Prioritization & delegation worksheet with answers

A medication error has just reached a patient. What is the nurse’s first action?

1. AAssess the patient for any effects of the error
2. BTell the nurse manager at the end of the shift
3. CComplete an incident report before doing anything else
4. DCorrect the entry on the medication record

Which resting heart rate in an adult is bradycardia?

1. A46/min
2. B72/min
3. C88/min
4. D64/min

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AThirst after a long period of fasting before a test
2. BWorry about body image after a mastectomy
3. CFear of slipping in the shower
4. DMissing friends from home

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at breakfast with my calcium tablet.”
2. B“I will take it at the same time each morning.”
3. C“I will keep taking it even when I feel well.”
4. D“I will take it on an empty stomach with a glass of water.”

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse hand gestures and hope the patient understands
2. BAsk the patient’s 10-year-old child to translate
3. CSpeak loudly and slowly in English
4. DUse a professional medical interpreter

Which postoperative patient should the nurse see first?

1. ADressing soaked with bright red blood and a heart rate rising to 118/min
2. BWants help with washing her hair before her visitors arrive this afternoon
3. CAsking when the urinary catheter will be removed
4. DPain of 4/10 one hour after an oral analgesic

A patient is receiving parenteral nutrition through a central line. Which finding needs immediate action?

1. AA glucose of 150 mg/dL (8.3 mmol/L) while the infusion is running
2. BA dry, intact dressing over the line
3. CSweating, shakiness and a glucose of 62 mg/dL (3.4 mmol/L) after the infusion stopped unexpectedly
4. DA weight gain of 0.2 kg since yesterday

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacenta previa, which is usually painless
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacental abruption, which is an emergency