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 registered nurse
3. CA ward clerk
4. DA nursing assistant

What does a “STAT” order mean?

1. ACarry it out at the next routine round
2. BCarry it out immediately
3. CCarry it out only if the patient asks for it
4. DCarry it out within the next 24 hours

Which finding in an infant is a sign of breathing difficulty?

1. AA strong cry
2. BNasal flaring
3. CPink, warm hands and feet
4. DWet diapers every few hours

A patient just told they have cancer is crying, but has also vomited several times and cannot keep fluids down. What does the nurse address first?

1. AEmotional support about the diagnosis
2. BTeaching about chemotherapy
3. CContacting the hospital chaplain
4. DThe vomiting and fluid loss

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse hand gestures and hope the patient understands
2. BSpeak loudly and slowly in English
3. CAsk the patient’s 10-year-old child to translate
4. DUse a professional medical interpreter

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will stop all my inhalers until the reading is back up.”
2. B“I will wait until tomorrow morning to see if the reading gets better on its own.”
3. C“I will use my reliever inhaler and get emergency help straight away.”
4. D“I will go for a short run to open up my lungs.”

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

1. AThat the child is passing urine
2. BThat the child is hungry
3. CThat the child’s temperature is normal
4. DThat the child can walk without help

Four patients arrive at the emergency department together. Who should be seen first?

1. AA 2-year-old who is drooling, sitting forward and has stridor
2. BAn adult with a migraine and a blood pressure of 150/90 mmHg
3. CAn adult with a deformed ankle and a normal pulse in the foot
4. DA teenager with a cut on the arm whose bleeding is controlled