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WorksheetsPrioritization & Delegation
Total questions: 15
Worksheet time: 30mins
The nurse is preparing to administer morning medications. Which medication should the nurse administer first?
Hydrocodone to the client with pain rated a 7 on pain scale of 1–10.
Furosemide IVP to a client with 2+ pitting edema.
Metformin PO to a client diagnosed with type 2 diabetes.
Neostigmine orally to the client diagnosed with myasthenia gravis
The client on telemetry is showing ventricular tachycardia. Which action should the telemetry nurse delegate to the unlicensed assistive personnel (UAP)?
Have the UAP call the operator and announce the code
Tell the UAP to answer the other call lights on the unit
Send the UAP to the room to start rescue breaths
Ask the family to step out of the room during the code
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a vascular unit. Which task is most appropriate for the nurse to delegate?
Provide indwelling catheter care to a client on bed rest.
Evaluate the client’s 8-hour intake and output.
Give a bath to the client who is third-spacing.
Administer a cation-exchange resin enema to a client.
The nurse is working with a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) to care for a group of clients. Which nursing task should not be delegated or assigned?
The routine oral medications for the clients.
The bed baths and oral care.
Evaluating the client’s progress.
Transporting a client to dialysis
Which tasks are appropriate to assign to the unlicensed assistive personnel (UAP)?Select all that apply.
Perform mouth care on the client with pneumonia.
Apply oxygen via nasal cannula to the client.
Empty the trashcans in the clients’ rooms.
Take the empty blood bag back to the laboratory.
Show the client how to ambulate on the walker
Which client should the medical unit nurse assess first after receiving the shift report?
1. The 84-year-old client diagnosed with pneumonia who is afebrile but getting restless.
2. The 25-year-old client diagnosed with influenza who is febrile and has a headache.
3. The 56-year-old client diagnosed with a left-sided hemothorax with tidaling in the water-seal compartment of the Pleurvac.
4. The 38-year-old client diagnosed with a sinus infection who has green drainage from the nose
The client who is 1 day postoperative following chest surgery is having difficulty breathing, has bilateral rales, and is confused and restless. Which intervention should the nurse implement first?
Assess the client’s pulse oximeter reading.
Notify the Rapid Response Team.
Place the client in the Trendelenburg position.
Check the client’s surgical dressing
The intensive care unit (ICU) nurse is caring for a client on a ventilator who is exhibiting respiratory distress. The ventilator alarms are going off. Which intervention should the nurse implement first?
Notify the respiratory therapist immediately.
Ventilate with a manual resuscitation bag.
Check the ventilator to resolve the problem.
Auscultate the client’s lung sounds.
The nurse overhears another hospital staff member talking to a friend about a client. The staff member discloses that the client was just diagnosed with lung cancer. What is the most appropriate action by the nurse?
Do not approach the staff member in the restaurant.
Ask the staff member not to discuss anything about the client.
Contact the staff member’s clinical manager and report the behavior.
Tell the client that the staff member was discussing confidential information
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical-surgical unit. Which task should not be assigned to the UAP?
Instruct the UAP to feed the 69-year-old client who is experiencing dysphagia.
Request the UAP change the linens for the 89-year-old client with fecal incontinence.
Tell the UAP to assist the 54-year-old client with a bowel management program.
Ask the UAP to obtain vital signs on the 72-year-old client diagnosed with cirrhosis
The charge nurse is making assignments on a medical unit. Which client should the nurse assign to the graduate nurse?
The client who has received three units of packed red blood cells (RBCs).
The client scheduled for an esophagogastroduodenoscopy in the morning.
The client with short bowel syndrome who has diarrhea and a K+ level of 3.3 mEq/L.
The client who has just returned from surgery for a sigmoid colostomy
The client 1 day postoperative abdominal surgery has an evisceration of the wound. Which intervention should the nurse implement first?
Place sterile normal saline gauze on the eviscerated area.
Reinforce the abdominal dressing with an ABD pad.
Assess the client’s abdominal bowel sounds.
Place the client in the left lateral position.
The male client is 30 minutes post-procedure liver biopsy. Which action by the unlicensed assistive personnel (UAP) requires the nurse to intervene?
The UAP offered the client a urinal to void.
The UAP gave the client a glass of water.
The UAP turned the client on the left side.
The UAP took the client’s vital signs
The nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel
(UAP) are caring for clients on a medical floor. Which nursing task is most
appropriate to assign/delegate?
Instruct the UAP to discontinue the client’s total parenteral nutrition.
Ask the UAP to give the client 30 mL of Maalox for heartburn.
Tell the LPN to administer a bulk laxative to a client diagnosed with constipation.
Request the LPN to assess the abdomen of a client who has had complaints of pain
The unlicensed assistive personnel (UAP) reports to the nurse the client’s urine output has bright red blood. Which intervention should the nurse implement first?
Instruct the UAP to take a urine specimen to the laboratory.
Document the findings in the client’s nursing notes.
Assess the client’s urine specimen and complete a renal assessment.
Ask the UAP to take the client’s vital signs
