Prioritization & delegation worksheet with answers

Which finding is expected in a patient with long-standing COPD?

1. AAn SpO₂ of 78%
2. BSudden sharp chest pain
3. CA barrel-shaped chest
4. DNew confusion

In mass-casualty triage, which category does a green tag usually mark?

1. AImmediate: needs treatment at once
2. BMinor injuries: the “walking wounded”
3. CDeceased or expectant
4. DDelayed: serious but currently stable injuries

Using the PASS method for a fire extinguisher, what is the first step?

1. AAim at the base of the fire
2. BSweep from side to side
3. CSqueeze the handle
4. DPull the pin

Which nursing assistant task is appropriate for a patient two days after hip replacement?

1. ATeaching the patient the hip precautions before discharge
2. BEvaluating whether the last dose of pain medication controlled the pain
3. CHelping the patient into a chair, following the hip precautions
4. DChecking the incision for redness, warmth and drainage

A charge nurse needs to free a bed. Which patient is most appropriate for discharge or transfer to a lower level of care?

1. ADay 3 after uncomplicated appendectomy, eating, on oral analgesia
2. BDay 1 after bowel surgery with a new temperature of 38.5 °C
3. CPneumonia, with an oxygen need that rose overnight from 2 to 4 L/min
4. DAdmitted two hours ago with chest pain; troponin result still pending

A stable adult with normal vital signs has a cut on the hand that needs sutures and nothing else. Which ESI level fits?

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

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. AAsk the family to persuade the patient until they agree
2. BTell the patient that refusing treatment is not allowed in hospital
3. CRespect the refusal, check the patient understands the risks and inform the provider
4. DGive the transfusion while the patient is asleep, because saving their life comes first

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

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