Prioritization & delegation worksheet with answers

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

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

Where is intramuscular epinephrine usually injected for anaphylaxis?

1. AThe buttock
2. BThe outer middle thigh
3. CThe abdomen under the skin
4. DA vein in the hand

Which of these is a physiological need in Maslow’s hierarchy?

1. AFeeling safe at home
2. BBeing respected by others
3. CElimination of urine and stool
4. DFeeling part of a family

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AAdvise the patient to use ear drops
2. BReassure the patient that it is a normal effect
3. CHold the next dose and report it promptly
4. DGive the next dose early to finish the course

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will make my breath out about twice as long as my breath in.”
2. B“I will breathe in slowly through my nose.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will breathe in through my mouth and out quickly through my nose.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BFollow the DNR order and do not start CPR
3. CStart CPR and stop when the family arrives
4. DStart chest compressions but not rescue breaths

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ATighten the restraint so the patient moves less
2. BDocument the finding and continue with the medication round
3. CLoosen the restraint and assess the circulation
4. DRaise the arm on a pillow and check again in two hours

A patient with a new tracheostomy is coughing, has noisy breathing and an SpO₂ that has fallen to 86%. What is the first action?

1. ASuction the tracheostomy
2. BGive a nebulized bronchodilator
3. CChange the tracheostomy ties
4. DDocument the SpO₂ and recheck in 30 minutes