Prioritization & delegation worksheet with answers

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

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

In delegation, what does the “right person” mean?

1. AThe patient has agreed to receive care from the delegate
2. BThe delegate is the most senior assistant on duty on that shift
3. CThe delegate is the staff member who is least busy
4. DThe delegate is trained, competent and allowed to do the task

Which medication is the first-line treatment for anaphylaxis?

1. AIntramuscular epinephrine
2. BAn oral antihistamine
3. CAn inhaled corticosteroid
4. DOral paracetamol (acetaminophen)

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. AMassage the patient’s calves to ease any muscle cramp
2. BEncourage the patient to walk to improve the circulation
3. CRaise the head of the bed, give oxygen and call for urgent help
4. DGive the next dose of oral analgesia and reassess the patient in an hour

During START triage at a mass-casualty scene, a victim can walk to the designated area when asked. Which category is the victim given?

1. ARed (immediate)
2. BBlack (expectant)
3. CGreen (minor)
4. DYellow (delayed)

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BDisconnecting the bag every shift to empty it
3. CKeeping the drainage bag below the level of the bladder
4. DRaising the drainage bag above the bladder when walking

A patient with septic shock remains hypotensive, with a mean arterial pressure of 58 mmHg, after adequate IV fluids. What should the nurse anticipate?

1. AA loop diuretic to remove the extra fluid that has been given
2. BA beta-blocker to slow the heart rate
3. CAn oral fluid challenge with a sports drink
4. DA vasopressor, such as norepinephrine, to raise the pressure

After a cervical spinal cord injury, a patient has a blood pressure of 80/50 mmHg, a heart rate of 48/min and warm, dry skin. What is most likely?

1. ACardiac tamponade
2. BSeptic shock
3. CHypovolemic shock
4. DNeurogenic shock