Prioritization & delegation worksheet with answers

Which activity is generally within the scope of a licensed practical or vocational nurse (LPN/LVN) for a stable patient?

1. ATriaging new arrivals in the emergency department
2. BGiving scheduled oral medications
3. CWriting the nursing care plan
4. DDoing the initial admission assessment

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AFear of slipping in the shower
2. BMissing friends from home
3. CWorry about body image after a mastectomy
4. DThirst after a long period of fasting before a test

Which of these is a physiological need in Maslow’s hierarchy?

1. AFeeling safe at home
2. BFeeling part of a family
3. CElimination of urine and stool
4. DBeing respected by others

A nursing assistant reports that a patient’s blood pressure is 168/98 mmHg (it was 130/80 earlier) and the patient has a headache. What should the RN do?

1. ADocument the value and continue with the medication round
2. BAsk the assistant to recheck the blood pressure in an hour
3. CAsk the assistant to give the as-needed antihypertensive medication now
4. DAssess the patient, recheck the blood pressure and look for symptoms

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

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

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. AStart chest compressions but not rescue breaths
2. BCall the cardiac arrest team and let them decide
3. CFollow the DNR order and do not start CPR
4. DStart CPR and stop when the family arrives

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. ADiabetic ketoacidosis
2. BHyperosmolar hyperglycemic state
3. CHypoglycemia with rebound
4. DStress-induced mild hyperglycemia

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AA mild allergic reaction with hives
2. BTransfusion-associated circulatory overload
3. CHypoglycemia caused by the stored blood product
4. DAn expected effect of the first unit