Prioritization & delegation worksheet with answers

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BLow blood sugar
3. CDamage to the liver
4. DA urinary tract infection

What does the Morse Fall Scale measure?

1. AA patient’s pain level
2. BA patient’s skin integrity
3. CA patient’s risk of falling
4. DA patient’s nutrition status

In mass-casualty triage, what does a red tag usually mean?

1. ADelayed: serious injuries, but stable for now
2. BExpectant: unlikely to survive even with care, or already deceased
3. CMinor: the person can walk and can safely wait
4. DImmediate: life-threatening but survivable with prompt care

On a mixed medical unit, which patient should the nurse see first?

1. AA patient asking for written information about tomorrow’s discharge
2. BA patient with a mild tension headache who is asking for acetaminophen
3. CA patient with hypertension whose blood pressure is 136/84 mmHg
4. DA patient with depression who has given away his belongings and has a suicide plan

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

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

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with sepsis whose blood pressure is falling
2. BA patient with a new tracheostomy who needs frequent suctioning
3. CA patient with stable cellulitis on scheduled IV antibiotics
4. DA patient on a continuous heparin infusion with rising aPTT values

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDecline, explain why and suggest who can safely do it
3. CDo it, because the provider gave the instruction
4. DDo it just this once and promise the provider not to do it again

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. AAsk the mother to stop pushing and wait an hour
2. BHelp with the McRoberts position and give suprapubic pressure as directed
3. CPush firmly on the top of the uterus (fundal pressure)
4. DPull hard on the baby’s head and neck to free the trapped shoulders quickly