Prioritization & delegation worksheet with answers

In most settings, who performs triage of new arrivals in an emergency department?

1. AAn LPN/LVN without RN involvement
2. BA ward clerk
3. CA nursing assistant
4. DA registered nurse

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BRespirations, perfusion and mental status
3. CPulse, blood pressure and body temperature
4. DAirway, blood glucose and pupils

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTemperature
3. CTime to call emergency services
4. DTongue movement

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BRaising the chin while bending the neck forward
3. CHead-tilt, chin-lift with full neck extension
4. DTurning the head to the side to drain water

Before giving a medication to a child, which check is especially important?

1. AThat the parent agrees with the time it is given
2. BThat the dose is correct for the child’s weight
3. CThat the medicine cup is the child’s favorite color
4. DThat the child likes the taste of the drug

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. AMetabolic acidosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic alkalosis

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the room calm and quiet
2. BDoing suctioning, turning and bathing all at the same time
3. CSpacing out care with rest periods in between activities
4. DKeeping the head in line with the body

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BWait until the mania settles before worrying about nutrition
3. CLeave meals in the room and let the patient eat whenever and whatever they choose
4. DInsist that the patient sits at the table until the meal is finished