Prioritization & delegation worksheet with answers

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AHigh, suggesting fluid overload
2. BNormal for an adult at rest
3. CExpected after drinking fluids
4. DLow and needing to be reported

In the ABC framework for setting nursing priorities, which need is addressed first?

1. AAirway
2. BCirculation
3. CBreathing
4. DPain

Which task can the RN usually assign to an LPN/LVN?

1. ATriaging a new arrival in the emergency department
2. BChanging the dressing on a stable, healing wound
3. CDoing the admission assessment of a new patient
4. DWriting the patient’s initial plan of care

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will sit down before I take a tablet.”
2. B“I will keep the tablets in their original dark container.”
3. C“I will swallow the tablet with a glass of water.”
4. D“I may get a headache after taking a tablet.”

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. APour orange juice into the patient’s mouth
2. BWait 15 minutes and recheck the glucose
3. CGive the scheduled dose of insulin
4. DGive IV dextrose or glucagon as prescribed

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will not bend my hip past 90 degrees.”
2. B“I will cross my legs when I sit, so I am more comfortable.”
3. C“I will use a raised toilet seat at home.”
4. D“I will keep a pillow between my knees when I lie on my side in bed.”

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. ADehydration from drinking too much
2. BNormal healing of the transplant
3. CRejection of the transplant
4. DA side effect of eating salty food

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. CEncourage the patient to start pushing
4. DIncrease the oxytocin rate