ENA Triage Questions and Answers(A+ Solution guide)

Which statement correctly describes triage protocols? A. They increase patient and staff satisfaction. B. They get the patient to an emergency department room more quickly. C. They increase the accuracy of triage acuity assignments. D. They may increase the patient's length of stay. - Answer A When triaging a potential psychiatric patient, which action is the triage nurse's priority? A. Assess patient and staff safety. B. Determine the patient's coping mechanisms. C. Assess the work of breathing. D. Contact the patient's psychiatrist. - Answer A In the CIAMPEDS mnemonic, which component helps the triage nurse decide if the pediatric patient should be placed separately from others in the waiting room? A. Chief complaint B. Immunization status and isolation C. Events leading up to problem D. Medications - Answer B The triage nurse should begin the interview with which activity?A. Conducting a focused assessment B. Obtaining a set of vital signs C. Determining the patient's chief complaint D. Confirming the patient's identity - Answer D 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 - Answer B 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. - Answer 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. - Answer D A pediatric patient with increased work of breathing is likely to display which assessment finding? A. GruntingB. Shallow respirations C. Decreased breath sounds D. Unlabored breathing - Answer B