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ENA: Triage Exam 2024/2025 Questions With Completed & Verified Solutions.
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ENA: Triage Exam 2024/2025 Questions With Completed & Verified Solutions.
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ENA: TriageWhich statement correctly describes triage protocols?
A. They increase the patient's length of stay.
B. They increase patient and staff satisfaction.
C. They increase the accuracy of assigned triage acuities.
D. They increase the number of patients who choose to leave without being seen. - ANS B.
They increase patient and staff satisfaction.
The triage nurse should be most concerned about which pediatric patient?
A. An infant with a petechial rash
B. A toddler with a fever of 101° F (38.3° C) for the last 2 days
C. A preschooler who does not want to eat
D. A child, age 6, with a heart rate of 120 beats per minute - ANS A. An infant with a petechial
rash
Which option for an interpreter meets The Joint Commission requirements?
A. Contact a telephone language bank.
B. Ask a bilingual family member to assist.
C. Use a medical dictionary for the specific language.
D. Contact a housekeeper who speaks the patient's language. - ANS A. Contact a telephone
language bank.
The Emergency Nurses Association and American College of Emergency Physicians
recommend which type of triage acuity system for the best interrater reliability?
A. Three-level system
B. Four-level system
C. Five-level system
D. Six-level system - ANS C. Five-level system
The triage nurse should screen for which problem in an older adult patient who presents with a
new onset of confusion?
A. Congenital heart defect
B. Elder abuse or neglect
C. Urinary tract infection
D. Long-term use of opioids - ANS C. Urinary tract infection
Which factor is an advantage of comprehensive triage over other triage systems?
A. It is cost-effective because triage does not need to be staffed 24 hours a day.
B. It does not require competency validation.
C. It uses a nonclinical person to greet patients upon arrival.
, D. It includes the initiation of patient teaching. - ANS D. It includes the initiation of patient
teaching.
When performing an across-the-room assessment, the triage nurse can use the sense of sight
to detect which finding?
A. Stridor
B. Ketones
C. Deformity
D. Poor hygiene - ANS C. Deformity
What is the nurse's priority when triaging a patient with a behavioral health concern?
A. Determine if the patient has recently taken mind-altering medications.
B. Assess the patient for a psychiatric history.
C. Place the patient in a treatment room as soon as possible.
D. Ensure staff and patient safety. - ANS D. Ensure staff and patient safety.
Which of these is a goal of triage?
A. To identify patients who are safe to wait for care
B. To establish appropriate fees on a sliding scale
C. To initiate patient teaching
D. To perform a comprehensive history and physical - ANS A. To identify patients who are safe
to wait for care
The Emergency Nurses Association recommends that emergency departments use which triage
system?
A. Spot-check triage
B. Traffic director triage
C. Comprehensive triage
D. Disaster triage - ANS C. Comprehensive triage
Using the Emergency Severity Index, the triage nurse should assign the highest priority to which
of these patients?
A. A man, age 59, with a head laceration who passed out and is disoriented
B. A child, age 7, with a dislocated arm and a heart rate of 120 beats per minute
C. A woman, age 38, with moderate abdominal pain who needs one resource
D. A infant, age 9 months, with a fever and a respiratory rate of 25 breaths per minute - ANS A.
A man, age 59, with a head laceration who passed out and is disoriented
Which statement accurately characterizes measurement of a full set of vital signs in triage?
A. Vital signs frequently change the assigned triage acuity.
B. Vital signs are needed to assign triage acuity accurately.
C. Vital signs are required to ensure that documentation is complete.
D. Vital signs provide additional information that may affect triage acuity. - ANS D. Vital signs
provide additional information that may affect triage acuity.
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