Prioritization & delegation worksheet with answers

Before giving a medication, how many patient identifiers should the nurse check?

1. AOne, the room number
2. BOne, the bed number
3. CNone, if the nurse already knows the patient well
4. DAt least two, such as name and date of birth

In a three-level triage system, which patient is emergent?

1. AAbdominal pain for two days with normal vital signs
2. BA rash for three days without fever
3. CChest pain with sweating and shortness of breath
4. DA request for a repeat prescription

Which adult finding should the nurse act on first?

1. AHeart rate 98/min
2. BBlood pressure 138/88 mmHg and fully alert
3. CTemperature 37.8 °C (100 °F)
4. DRespiratory rate 8/min and drowsy

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AAdvise the patient to use ear drops
2. BReassure the patient that it is a normal effect
3. CGive the next dose early to finish the course
4. DHold the next dose and report it promptly

During START triage, a non-walking adult is breathing 36 times a minute. Which category is the victim given?

1. ABlack (expectant)
2. BGreen (minor)
3. CYellow (delayed)
4. DRed (immediate)

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AHelp the patient empty her bladder
2. BAsk the patient to lie still for another hour
3. CMassage the uterus firmly for ten minutes
4. DGive a dose of oxytocin straight away

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AIndigestion that is best treated with an antacid and a glass of milk
2. BMuscle strain that needs a warm compress
3. CStable angina that will pass without treatment
4. DA possible myocardial infarction that needs urgent action

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. ANormal aging that needs no assessment
2. BA sudden worsening of long-standing dementia that needs no tests
3. CAn infection, such as a urinary tract infection, presenting atypically
4. DBoredom from not having enough activities