Emergency Nursing Orientation 3.0: Triage - ENA-ENO-C15 questions with correct answers

Which function differentiates the Emergency Severity Index from the Canadian Triage and Acuity Scale? Answer 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? Answer Assess patient and staff safety. Which question is most likely to assess the quality of a patient's symptom? Answer "What does it feel like?" Detection of severe jaundice during an across-the-room assessment falls under which category of assessment? Answer Skin color Which question best elicits details from a patient seeking treatment in the emergency department? Answer "Why do you think you fell?" Triage documentation must include which element? Answer Assessment of pain Using the CIAMPEDS mnemonic, the triage nurse evaluates fever control for a pediatric patient. This reflects which component of the mnemonic? Answer Medication What should the nurse do when a person calls on the telephone for medical advice? Answer Politely inform the caller that the emergency department does not give out any medical advice.