Prioritization & delegation worksheet with answers

Which triage method is designed for children in mass-casualty incidents?

1. AJumpSTART
2. BThe APGAR score
3. CThe Braden Scale
4. DThe Glasgow Coma Scale

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BHanding legal accountability for a patient over to a nursing colleague
3. CGiving staff care activities that are within their own role and scope
4. DAsking a colleague to do a task outside their usual scope

Which serum potassium result should the nurse report to the provider promptly?

1. A4.9 mEq/L (4.9 mmol/L)
2. B4.2 mEq/L (4.2 mmol/L)
3. C6.4 mEq/L (6.4 mmol/L)
4. D3.8 mEq/L (3.8 mmol/L)

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BRelieve pressure on the area by changing position regularly
3. CKeep the patient lying on the back to protect the area
4. DMassage the area firmly to improve the blood flow to the skin

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“If the pain has not eased as my action plan says, I will call emergency services.”
2. B“I will take five tablets one after the other before I call for help.”
3. C“I will carry the tablets with me when I go out.”
4. D“I will sit or lie down when I take a tablet.”

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

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

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AA sore throat from the breathing tube
2. BHunger after fasting for surgery
3. CBleeding from the operation site
4. DNormal swallowing during sleep

A patient with heart failure is short of breath with crackles in both lungs. Which order of actions is correct?

1. AWeigh the patient first, then reassess the breathing in four hours
2. BLay the patient flat to rest, then start the IV maintenance fluids
3. CSit up, give oxygen as prescribed, then call the provider
4. DGive the scheduled oral medicines first, then sit the patient up