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Emergency Nursing Orientation 3.0: Triage - ENA-ENO-C15 – questions with answers
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Emergency Nursing Orientation 3.0: Triage - ENA-ENO-C15 – questions with answers
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Emergency Nursing Orientation 3.0: Triage - ENA-ENO-C15 –questions with answers
Which function differentiates the Emergency Severity Index from the Canadian Triage and Acuity
Scale? - ** VERIFIED ANSWERS **✔✔It identifies specific vital signs that place a patient at acuity
level 2.
When triaging a potential psychiatric patient, which action is the triage nurse's priority? - **
VERIFIED ANSWERS **✔✔Assess patient and staff safety.
Which question is most likely to assess the quality of a patient's symptom? - ** VERIFIED
ANSWERS **✔✔"What does it feel like?"
Detection of severe jaundice during an across-the-room assessment falls under which category of
assessment? - ** VERIFIED ANSWERS **✔✔Skin color
Which question best elicits details from a patient seeking treatment in the emergency department? -
** VERIFIED ANSWERS **✔✔"Why do you think you fell?"
Triage documentation must include which element? - ** VERIFIED ANSWERS **✔✔Assessment of
pain
Using the CIAMPEDS mnemonic, the triage nurse evaluates fever control for a pediatric patient.
This reflects which component of the mnemonic? - ** VERIFIED ANSWERS **✔✔Medication
What should the nurse do when a person calls on the telephone for medical advice? - ** VERIFIED
ANSWERS **✔✔Politely inform the caller that the emergency department does not give out any
medical advice.
A pediatric patient with increased work of breathing is likely to display which assessment finding? -
** VERIFIED ANSWERS **✔✔Grunting
, The triage nurse notes a fruity smell during an across-the-room assessment. This finding may be a
sign of which condition? - ** VERIFIED ANSWERS **✔✔Diabetic ketoacidosis
When triaging a geriatric patient, the triage nurse should routinely perform which action? - **
VERIFIED ANSWERS **✔✔Evaluate the patient's interactions with his or her family.
The triage nurse should bring which patient to the patient care area first? - ** VERIFIED ANSWERS
**✔✔A man who presents to triage with diaphoresis and complaints of chest pain
The triage nurse should perform which important infection control measure? - ** VERIFIED
ANSWERS **✔✔Place an immunosuppressed patient in a separate waiting area.
In the CIAMPEDS mnemonic, which component helps the triage nurse decide if the pediatric
patient should be placed separately from others in the waiting room? - ** VERIFIED ANSWERS
**✔✔Immunization status and isolation
Which activity is part of the Pediatric Assessment Triangle? - ** VERIFIED ANSWERS
**✔✔Observe general appearance.
The CIAMPEDS mnemonic can determine which assessment parameter? - ** VERIFIED ANSWERS
**✔✔Last meal
The triage nurse should begin the interview with which activity? - ** VERIFIED ANSWERS
**✔✔Confirming the patient's identity
When a patient decides to leave the emergency department without being seen by an independent
care practitioner, what should the triage nurse do first? - ** VERIFIED ANSWERS **✔✔Determine
the reason the patient wants to leave.
In which triage system does the nurse obtain the patient's chief complaint, medical and medication
history, and vital signs and perform a focused assessment before assigning an acuity level? - **
VERIFIED ANSWERS **✔✔Comprehensive
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