Prioritization & delegation worksheet with answers

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient is fully alert and oriented
3. CThe patient only has a mild headache
4. DThe patient can safely eat and drink without help

What does “scope of practice” mean?

1. AThe salary range that applies to each nursing role
2. BThe activities a nurse is educated, competent and legally allowed to do
3. CThe highest number of patients a nurse may care for during a single shift
4. DThe hospital areas where a nurse is allowed to work

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Braden Scale
2. BThe Glasgow Coma Scale
3. CThe FLACC scale
4. DThe Morse Fall Scale

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Suctioning a new tracheostomy is my task; I will do it myself.”
2. B“Thank you, please suction him as needed and tell me how it went.”
3. C“Leave the suctioning until the next shift arrives.”
4. D“Ask the patient’s family to do the suctioning today.”

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AMassage the area firmly to improve the blood flow to the skin
2. BRelieve pressure on the area by changing position regularly
3. CApply a heat pad to the area to increase circulation
4. DKeep the patient lying on the back to protect the area

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the door so the patient cannot leave the unit
2. BHide the patient’s clothes and belongings until the provider arrives
3. CInform the provider, explain the risks and document the discussion
4. DLet the patient leave without telling anyone

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AHypoglycemia with rebound
2. BDiabetic ketoacidosis
3. CHyperosmolar hyperglycemic state
4. DStress-induced mild hyperglycemia

Which patient’s finding is the most urgent?

1. AA patient on warfarin with an INR of 2.5 who is due for the usual evening dose
2. BA patient after knee surgery with a small bruise at an injection site
3. CA patient whose platelet count result is pending
4. DA patient on a heparin infusion who has new confusion and a severe headache