Prioritization & delegation worksheet with answers

What is the main purpose of a rapid response team?

1. ATo handle complaints from patients and families
2. BTo assess and treat a deteriorating patient before an arrest happens
3. CTo review medication errors and falls after they have happened on the unit
4. DTo transport stable patients between hospital units

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BTemperature below 36.5 °C on one reading
3. CHeart rate below 60/min
4. DBlood glucose above 100 mg/dL

Which body temperature is a fever in an adult?

1. A37.1 °C
2. B38.5 °C
3. C36.4 °C
4. D36.8 °C

A nurse who usually works in obstetrics floats to an adult medical unit. Which patient is most appropriate to assign to this nurse?

1. AA patient with a new tracheostomy
2. BA patient with an active upper gastrointestinal bleed
3. CA patient with pneumonia who is stable on oral antibiotics
4. DA patient on a continuous insulin infusion for diabetic ketoacidosis

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. AStand very close to him and tell him firmly and loudly to sit down and be quiet
2. BTurn away and ignore the behavior
3. CSpeak calmly, keep a safe distance and invite him to talk about what is wrong
4. DApply physical restraints at once

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. AMelatonin
2. BDiphenhydramine
3. CA warm milky drink
4. DAcetaminophen (paracetamol)

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AStay and tell the charge nurse, and hand over before leaving
2. BLeave a written note at the station and go home
3. CAsk a nursing assistant to watch the patients until someone comes
4. DLeave on time, because the shift has officially ended

A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?

1. AHydrochlorothiazide
2. BFurosemide
3. CSpironolactone
4. DOmeprazole