Prioritization & delegation worksheet with answers

Which statement about the nursing process is correct when setting priorities?

1. APlanning comes first, before seeing the patient
2. BImplementation comes first, so care starts quickly
3. CEvaluation comes first, before any patient data have been collected
4. DAssessment comes first, because the other steps depend on it

What does a root cause analysis look for after a serious event?

1. AWhich patient made the complaint
2. BThe single staff member who should be blamed
3. CHow much the event cost the hospital
4. DThe underlying system causes of the event

What does the START in START triage stand for?

1. ASimple Triage And Rapid Treatment
2. BStaged Triage And Resuscitation Team
3. CStandard Treatment And Referral Tool
4. DSystematic Transfer And Rapid Transport

An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory alkalosis
2. BMetabolic acidosis
3. CRespiratory acidosis
4. DMetabolic alkalosis

Which infant with gastroenteritis should the nurse see first?

1. AAlert, crying with tears, had a wet diaper an hour ago
2. BTwo loose stools today, feeding well
3. CMild diaper rash, otherwise playful
4. DLethargic, sunken fontanel, no wet diaper for 8 hours

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

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. ASlow the infusion and give an antiemetic as prescribed
2. BStop the infusion and inform the provider at once
3. CContinue the infusion, because headache is expected
4. DGive a dose of aspirin for the headache

Which patient needs airborne precautions rather than droplet precautions?

1. AA child with pertussis (whooping cough)
2. BAn adult with influenza
3. CA child with chickenpox (varicella)
4. DA teenager with mumps