Prioritization & delegation worksheet with answers

What does a “PRN” medication order mean?

1. AGive the drug at exactly the same time every single day
2. BGive the drug only before surgery
3. CGive the drug when needed, within the prescribed limits
4. DGive the drug once only, immediately

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AUse an extinguisher on the fire
2. BPull the fire alarm
3. CClose doors to contain the fire and smoke
4. DRescue patients in immediate danger

In most settings, who performs triage of new arrivals in an emergency department?

1. AA registered nurse
2. BA ward clerk
3. CAn LPN/LVN without RN involvement
4. DA nursing assistant

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

1. AGive a cool shower and offer extra fluids, then wait and see what happens
2. BDocument the reading and mention it at the next handover
3. CRecheck the temperature in four hours before telling anyone
4. DReport it at once, because cultures and antibiotics are needed quickly

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AMeet both of them privately to hear each side
2. BReport them to human resources at once
3. CChange both of their assignments without any discussion
4. DIgnore it and hope they sort it out

A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?

1. ACheck the blood glucose and ketones and contact the provider
2. BStop all insulin until the patient is able to eat normally again
3. CWait until tomorrow to see if the vomiting settles
4. DEncourage a large meal to settle the stomach

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

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

Which patient’s planned discharge should the nurse question?

1. AA patient after a hernia repair who is passing urine and eating
2. BA patient two days after surgery with a new heart rate of 112/min and a temperature of 38.4 °C
3. CA patient with a stable cast who is walking safely with crutches
4. DA patient with pneumonia who has been without fever for 48 hours on oral antibiotics