ENA: TRIAGE EXAM QUESTIONS WITH
VERIFIED ANSWERS
During triage, the nurse should perform which action first for a patient who presents
after a fall? - Correct Answers -Determine what caused the fall
Which individual could qualify to be a triage nurse? - Correct Answers -A nurse with 1
year of experience in emergency nursing.
Which factor is considered best practice for triage? - Correct Answers -Specific
education and competency for the area
Using the CIAMPEDS mnemonic, the triage nurse evaluates fever control for a pediatric
patient. This reflects which component of the mnemonic? - Correct Answers -Medication
The CIAMPEDS mnemonic can determine which assessment parameter? - Correct
Answers -Last meal
What should the nurse do when a person calls on the telephone for medical advice? -
Correct Answers -Politely inform the caller that the emergency department does not
give out any medical advice.
Which patient poses the greatest risk for violence at triage? - Correct Answers -A
patient who is speaking loudly and pacing in the waiting room
Which function differentiates the Canadian Triage and Acuity Scale from the Emergency
Severity Index? - Correct Answers -It identifies a recommended time to physician
examination for each triage level.
The triage nurse should bring which patient to the patient care area first? - Correct
Answers -A man who presents to triage with diaphoresis and complaints of chest pain
When using the three-level acuity rating system, you should assign which level to a man
with abdominal pain? - Correct Answers -urgent
In which triage system would a nonclinical greeter determine the patient's chief
complaint and determine if the patient was sick or not sick? - Correct Answers -Traffic
director
VERIFIED ANSWERS
During triage, the nurse should perform which action first for a patient who presents
after a fall? - Correct Answers -Determine what caused the fall
Which individual could qualify to be a triage nurse? - Correct Answers -A nurse with 1
year of experience in emergency nursing.
Which factor is considered best practice for triage? - Correct Answers -Specific
education and competency for the area
Using the CIAMPEDS mnemonic, the triage nurse evaluates fever control for a pediatric
patient. This reflects which component of the mnemonic? - Correct Answers -Medication
The CIAMPEDS mnemonic can determine which assessment parameter? - Correct
Answers -Last meal
What should the nurse do when a person calls on the telephone for medical advice? -
Correct Answers -Politely inform the caller that the emergency department does not
give out any medical advice.
Which patient poses the greatest risk for violence at triage? - Correct Answers -A
patient who is speaking loudly and pacing in the waiting room
Which function differentiates the Canadian Triage and Acuity Scale from the Emergency
Severity Index? - Correct Answers -It identifies a recommended time to physician
examination for each triage level.
The triage nurse should bring which patient to the patient care area first? - Correct
Answers -A man who presents to triage with diaphoresis and complaints of chest pain
When using the three-level acuity rating system, you should assign which level to a man
with abdominal pain? - Correct Answers -urgent
In which triage system would a nonclinical greeter determine the patient's chief
complaint and determine if the patient was sick or not sick? - Correct Answers -Traffic
director
