Prioritization & delegation worksheet with answers

What is the CIWA scale used to assess?

1. AThe severity of alcohol withdrawal
2. BThe severity of a newborn’s jaundice
3. CThe risk of a pressure injury
4. DThe depth of a burn wound

What does a raised troponin level usually show?

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

For a patient who does not take an anticoagulant, which INR is normal?

1. A2.5
2. B6.0
3. C4.0
4. D1.0

A patient asks the nursing assistant about the side effects of a new medication. What should the assistant do?

1. AReassure the patient that side effects are rare
2. BExplain the side effects listed in the drug’s patient leaflet
3. CSay the nurse will come to answer, and tell the nurse
4. DLook the drug up online and read out what it says

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AAn expected effect that needs no action
2. BHeparin-induced thrombocytopenia
3. CIron deficiency anemia
4. DVitamin K deficiency

A nursing assistant reports on four patients. Which report needs the nurse’s attention first?

1. AA patient with COPD has an SpO₂ of 90% at rest, which matches their usual values
2. BA patient asks for an extra pillow
3. CA patient one day after abdominal surgery is newly restless and has a heart rate of 124/min
4. DA patient has passed 300 mL of urine in the past 6 hours

During START triage, an adult is not breathing. The airway is repositioned and the victim still does not breathe. What is the correct category?

1. ABlack (deceased or expectant)
2. BYellow, and come back later
3. CRed, because no breathing is the most urgent finding
4. DRed, and start CPR at once

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe patient is anxious and only needs reassurance
2. BThe tight burned skin is restricting chest movement, so an escharotomy may be needed
3. CThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
4. DThe burns are healing and the skin is tightening normally