Prioritization & delegation worksheet with answers

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTemperature
3. CTongue movement
4. DTime to call emergency services

In stroke care, what does the “last known well” time mean?

1. AThe time the first symptom was noticed by a stranger
2. BThe time of the patient’s last meal
3. CThe time the patient arrived at the hospital and was triaged
4. DThe last time the patient was seen without stroke symptoms

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B99%
3. C89%
4. D96%

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I will weigh myself every morning after I use the toilet.”
2. B“I add extra salt to my food so it tastes better.”
3. C“I will take my water tablet in the morning.”
4. D“I will call if my weight goes up quickly over a day or two.”

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. AStop or slow the infusion and inform the provider
2. BIgnore it, because flushing is always harmless and passes
3. CSpeed up the infusion to finish it quickly
4. DApply a warm compress to the face and neck

A nurse delegates routine vital signs to a nursing assistant for a patient whose blood pressure has been falling for the past hour. Which right of delegation is not met?

1. ARight directions and communication
2. BRight circumstance
3. CRight person
4. DRight task, because vital signs can never be delegated

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

1. AThat the child can walk without help
2. BThat the child is passing urine
3. CThat the child is hungry
4. DThat the child’s temperature is normal

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BA small air leak seen on a routine chest X-ray
3. CMild breathlessness with reduced breath sounds on one side of the chest only
4. DSharp chest pain that is worse on deep breathing