Prioritization & delegation worksheet with answers

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

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

In adult cardiac arrest, which order does current basic life support use?

1. AA-B-C: airway, breathing, circulation
2. BA-C-B: airway, compressions, breathing
3. CC-A-B: compressions, airway, breathing
4. DB-C-A: breathing, circulation, airway

In priority setting, an “expected” finding is one that:

1. AIs always inside the normal adult reference range
2. BFits the patient’s known condition or treatment
3. CAlways needs an immediate call to the rapid response team
4. DHas been predicted by the patient or the family

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

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

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
2. B“Weigh him after lunch, fully dressed, with his shoes on.”
3. C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
4. D“Weigh him at any time today, on whichever scale is free.”

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AA strong pedal pulse with warm, pink toes and pain that settles with analgesia
2. BMild bruising around the fracture site on the second day
3. CItching under the cast during the first week after it was applied
4. DPain out of proportion to the injury that worsens when the toes are stretched

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AOnly wear gloves when touching the wound itself; skin and bedding are safe
2. BWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
3. CNo special precautions are needed if the wound is covered with a dressing
4. DWear a respirator mask in the room, because MRSA in a wound spreads through the air to others

An older patient with pneumonia is newly confused. Which action comes first?

1. ACheck oxygen saturation and the other vital signs
2. BApply wrist restraints to stop the patient pulling at the IV
3. CAsk the family whether this is normal for the patient
4. DGive a prescribed as-needed sedative