Prioritization & delegation worksheet with answers

A nursing assistant reports four findings. Which one should the nurse check first?

1. AA patient who suddenly cannot move their right arm
2. BA patient who asks for another blanket
3. CA patient who wants to phone a relative
4. DA patient whose breakfast tray is not finished

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Morse Fall Scale
2. BThe Glasgow Coma Scale
3. CThe FLACC scale
4. DThe Braden Scale

In the Emergency Severity Index (ESI), what does level 1 mean?

1. ANeeds two or more resources
2. BIs the least urgent patient
3. CNeeds an immediate life-saving intervention
4. DIs stable enough to be seen in a fast-track area

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BLeaving a sticky note on the computer screen for the next nurse
3. CHanding over only the patients who had problems during the shift
4. DA quick chat in the corridor with no notes taken

In a cardiac arrest on a ward, which action comes first after confirming the patient is unresponsive and not breathing normally?

1. AMeasure the blood pressure
2. BGive two rescue breaths, then check for a pulse for one minute
3. CFind the patient’s chart to check the resuscitation status before calling for help
4. DCall for help and start chest compressions

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BAssess the location, character and onset of the pain and the vital signs
3. CGive the strongest analgesic on the chart straight away
4. DAsk the nursing assistant to reposition the patient

A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AOmeprazole
2. BFurosemide
3. CHydrochlorothiazide
4. DSpironolactone

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. CTurn her onto her left side
4. DGive her a sugary drink and keep her flat