Prioritization & delegation worksheet with answers

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA patient who needs an immediate life-saving intervention to survive
2. BA high-risk situation, new confusion, or severe pain or distress
3. CA stable patient who needs one resource
4. DA stable patient who needs no resources

In mass-casualty triage, what does a red tag usually mean?

1. ADelayed: serious injuries, but stable for now
2. BExpectant: unlikely to survive even with care, or already deceased
3. CImmediate: life-threatening but survivable with prompt care
4. DMinor: the person can walk and can safely wait

What is a “near miss” in patient safety?

1. AAn error that was caught before it reached the patient
2. BA complaint from a visitor
3. CAn error that reached the patient and caused serious harm
4. DA planned treatment that did not work

A nurse takes a telephone order from a provider. What must the nurse do?

1. AAsk the ward clerk to take the order on the nurse’s behalf instead
2. BCarry out the order first and ask the provider to confirm it later
3. CWrite the order down and read it back to the provider to confirm it
4. DRemember the order and write it in the chart at the end of the shift

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Suctioning a new tracheostomy is my task; I will do it myself.”
2. B“Thank you, please suction him as needed and tell me how it went.”
3. C“Ask the patient’s family to do the suctioning today.”
4. D“Leave the suctioning until the next shift arrives.”

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. AContacting the hospital chaplain
2. BEmotional support about the diagnosis
3. CTeaching about chemotherapy
4. DThe vomiting and fluid loss

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA deep vein thrombosis that can be treated next week
2. BChronic venous insufficiency that needs elevation
3. CAcute arterial occlusion, which is an emergency
4. DA muscle cramp that will pass with stretching

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe nurse should consider level 2 because of the danger-zone vital sign
2. BThe patient is level 5 because the pain is not severe
3. CVital signs never change the ESI level
4. DThe patient is level 4 because the blood tests and the scan count as one resource