Prioritization & delegation worksheet with answers

Which triage method is designed for children in mass-casualty incidents?

1. AThe APGAR score
2. BJumpSTART
3. CThe Braden Scale
4. DThe Glasgow Coma Scale

Which task can be delegated to unlicensed assistive personnel?

1. ATeaching a patient about a low-sodium diet
2. BDeciding whether to call the provider about a finding
3. CAssessing a pressure injury
4. DMeasuring and recording a patient’s urine output

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BClose doors to contain the fire and smoke
3. CUse an extinguisher on the fire
4. DRescue patients in immediate danger

During START triage, a non-walking adult is breathing 36 times a minute. Which category is the victim given?

1. ARed (immediate)
2. BBlack (expectant)
3. CYellow (delayed)
4. DGreen (minor)

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BHelp the patient carry shopping bags on the left arm
3. CMeasure blood pressure on the left arm only, every 4 hours
4. DDo not measure blood pressure on the left arm

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will keep the oxygen away from the gas stove.”
2. B“I will not use oil-based creams on my face.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will put up no-smoking signs at the front door and in my room.”

Which patient finding is unexpected and needs action after a transurethral resection of the prostate with continuous bladder irrigation?

1. AMild bladder spasms that ease with the prescribed antispasmodic medication
2. BBright red urine with clots and reduced flow out of the catheter
3. CA feeling of needing to pass urine despite the catheter
4. DLight pink urine that becomes clearer over the day

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AWrapping the runner in a blanket to prevent shivering
2. BAsking the runner to rest in the shade and drink slowly
3. CRapid cooling while supporting airway and circulation
4. DGiving an antipyretic tablet and waiting for it to work