Prioritization & delegation worksheet with answers

Which arterial blood pH is within the normal range?

1. A7.18
2. B7.52
3. C7.40
4. D7.28

Which finding meets the usual definition of orthostatic hypotension?

1. ABlood pressure is the same lying and standing
2. BSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
3. CSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
4. DHeart rate falls by 5/min after lying down

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Glasgow Coma Scale
2. BThe Braden Scale
3. CThe Morse Fall Scale
4. DThe FLACC scale

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AAcetaminophen (paracetamol)
2. BMelatonin
3. CA warm milky drink
4. DDiphenhydramine

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BApical pulse and blood pressure
3. CBlood glucose and weight
4. DBowel sounds and urine color

Which patient should the nurse see first?

1. AA patient with new slurred speech and a facial droop that started 30 minutes ago
2. BA patient with chronic kidney disease due for dialysis tomorrow
3. CA patient with type 2 diabetes asking about the diet
4. DA patient with long-standing rheumatoid arthritis and the usual morning joint stiffness

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AGreen (minor)
2. BBlack (expectant)
3. CRed (immediate)
4. DYellow (delayed)

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AExplaining the new diagnosis to the breathless patient’s family
2. BMorning vital signs on the four stable patients
3. CAssessing the breathless patient’s lung sounds
4. DGiving the breathless patient’s IV furosemide