Triage Nursing Exam (100+ Questions) – ESI Levels, Trauma Response, ABGs, Emergency Care

This document contains over 100 high-quality exam questions and verified answers from the Triage Nursing course (2025/2026), with a focus on Emergency Severity Index (ESI) triage levels, trauma classification, and emergency clinical interventions. It is a comprehensive resource designed for nursing students preparing for exams in emergency care, trauma response, and clinical decision-making under pressure. Key content areas include: ESI triage levels 1–5, with detailed patient scenarios to guide classification based on acuity and resource utilization Trauma center levels (1–4) and their capabilities, including roles in rural vs. urban care settings Critical life-saving interventions: airway management, capnography, oxygenation, spinal stabilization, defibrillation, IV access, anti-arrhythmic drugs, and overdose therapy Vital sign interpretation and red flags for rapid triage escalation ABG interpretation and normal ranges: pH, PCO₂, HCO₃, SaO₂ Signs of internal bleeding, shock, hypothermia, and hyperthermia including nursing interventions for each condition Advanced trauma preparation for GSWs and chest wounds, including arterial line setup, chest tubes, blood warming, and intubation readiness Pain, injury, and altered mental status as primary and secondary reasons for ER visits Legal obligations in trauma care: mandatory reporting of gunshot wounds AVPU & EFGH frameworks for primary and secondary surveys in emergency settings This exam material is especially valuable for: BSN, ADN, and LPN students in emergency or acute care rotations Paramedic and EMT learners studying trauma triage protocols Nurses preparing for NCLEX, CEN (Certified Emergency Nurse), or trauma certification exams Allied Health professionals reviewing emergency and trauma care principles Every question is linked to evidence-based practice and includes clear clinical reasoning, offering students a practical and exam-focused review aligned with real-world scenarios. Keywords: triage nursing, ESI levels, trauma center levels, airway management, capnography, emergency nursing, ABG interpretation, shock symptoms, spinal stabilization, defibrillation, gunshot wound care, thoracotomy prep, hypothermia, hyperthermia, AVPU, secondary survey, emergency interventions, trauma protocols, heparin therapy, D-dimer elevation