ENA: Triage Study Exam Questions &
Answers.
During triage, the nurse should perform which action first for a patient who presents after a fall? -
CORRECT ANSWER Determine what caused the fall
Which individual could qualify to be a triage nurse? - CORRECT ANSWER A nurse with 1 year of
experience in emergency nursing.
Which patient poses the greatest risk for violence at triage? - CORRECT ANSWER A patient who is
speaking loudly and pacing in the waiting room
Which function differentiates the Canadian Triage and Acuity Scale from the Emergency Severity Index? -
CORRECT ANSWER It identifies a recommended time to physician examination for each triage level.
The triage nurse should bring which patient to the patient care area first? - CORRECT ANSWER A man
who presents to triage with diaphoresis and complaints of chest pain
When using the three-level acuity rating system, you should assign which level to a man with abdominal
pain? - CORRECT ANSWER urgent
In which triage system would a nonclinical greeter determine the patient's chief complaint and
determine if the patient was sick or not sick? - CORRECT ANSWER Traffic director
When performing an across-the-room assessment, the triage nurse uses which senses? - CORRECT
ANSWER Sight and hearing
Which question best elicits details from a patient seeking treatment in the emergency department. -
CORRECT ANSWER "Why do you think you fell?"
The triage nurse should being the interview with which activity? - CORRECT ANSWER Confirming the
patient's identity
Answers.
During triage, the nurse should perform which action first for a patient who presents after a fall? -
CORRECT ANSWER Determine what caused the fall
Which individual could qualify to be a triage nurse? - CORRECT ANSWER A nurse with 1 year of
experience in emergency nursing.
Which patient poses the greatest risk for violence at triage? - CORRECT ANSWER A patient who is
speaking loudly and pacing in the waiting room
Which function differentiates the Canadian Triage and Acuity Scale from the Emergency Severity Index? -
CORRECT ANSWER It identifies a recommended time to physician examination for each triage level.
The triage nurse should bring which patient to the patient care area first? - CORRECT ANSWER A man
who presents to triage with diaphoresis and complaints of chest pain
When using the three-level acuity rating system, you should assign which level to a man with abdominal
pain? - CORRECT ANSWER urgent
In which triage system would a nonclinical greeter determine the patient's chief complaint and
determine if the patient was sick or not sick? - CORRECT ANSWER Traffic director
When performing an across-the-room assessment, the triage nurse uses which senses? - CORRECT
ANSWER Sight and hearing
Which question best elicits details from a patient seeking treatment in the emergency department. -
CORRECT ANSWER "Why do you think you fell?"
The triage nurse should being the interview with which activity? - CORRECT ANSWER Confirming the
patient's identity
