Prioritization & delegation worksheet with answers

When taking off protective equipment, which item is usually removed first?

1. AGoggles
2. BMask
3. CGown
4. DGloves

Which finding is expected in a patient with long-standing COPD?

1. AAn SpO₂ of 78%
2. BNew confusion
3. CSudden sharp chest pain
4. DA barrel-shaped chest

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BDeciding whether a pressure injury has got worse since yesterday
3. CPlanning the patient’s skin care
4. DTurning and repositioning the patient every 2 hours

A nurse delegates the measurement of blood glucose to a trained assistant but never asks for the result. Which right of delegation is missing?

1. ARight circumstance
2. BRight supervision and evaluation
3. CRight task for the setting
4. DRight person for the task

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BTell the patient this is a common, harmless effect
3. CGive the next dose of lisinopril with water
4. DAssess the airway and call for urgent help

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BRemove the catheter and wait for the patient to void
3. CCheck the tubing for kinks or obstruction
4. DGive a prescribed diuretic straight away

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AA full lipid profile to check cholesterol
2. BA brain scan to rule out bleeding
3. CA swallow test with a cup of water
4. DAn echocardiogram to look for clots

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 4 because the blood tests and the scan count as one resource
2. BThe patient is level 5 because the pain is not severe
3. CThe nurse should consider level 2 because of the danger-zone vital sign
4. DVital signs never change the ESI level