BCEN Triage Systems 3

Question 1

In the JumpSTART triage system, modified for pediatric patients, respirations are checked after positioning the airway; if the child is not breathing, the next step is:

Accepted Answer

Give 5 rescue breaths and reassess

Answer

JumpSTART differs from START by providing 5 rescue breaths to apneic children before tagging Expectant, because pediatric apnea may be respiratory-origin and reversible.

Question 2

Which triage level in the four-level color system indicates a patient who is ambulatory with minor injuries and can wait for delayed care?

Accepted Answer

Green

Answer

Green (Minor) patients are ambulatory, have minor injuries, and can tolerate delayed treatment without significant deterioration.

Question 3

The 'P' in the SALT triage method stands for:

Accepted Answer

Priority

Answer

SALT (Sort, Assess, Lifesaving Interventions, Treatment/Transport) uses 'P' for Priority after lifesaving interventions are applied.

Question 4

A nurse is triaging a patient who presents with chest pain radiating to the left arm, diaphoresis, and nausea. Which ESI level is most appropriate?

Accepted Answer

ESI 2

Answer

Classic ACS presentation represents a high-risk situation meeting ESI level 2 criteria; the patient should not wait for evaluation.

Question 5

In the SALT triage system, the initial sorting step instructs responders to first ask all patients to:

Accepted Answer

Walk to a designated area if able

Answer

SALT begins with a global sort by asking those who can walk to move to a designated area, quickly separating the ambulatory from non-ambulatory victims.

(BCEN) Board of Certification of Emergency Nursing Practice Test

(BCEN) Board of Certification of Emergency Nursing Practice Test

BCEN Triage Systems 3