ENA TRIAGE ANSWERS AND QUESTIONS SET A+
✔✔What should the nurse do when a person calls on the telephone for medical advice?
A. Answer simple questions, such as those related to fever control.
B. Politely inform the caller that the emergency department does not give out any
medical advice.
C. Transfer the call to a licensed independent care practitioner.
D. Determine what the problem is. - ✔✔B
✔✔When triaging a geriatric patient, the triage nurse should routinely perform which
action?
A. Speak loudly to older adults.
B. Use only closed-ended questions to obtain medical history.
C. Determine if the patient has a plan to hurt others.
D. Evaluate the patient's interactions with his or her family. - ✔✔D
✔✔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?
✔✔What should the nurse do when a person calls on the telephone for medical advice?
A. Answer simple questions, such as those related to fever control.
B. Politely inform the caller that the emergency department does not give out any
medical advice.
C. Transfer the call to a licensed independent care practitioner.
D. Determine what the problem is. - ✔✔B
✔✔When triaging a geriatric patient, the triage nurse should routinely perform which
action?
A. Speak loudly to older adults.
B. Use only closed-ended questions to obtain medical history.
C. Determine if the patient has a plan to hurt others.
D. Evaluate the patient's interactions with his or her family. - ✔✔D
✔✔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?
