Prioritization & delegation worksheet with answers

Which resting heart rate is normal for a newborn?

1. A210/min
2. B80/min
3. C140/min
4. D60/min

In the ABC framework, which finding is mainly a breathing problem?

1. AA blood glucose of 60 mg/dL (3.3 mmol/L)
2. BShallow breaths with an SpO₂ of 85% on room air
3. CHeart rate 150/min with a low blood pressure and cold skin
4. DStridor caused by a swollen throat

Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?

1. ANobody, once the task has been delegated
2. BThe patient receiving the care
3. COnly the nurse manager
4. DThe assistant who accepted the task

Which patient should the nurse see first?

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

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BGive the patient’s routine oral iron supplement early
3. CCheck for signs of low calcium and inform the provider
4. DReassure the patient that this is normal after neck surgery

A stable adult has abdominal pain and normal vital signs. They will need blood tests and a CT scan. Which ESI level fits?

1. ALevel 4
2. BLevel 3
3. CLevel 1
4. DLevel 5

Which patient should the nurse escalate to the rapid response team first?

1. AA patient with cellulitis whose temperature is 38.1 °C, with otherwise normal vital signs
2. BA patient with a urinary infection who is newly confused, with a respiratory rate of 26/min and a systolic blood pressure of 94 mmHg
3. CA patient after knee surgery with pain of 6/10 and normal vital signs
4. DA patient with known hypertension whose blood pressure is 152/94 mmHg and who feels well

A patient had sudden difficulty speaking 45 minutes ago. Which action has the highest priority?

1. AGive water so the patient can take the usual morning medicines
2. BWait until the neurologist can assess the patient on the morning ward round
3. CGive aspirin by mouth straight away to limit the clot
4. DActivate the stroke team for urgent imaging, noting when last known well