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Which statement correctly describes triage protocols?
A. They increase the patient's length of stay.
B. They increase patient and staff satisfaction.
C. They increase the accuracy of assigned triage acuities.
D. They increase the number of patients who choose to leave without being
seen. - 🧠ANSWER ✔✔B. They increase patient and staff satisfaction.
The triage nurse should be most concerned about which pediatric patient?
A. An infant with a petechial rash
B. A toddler with a fever of 101° F (38.3° C) for the last 2 days
C. A preschooler who does not want to eat
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,D. A child, age 6, with a heart rate of 120 beats per minute - 🧠ANSWER
✔✔A. An infant with a petechial rash
Which option for an interpreter meets The Joint Commission requirements?
A. Contact a telephone language bank.
B. Ask a bilingual family member to assist.
C. Use a medical dictionary for the specific language.
D. Contact a housekeeper who speaks the patient's language. - 🧠ANSWER
✔✔A. Contact a telephone language bank.
The Emergency Nurses Association and American College of Emergency
Physicians recommend which type of triage acuity system for the best
interrater reliability?
A. Three-level system
B. Four-level system
C. Five-level system
D. Six-level system - 🧠ANSWER ✔✔C. Five-level system
The triage nurse should screen for which problem in an older adult patient
who presents with a new onset of confusion?
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, A. Congenital heart defect
B. Elder abuse or neglect
C. Urinary tract infection
D. Long-term use of opioids - 🧠ANSWER ✔✔C. Urinary tract infection
Which factor is an advantage of comprehensive triage over other triage
systems?
A. It is cost-effective because triage does not need to be staffed 24 hours a
day.
B. It does not require competency validation.
C. It uses a nonclinical person to greet patients upon arrival.
D. It includes the initiation of patient teaching. - 🧠ANSWER ✔✔D. It
includes the initiation of patient teaching.
When performing an across-the-room assessment, the triage nurse can
use the sense of sight to detect which finding?
A. Stridor
B. Ketones
C. Deformity
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