Week 3 Triage Practice Questions (Mandy)

When triaging, a patient who has respirations greater than 30, capillary refill time that is >3 seconds, and cannot follow simple commands would be prioritized into which category? ​ A.) Urgent​ B.) Emergent ​ C.) Non Urgent ​ D.) Minor

B.) Emergent ​

A 65 year old patient arrived at the triage area with complaints of diaphoresis, dizziness, and left sided chest pain. The patient should be prioritized into which category? ​A.) Non-Urgent ​ B.) Urgent ​C.) Emergent ​ D.) High Urgent

C: Emergent

Michael works as a triage nurse, and 4 patients arrive at the ER at the same time. List the order in which he will assess these patients from 1st to last in order of severity. ​A.) 50 year old female with moderate abdominal pain and occasional vomiting ​B.) 35 year old male jogger with a twisted ankle, having a pedal pulse and no deformity ​C.) An ambulatory dazed 25 year old male with a bandaged head wound ​D.) An irritable infant with a fever, petechiae, and nuchal rigidity

D, C, A, B

The nurse employed in an emergency department is assigned to triage patient's coming to the emergency department for treatment on the evening shift. The nurse should assign priority to which patient? ​A.) A patient complaining of muscle aches, a headache, and history of seizures ​B.) A patient who twisted her ankle when rollerblading and is requesting medication for pain C.) A patient with a minor laceration on the index finger sustained while cutting an eggplant​ D.) A patient with chest pain who states that he just ate pizza that was made with a very spicy sauce

D.) A patient with chest pain who states that he just ate pizza that was made with a very spicy sauce

A 15 year old male patient was sent to the emergency room following a small laceration on the forehead. The patient says that he can't move his legs. Upon assessment, his respirations are 20 and non-labored, he has strong pulses, and the capillary refill time is less than 2 seconds. Which triage category would this patient be assigned to? A.) Black ​B.) Green ​ C.) Red ​ D.) Yellow

D.) Yellow

In conducting a Primary Survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey? ​A.) Initiation of the pulse oximetry ​B.) Complete set of vital signs ​C.) Patient's allergy history ​D.) Brief neurologic assessment

D: Brief neurologic assessment

The colors associated with triage categories are: Select ALL that apply ​A.) Red ​B.) Orange ​C.) Yellow ​D.) Green ​E.) Pink

​A.) Red ​C.) Yellow ​D.) Green

The nurse is assigned to care for four patients. In planning patient rounds, which patient should the nurse assess first? ​ A.) A postoperative patient preparing for discharge with a new medication ​B.) A patient requiring daily dressing changes of a recent surgical incision ​C.) A patient scheduled for a chest x-ray after insertion of a nasogastric tube ​D.) A patient with asthma who requested a breathing treatment during the previous shift

​D.) A patient with asthma who requested a breathing treatment during the previous shift

In caring for a victim of sexual assault, which task is most appropriate for an LPN/LVN? ​ A.) Provide emotional support and supportive communication ​ B.) Assess immediate emotional state and physical injuries​ C.) Ensure that the "Chain of Custody" is maintained ​D.) Collect hair samples, saliva swabs, and scrapings beneath the fingernails

A.) Provide emotional support and supportive communication ​

The following patients come to the emergency room department with complaints of abdominal pain. Prioritize them for care in order of severity of the conditions A.) 27 year old female with complaints of lightheadedness and severe sharp left lower quadrant pain who reports she is possible pregnant B.) 43 year old female with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the week C.) 15 year old boy with a low grade fever, right lower quadrant ) pain, nausea and vomiting with loss of appetite for the past few days D.) 57 year old female with complaints of a sore throat and gnawing mid-epigastric pain that is worse between meals and during the night E.) 59 year old male with a pulsating abdominal mass and sudden onset of persistent abdominal and back pain, which can be described as a tearing sensation within the past hour

E, A, C, B, D