Prioritization & delegation worksheet with answers

Which patient is unstable?

1. AA patient with a new irregular pulse who says they feel dizzy
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient waiting for a planned hip X-ray
4. DA patient with a healing leg wound and normal vital signs this morning

Which medication reverses opioid-induced respiratory depression?

1. AFlumazenil
2. BProtamine sulfate
3. CNaloxone
4. DVitamin K

How many rights of delegation are commonly taught?

1. ASeven
2. BFive
3. CThree
4. DTen

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the patient for signs of a transfusion reaction
2. BStarting the transfusion once the blood arrives
3. CMeasuring and reporting vital signs at the times set by the nurse
4. DDeciding whether to stop the transfusion if the patient has chills

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“I will use a soft toothbrush.”
2. B“I will keep my INR blood test appointments.”
3. C“If I miss a dose, I will take two the next day.”
4. D“I will tell my dentist and pharmacist that I take warfarin.”

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will press the button for her while she is asleep so she stays comfortable.”
2. B“I will tell the nurse if she becomes very sleepy or hard to wake.”
3. C“The pump has limits set by the nurse so she cannot get too much at once.”
4. D“Only she should press the button when she needs pain relief.”

An infant with pyloric stenosis has repeated projectile vomiting. Which acid-base imbalance is most likely?

1. AMetabolic acidosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic alkalosis

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. AMeasure abdominal girth by pressing firmly
2. BGive a warm bath with abdominal massage
3. CDo not palpate the abdomen
4. DEncourage the child to play contact sports