ENA Triage Study Guide 2026 | Emergency Nursing Assessment, Prioritization &
Exam Prep
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
Exam Prep
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
