ENA TRIAGE STUDY EXAMS GUIDE ANSWERS AND
QUESTIONS SET A+
✔✔A pediatric patient with increased work of breathing is likely to display which
assessment finding?
A. Grunting
B. Shallow respirations
C. Decreased breath sounds
D. Unlabored breathing - ✔✔B
✔✔During triage, the nurse should perform which action first for a patient who presents
after a fall?
A. Perform electrocardiography.
B. Obtain a set of vital signs.
C. Use protocol orders to obtain the appropriate radiograph.
D. Determine what caused the fall. - ✔✔D
✔✔When triaging a toddler, the nurse should perform which assessment last?
A. Check the skin color.
B. Assess the work of breathing.
C. Observe interactions with the caregiver.
D. Obtain a pulse oximetry reading. - ✔✔D
✔✔Triage documentation must include which element?
A. Insurance coverage
B. Past Surgical History
C. Last menstrual period
D. Assessment of pain - ✔✔D
QUESTIONS SET A+
✔✔A pediatric patient with increased work of breathing is likely to display which
assessment finding?
A. Grunting
B. Shallow respirations
C. Decreased breath sounds
D. Unlabored breathing - ✔✔B
✔✔During triage, the nurse should perform which action first for a patient who presents
after a fall?
A. Perform electrocardiography.
B. Obtain a set of vital signs.
C. Use protocol orders to obtain the appropriate radiograph.
D. Determine what caused the fall. - ✔✔D
✔✔When triaging a toddler, the nurse should perform which assessment last?
A. Check the skin color.
B. Assess the work of breathing.
C. Observe interactions with the caregiver.
D. Obtain a pulse oximetry reading. - ✔✔D
✔✔Triage documentation must include which element?
A. Insurance coverage
B. Past Surgical History
C. Last menstrual period
D. Assessment of pain - ✔✔D
