Prioritization & delegation worksheet with answers

What is a “near miss” in patient safety?

1. AAn error that reached the patient and caused serious harm
2. BAn error that was caught before it reached the patient
3. CA planned treatment that did not work
4. DA complaint from a visitor

Which type of stroke is the most common?

1. AVenous sinus thrombosis
2. BSubarachnoid hemorrhage
3. CIschemic stroke
4. DHemorrhagic stroke

In the ABC framework, which problem is a circulation problem?

1. AAnxiety
2. BA respiratory rate of 32/min
3. CUncontrolled bleeding
4. DStridor

Which patient should the nurse see first?

1. AA patient with type 2 diabetes asking about the diet
2. BA patient with new slurred speech and a facial droop that started 30 minutes ago
3. CA patient with long-standing rheumatoid arthritis and the usual morning joint stiffness
4. DA patient with chronic kidney disease due for dialysis tomorrow

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. ATell him the voices are not real and leave him alone
2. BAsk the roommate to stay in the room with him and help calm him down
3. CIgnore the comment, because voices are part of his illness
4. DKeep everyone safe and tell the team, as the risk of harm is high

A nurse cannot read part of a medication order. What should the nurse do?

1. AGive the usual dose of the drug the nurse thinks was meant
2. BSkip the drug and not tell anyone until the next ward round
3. CAsk another nurse to guess what the order most likely says, then give it
4. DContact the prescriber to clarify the order before giving the drug

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with influenza on droplet precautions
2. BA patient with neutropenia after chemotherapy
3. CA patient with an MRSA wound infection
4. DA patient with C. difficile diarrhea

On a cardiac step-down unit, which patient should the nurse assess first?

1. ADay 2 after a pacemaker insertion, asking when the wound dressing will be changed
2. BAtrial fibrillation on warfarin with an INR of 2.6 this morning
3. CHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
4. DSix hours after a coronary stent, new chest pain with ST elevation on the monitor