ENA: Triage Exam Questions and Correct
Answers Updated
Question 1
Which factor is considered a best practice for triage?
A. Use of a standardized three-level acuity system
B. Ability to easily obtain verbal orders
C. Handwritten initial documentation
D. Specific education and competency for the area
Correct Answer
D. Specific education and competency for the area
Question 2
The Emergency Nurses Association recommends that emergency departments use
which triage system?
A. Spot-check triage
B. Traffic director triage
C. Comprehensive triage
D. Disaster triage
Correct Answer
C. Comprehensive triage
Question 3
Which of these is a goal of triage?
A. To identify patients who are safe to wait for care
B. To establish appropriate fees on a sliding scale
C. To initiate patient teaching
D. To perform a comprehensive history and physical
Correct Answer
A. To identify patients who are safe to wait for care
Page 1 of 16
,Question 4
Triage Nurse
Correct Answer
assigns an acuity rating based on: an across-the-room assessment, a brief interview,
a focused examination.
Question 5
Comprehensive Triage: Provider at Triage
Correct Answer
The triage system places a physician or mid-level provider, such as a NP or PA, in
the triage area. These providers work with the triage nurse to initiate laboratory,
radiologic, and other appropriate diagnostic and medical interventions before the
patient is moved into the treatment area.
Question 6
What is the safest way to obtain information from a patient who does not speak
English or is more comfortable speaking in his or her native language?
A. Ask a family member to translate.
B. Obtain a medical interpreter.
C. Find a coworker who is fluent in the language.
D. Get a patient advocate who is fluent in the language.
Correct Answer
B. Obtain a medical interpreter.
Question 7
Four "rights" of Triage
Correct Answer
the right patient
in the right place
at the right time
for the right reason
Page 2 of 16
, Question 8
Detection of severe jaundice during an across-the-room assessment falls under which
category of assessment?
A. Activity level
B. Body habitus
C. Skin color
D. Hygiene
Correct Answer
C. Skin color
Question 9
In which triage system would a nonclinical greeter determine the patient's chief
complaint and determine if the patient is sick or not sick?
A. Spot-check triage
B. Traffic director
C. Comprehensive
D. Two-tiered triage
Correct Answer
B. Traffic director
Question 10
When performing an across-the-room assessment, the triage nurse uses which
senses?
A. Sight and touch
B. Sight and hearing
C. Touch and taste
D. Smell and touch
Correct Answer
B. Sight and hearing
Page 3 of 16
Answers Updated
Question 1
Which factor is considered a best practice for triage?
A. Use of a standardized three-level acuity system
B. Ability to easily obtain verbal orders
C. Handwritten initial documentation
D. Specific education and competency for the area
Correct Answer
D. Specific education and competency for the area
Question 2
The Emergency Nurses Association recommends that emergency departments use
which triage system?
A. Spot-check triage
B. Traffic director triage
C. Comprehensive triage
D. Disaster triage
Correct Answer
C. Comprehensive triage
Question 3
Which of these is a goal of triage?
A. To identify patients who are safe to wait for care
B. To establish appropriate fees on a sliding scale
C. To initiate patient teaching
D. To perform a comprehensive history and physical
Correct Answer
A. To identify patients who are safe to wait for care
Page 1 of 16
,Question 4
Triage Nurse
Correct Answer
assigns an acuity rating based on: an across-the-room assessment, a brief interview,
a focused examination.
Question 5
Comprehensive Triage: Provider at Triage
Correct Answer
The triage system places a physician or mid-level provider, such as a NP or PA, in
the triage area. These providers work with the triage nurse to initiate laboratory,
radiologic, and other appropriate diagnostic and medical interventions before the
patient is moved into the treatment area.
Question 6
What is the safest way to obtain information from a patient who does not speak
English or is more comfortable speaking in his or her native language?
A. Ask a family member to translate.
B. Obtain a medical interpreter.
C. Find a coworker who is fluent in the language.
D. Get a patient advocate who is fluent in the language.
Correct Answer
B. Obtain a medical interpreter.
Question 7
Four "rights" of Triage
Correct Answer
the right patient
in the right place
at the right time
for the right reason
Page 2 of 16
, Question 8
Detection of severe jaundice during an across-the-room assessment falls under which
category of assessment?
A. Activity level
B. Body habitus
C. Skin color
D. Hygiene
Correct Answer
C. Skin color
Question 9
In which triage system would a nonclinical greeter determine the patient's chief
complaint and determine if the patient is sick or not sick?
A. Spot-check triage
B. Traffic director
C. Comprehensive
D. Two-tiered triage
Correct Answer
B. Traffic director
Question 10
When performing an across-the-room assessment, the triage nurse uses which
senses?
A. Sight and touch
B. Sight and hearing
C. Touch and taste
D. Smell and touch
Correct Answer
B. Sight and hearing
Page 3 of 16
