Prioritization & delegation worksheet with answers

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A35–45 mEq/L
2. B3.5–5.0 mEq/L
3. C80–100 mEq/L
4. D22–26 mEq/L

A nursing assistant reports four findings. Which one should the nurse check first?

1. AA patient who suddenly cannot move their right arm
2. BA patient who asks for another blanket
3. CA patient whose breakfast tray is not finished
4. DA patient who wants to phone a relative

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AGiving scheduled oral medications
2. BMeasuring vital signs
3. CReinforcing teaching already given
4. DGiving an IV push medication

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will soak my feet in hot water every evening.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will dry well between my toes after washing.”

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGo to the station to finish documentation for other patients
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DGive a dose of every as-needed medication on the chart

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AGiving an antipyretic tablet and waiting for it to work
2. BRapid cooling while supporting airway and circulation
3. CWrapping the runner in a blanket to prevent shivering
4. DAsking the runner to rest in the shade and drink slowly

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. AStress-induced mild hyperglycemia
2. BHypoglycemia with rebound
3. CDiabetic ketoacidosis
4. DHyperosmolar hyperglycemic state