Prioritization & delegation worksheet with answers

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. ANormal after a meal
2. BWithin the normal adult range
3. CSlow, and expected while the patient is asleep
4. DAbnormally fast and needing assessment

In the FAST stroke check, what does the T stand for?

1. ATongue movement
2. BTremor of the hands
3. CTime to call emergency services
4. DTemperature

Which statement about the nursing process is correct when setting priorities?

1. AImplementation comes first, so care starts quickly
2. BPlanning comes first, before seeing the patient
3. CEvaluation comes first, before any patient data have been collected
4. DAssessment comes first, because the other steps depend on it

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a sealed radioactive implant for cervical cancer
2. BA patient with a fractured wrist
3. CA patient after a hip replacement
4. DA patient with type 2 diabetes who needs insulin teaching before discharge

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AEncourage the patient to cut down on salt and fluids
2. BHold the next dose and report for an urgent lithium level
3. CGive the dose with food to reduce the stomach upset
4. DReassure the patient that a coarse tremor is expected at first

Which SBAR recommendation is the clearest?

1. A“I just wanted to let you know about him.”
2. B“He seems a bit off tonight, so maybe you could come up and do something about it.”
3. C“I will keep watching him and call again tomorrow.”
4. D“I would like you to see him within 15 minutes and consider a fluid bolus.”

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. BGive her a sugary drink and keep her flat
3. CTurn her onto her left side
4. DSit her upright with her head between her knees

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. AAbility to feed themselves
2. BSkin over the sacrum and heels
3. CBreathing effort and ability to cough
4. DBowel sounds in all four abdominal quadrants