ENA Triage and Patient Evaluation

Question 1

What is the first step in the triage process in an emergency department?

Accepted Answer

Primary assessment of airway, breathing, and circulation

Answer

Assigning a room

Answer

Ordering diagnostic tests

Answer

Administering medications

Question 2

Which triage level indicates a life-threatening condition requiring immediate care?

Accepted Answer

Level 1

Answer

Level 3

Answer

Level 2

Answer

Level 4

Question 3

What is the primary purpose of the Emergency Severity Index (ESI)?

Accepted Answer

To prioritize patients based on acuity and resource needs

Answer

To determine insurance coverage

Answer

To manage staffing levels

Answer

To track hospital equipment

Question 4

A patient arrives with a respiratory rate of 8 breaths per minute. What should be the triage nurse's priority action?

Accepted Answer

Initiate airway management

Answer

Check oxygen saturation

Answer

Administer IV fluids

Answer

Obtain a chest x-ray

Question 5

Which patient should be triaged first in a mass casualty incident?

Accepted Answer

Patient with severe bleeding and stable airway

Answer

Unresponsive patient with no pulse

Answer

Patient with minor cuts

Answer

Patient with a sprained ankle

Question 6

What is a key sign of decompensated shock in patient evaluation?

Accepted Answer

Altered mental status

Answer

Elevated blood pressure

Answer

Normal urine output

Answer

Warm, flushed skin