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ENA: Triage Exam/28 Questions and Answers
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ENA: Triage Exam/28 Questions and AnswersDuring triage, the nurse should perform which action first for a patient who
presents after a fall? - -Determine what caused the fall
-Which individual could qualify to be a triage nurse? - -A nurse with 1 year
of experience in emergency nursing.
-Which patient poses the greatest risk for violence at triage? - -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? - -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? -
-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? - -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? - -Traffic
director
-When performing an across-the-room assessment, the triage nurse uses
which senses? - -Sight and hearing
-Which question best elicits details from a patient seeking treatment in the
emergency department. - -"Why do you think you fell?"
-The triage nurse should being the interview with which activity? - -
Confirming the patient's identity
-The triage nurse should perform which important infection control
measure? - -Place an immunosuppressed patient in a separate waiting area.
-Detection of severe jaundice during an across-the-room assessment falls
under which category of assessment? - -Skin color
-In response to the triage nurse's question, a patient says, "The pain starts
in my lower abdomen and goes through to my back." This response reflects
which component of the PQRST mnemonic? - -R - radiation
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