Prioritization & delegation worksheet with answers

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA platelet count of 900,000/mm³
2. BA low serum creatinine
3. CA raised serum creatinine
4. DA serum sodium of 160 mEq/L

Which serum creatinine result suggests reduced kidney function in an adult?

1. A3.5 mg/dL (about 310 µmol/L)
2. B0.7 mg/dL (about 60 µmol/L)
3. C0.8 mg/dL (about 70 µmol/L)
4. D1.0 mg/dL (about 90 µmol/L)

What does “scope of practice” mean?

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

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGive a second, smaller dose of insulin when the meal tray finally arrives
2. BTell the patient to wait and do nothing until the tray comes
3. CAsk the patient to walk around the ward until the food arrives
4. DGet the patient some carbohydrate food now and check the glucose

Which newborn finding needs prompt reporting?

1. AMild jaundice that first appears on the third day
2. BJaundice that appears within the first 24 hours
3. CBluish hands and feet in the first hours
4. DMilia (small white spots) on the nose

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. AHelp the patient walk to the toilet to relieve abdominal pressure
2. BLeave the wound uncovered so the surgeon can see it on arrival
3. CPush the bowel gently back into the abdomen with a gloved hand
4. DCover the wound with sterile dressings moistened with saline

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. AReassure her that this is normal “baby blues”
2. BKeep the mother and baby safe and arrange urgent psychiatric care
3. CLeave her alone with the baby to bond
4. DAdvise more sleep and book a routine follow-up visit for next month

A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?

1. AStop the oxytocin infusion
2. BPlace the patient flat on her back
3. CIncrease the oxytocin rate
4. DEncourage the patient to start pushing