL (11.7 mmol/L)

Which statement shows correct understanding of accountability in delegation?

1. A“Once I delegate a task, it is no longer my concern.”
2. B“I stay accountable for deciding to delegate and for following up on the result.”
3. C“If the task goes wrong, only the assistant is responsible.”
4. D“The nursing assistant is accountable for whether the task was right to delegate.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BStart CPR and stop when the family arrives
3. CStart chest compressions but not rescue breaths
4. DCall the cardiac arrest team and let them decide

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AGive a dose of vitamin K by mouth
2. BOffer an iron-rich meal to replace the lost blood
3. CCheck the pump rate and leave the infusion running
4. DStop the heparin infusion and inform the provider

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. ANormal tiredness after anesthesia
2. BAn allergic reaction to the anesthetic
3. CFluid overload from too much IV fluid
4. DAdrenal crisis from steroid withdrawal

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BAn ordinary pain crisis that will improve with rest
3. CAnxiety that will settle with reassurance
4. DA minor chest infection that can safely wait until the morning round