Delegation & Prioritization - 2026 Clinical Decision Making:
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Setting realistic goals for a shift involves:
A. Planning every minute rigidly
B. Avoiding planning
C. Identifying essential tasks and time frames while allowing flexibility for changes
D. Delegating everything
Correct Answer: C. Identifying essential tasks and time frames while allowing flexibility for
changes
Rationale: Flexibility is needed for emergencies. Goals keep work focused.
2. Daily, weekly or monthly non-time-critical medications per ISMP may be given within:
A. 10 minutes
B. 6 hours
C. 2 hours before or after the scheduled time
D. 1 day
Correct Answer: C. 2 hours before or after the scheduled time
Rationale: This allows flexibility. Facilities may adopt stricter policies.
3. Using downtime effectively may include:
A. Leaving the unit
B. Social media use
C. Ignoring patients
D. Restocking, patient teaching and updating care plans
Correct Answer: D. Restocking, patient teaching and updating care plans
Rationale: Quiet periods prepare for busy times. Patient engagement continues.
,4. A nurse who says "yes" to every request may need to practice:
A. More multitasking
B. Avoiding communication
C. Skipping breaks
D. Assertively setting boundaries and redirecting tasks
Correct Answer: D. Assertively setting boundaries and redirecting tasks
Rationale: Assertiveness protects time and safety. It supports teamwork.
5. In the Eisenhower matrix, a task that is important but not urgent should be:
A. Ignored
B. Done immediately
C. Scheduled
D. Delegated always
Correct Answer: C. Scheduled
Rationale: Planning prevents these tasks from becoming crises. Teaching often falls here.
6. Scheduling patient teaching at a time the patient is alert and comfortable:
A. Improves learning
B. Wastes time
C. Increases anxiety
D. Reduces retention
Correct Answer: A. Improves learning
Rationale: Readiness to learn matters. Pain and fatigue interfere.
,7. Delegating routine documentation tasks such as recording intake totals to AP:
A. Is never appropriate
B. Is appropriate when the AP measured the intake and policy allows them to record it
C. Includes interpreting the totals
D. Includes care plan updates
Correct Answer: B. Is appropriate when the AP measured the intake and policy allows them to
record it
Rationale: Data entry by the collector is common. Interpretation remains with the nurse.
8. Lean methods such as 5S improve time management by:
A. Increasing clutter
B. Adding steps
C. Organizing supplies and work areas to reduce waste
D. Avoiding change
Correct Answer: C. Organizing supplies and work areas to reduce waste
Rationale: 5S stands for sort, set in order, shine, standardize, sustain. It reduces searching.
9. Planning for patient-specific timing, such as giving pre-procedure medications, requires:
A. Guessing
B. Avoiding communication
C. Waiting for calls only
D. Knowing procedure schedules and coordinating with other departments
Correct Answer: D. Knowing procedure schedules and coordinating with other departments
Rationale: Coordination prevents delays. Patients may need preparation.
, 10. Personal organization strategies such as preparing for shifts in advance can:
A. Reduce stress and improve efficiency
B. Increase anxiety
C. Waste time
D. Reduce safety
Correct Answer: A. Reduce stress and improve efficiency
Rationale: Preparation includes rest and planning. It supports performance.
11. Procrastination in nursing tasks can lead to:
A. Missed care and increased stress
B. More free time
C. Better outcomes
D. No impact
Correct Answer: A. Missed care and increased stress
Rationale: Delays accumulate. Planning helps.
12. Time-sensitive tasks such as postoperative vital signs every 15 minutes should be:
A. Ignored
B. Done once
C. Done only at shift end
D. Scheduled with reminders and delegated appropriately if the patient is stable
Correct Answer: D. Scheduled with reminders and delegated appropriately if the patient is
stable
Rationale: Frequency orders matter. Stability determines delegation.
Practice Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Setting realistic goals for a shift involves:
A. Planning every minute rigidly
B. Avoiding planning
C. Identifying essential tasks and time frames while allowing flexibility for changes
D. Delegating everything
Correct Answer: C. Identifying essential tasks and time frames while allowing flexibility for
changes
Rationale: Flexibility is needed for emergencies. Goals keep work focused.
2. Daily, weekly or monthly non-time-critical medications per ISMP may be given within:
A. 10 minutes
B. 6 hours
C. 2 hours before or after the scheduled time
D. 1 day
Correct Answer: C. 2 hours before or after the scheduled time
Rationale: This allows flexibility. Facilities may adopt stricter policies.
3. Using downtime effectively may include:
A. Leaving the unit
B. Social media use
C. Ignoring patients
D. Restocking, patient teaching and updating care plans
Correct Answer: D. Restocking, patient teaching and updating care plans
Rationale: Quiet periods prepare for busy times. Patient engagement continues.
,4. A nurse who says "yes" to every request may need to practice:
A. More multitasking
B. Avoiding communication
C. Skipping breaks
D. Assertively setting boundaries and redirecting tasks
Correct Answer: D. Assertively setting boundaries and redirecting tasks
Rationale: Assertiveness protects time and safety. It supports teamwork.
5. In the Eisenhower matrix, a task that is important but not urgent should be:
A. Ignored
B. Done immediately
C. Scheduled
D. Delegated always
Correct Answer: C. Scheduled
Rationale: Planning prevents these tasks from becoming crises. Teaching often falls here.
6. Scheduling patient teaching at a time the patient is alert and comfortable:
A. Improves learning
B. Wastes time
C. Increases anxiety
D. Reduces retention
Correct Answer: A. Improves learning
Rationale: Readiness to learn matters. Pain and fatigue interfere.
,7. Delegating routine documentation tasks such as recording intake totals to AP:
A. Is never appropriate
B. Is appropriate when the AP measured the intake and policy allows them to record it
C. Includes interpreting the totals
D. Includes care plan updates
Correct Answer: B. Is appropriate when the AP measured the intake and policy allows them to
record it
Rationale: Data entry by the collector is common. Interpretation remains with the nurse.
8. Lean methods such as 5S improve time management by:
A. Increasing clutter
B. Adding steps
C. Organizing supplies and work areas to reduce waste
D. Avoiding change
Correct Answer: C. Organizing supplies and work areas to reduce waste
Rationale: 5S stands for sort, set in order, shine, standardize, sustain. It reduces searching.
9. Planning for patient-specific timing, such as giving pre-procedure medications, requires:
A. Guessing
B. Avoiding communication
C. Waiting for calls only
D. Knowing procedure schedules and coordinating with other departments
Correct Answer: D. Knowing procedure schedules and coordinating with other departments
Rationale: Coordination prevents delays. Patients may need preparation.
, 10. Personal organization strategies such as preparing for shifts in advance can:
A. Reduce stress and improve efficiency
B. Increase anxiety
C. Waste time
D. Reduce safety
Correct Answer: A. Reduce stress and improve efficiency
Rationale: Preparation includes rest and planning. It supports performance.
11. Procrastination in nursing tasks can lead to:
A. Missed care and increased stress
B. More free time
C. Better outcomes
D. No impact
Correct Answer: A. Missed care and increased stress
Rationale: Delays accumulate. Planning helps.
12. Time-sensitive tasks such as postoperative vital signs every 15 minutes should be:
A. Ignored
B. Done once
C. Done only at shift end
D. Scheduled with reminders and delegated appropriately if the patient is stable
Correct Answer: D. Scheduled with reminders and delegated appropriately if the patient is
stable
Rationale: Frequency orders matter. Stability determines delegation.
