Prioritization & delegation worksheet with answers

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

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

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

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

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

1. ASqueeze the handle
2. BAim at the base of the fire
3. CPull the pin
4. DSweep from side to side

Which telephone call should a clinic nurse return first?

1. AA parent of a 6-week-old with a temperature of 38.3 °C
2. BAn adult who wants to move a routine blood test appointment
3. CA parent of a 5-year-old with a runny nose for two days
4. DAn adult asking for a repeat prescription for a statin

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. ALow temperature, fast breathing and a strong appetite
2. BFalling blood pressure, a fast pulse and warm, flushed dry skin
3. CNormal blood pressure, normal pulse and clear speech
4. DRising systolic pressure, slow pulse and irregular breathing

A nurse asks a nursing assistant to “assess the patient’s pain and decide if the patient needs more medication”. Which right of delegation is violated?

1. ARight supervision and evaluation
2. BRight circumstance
3. CRight person
4. DRight task

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

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

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. ALet the patient sleep, because the saturation is above target
2. BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
3. CIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
4. DGive the as-needed sedative so the patient rests comfortably