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

Initial assessment or primary survey is the first step in triage, focusing on life-threatening conditions that need immediate attention.

Question 2

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

Accepted Answer

Level 1

Answer

Level 1 in the Emergency Severity Index (ESI) is reserved for patients with life-threatening conditions needing immediate resuscitation.

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

The ESI is a five-level triage tool used to categorize patients based on urgency and resource needs.

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

A respiratory rate of 8 indicates hypoventilation and potential respiratory failure, requiring immediate airway and ventilation support.

Question 5

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

Accepted Answer

Patient with severe bleeding and stable airway

Answer

In mass casualty triage, patients with life-threatening conditions who are likely to survive with immediate care are prioritized.

Uncategorized Practice Test