Prioritization & delegation worksheet with answers

Which symptoms are classic signs of digoxin toxicity?

1. AHigh blood sugar and increased thirst
2. BHair loss and weight gain
3. CNausea, poor appetite and yellow-green visual halos
4. DA rash, high fever and swollen lymph nodes in the neck

When a priority question offers both an assessment and an action, which is usually correct first when the situation is not an emergency?

1. ADocumenting the concern in the chart
2. BCalling the provider before seeing the patient
3. CAssessing the patient to collect more information
4. DAsking a nursing assistant to go and check the patient

When is a patient most ready to learn about self-care?

1. AWhile in severe pain, so the lesson feels important
2. BStraight after hearing bad news about a serious new diagnosis
3. CDuring a period of acute breathlessness
4. DWhen pain is controlled and basic physical needs are met

A stable adult with normal vital signs has a cut on the hand that needs sutures and nothing else. Which ESI level fits?

1. ALevel 2
2. BLevel 3
3. CLevel 4
4. DLevel 5

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will use a raised toilet seat at home.”

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

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

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AFull contact and droplet precautions for all staff and visitors on the unit
2. BStandard precautions, because it does not usually spread from person to person
3. CAirborne precautions in a negative-pressure room for the whole of the hospital stay
4. DDroplet precautions with a surgical mask for everyone who enters

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BInsist that the patient sits at the table until the meal is finished
3. CLeave meals in the room and let the patient eat whenever and whatever they choose
4. DWait until the mania settles before worrying about nutrition