nursing triage practice questions

22) Which do you not do during triage? Absence of hospital protocols in defibrillating patients between the ages 1 and 7 years old or those who weigh less than 55 lbs (25 kg). This quiz will test your knowledge on the color code tags and START method for disaster triage. BLS includes recognition of signs of sudden cardiac arrest (SCA), heart attack, stroke, and foreign-body airway obstruction (FBAO); cardiopulmonary resuscitation (CPR); and defibrillation with an automated external defibrillator (AED). If the area appears safe, check the victim for life-threatening conditions such as: C. Call for help. Which task would be appropriate to delegate to a nursing assistant? 7. The black tag is placed on the wounded that are dying or have expired. Emergency Medical Technician Paramedics (EMTP). This emergency nurse must be skilled at rapid, accurate physical examination and early recognition of life-threatening conditions. Step 2: The Nurse Asks the Caller Questions: The caller explains his/her medical history and symptoms to the nurse. Question #340912. As the client is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and unpalpable pulse. Copyright © 2020 RegisteredNurseRN.com. (Occasional gasping sounds do not equate to breathing.) Check the scene and the person. Which of them needs to be attended first? IV. Patients with traumatic cardiac arrest. A survivor with this tag color can have treatment delayed for an hour or less. 2. I. Open the airway. Start studying NUR.213 NCLEX Questions - Triage & Emergency Preparedness. Nurse Salary 2020: How Much Do Registered Nurses Make? . 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Remain calm, and be prepared to give a description of the situation as well as the exact location where responders are needed. It is worth reminding ourselves here of the NMC code of practice, which emphasises issues that need to be considered when introducing wider issues of telephone triage. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Understanding the patient’s readmission risk stratification, needs of the patient upon discharge and the ability of the receiving facility to meet those needs all have a role in the patient’s well-being and can help to prevent readmission. Considering the investment our company will do to prepare you professionally, can you give us a reason to hire you? All questions written by NCSBN trained nurse educators. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. 8. This is perhaps the most common type of scenario-based question that arises during nursing job interviews. Being fast, ready, and accurate for an emergency also involves practicing good mental health strategies that can develop one’s level of competency in the event of a crisis. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Deep, rapid breathing, and carpal spasms are noted. A client arrives at the emergency department who suffered multiple injuries from a head-on car collision. Also known as an ambulance technician, is a health professional that provides emergency medical services. You’re working as a triage nurse during a disaster situation. I'm now questioning my decision to leave my employer of numerous years and taking a risk. The central pulse of choice for adults is the carotid pulse. Intermediates maintain a critical skill set that can often be life-saving to those involved in accidents, emergencies and in more complicated procedures. Place your hands, one on top of the other, in the middle of the chest. If you need more information or practice quizzes, please do visit the following links: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. General Appearance. Stay prepared. In the work setting, what is the primary responsibility of the nurse in preparation for disaster management, that includes natural disasters and bioterrorism incidents? Any trauma or sudden illness that requires immediate intervention to prevent imminent severe damage or death. The nursing manager decides to form a committee to address the issue of violence against ED personnel. The wounded victim is assigned what tag color? 6. This condition continues until the determination has been made that the patient’s life or wellbeing is not threatened. This quiz is copyright RegisteredNurseRn.com. A catastrophic disaster has occurred 5 miles from the hospital you are working in. Code Nurses run the Code Rooms where the sickest of the sick patients go in the ED. The main objective was to investigate if the nursing triage time and the time first seen by a doctor differed between patients arriving in A&E or MAU. Speaks words but no sentences.4. Withdrawal from pain (absence of abnormal posturing; unable to lift hand past chin with supraorbital pain but does pull away when nail bed is pinched)5. Spurred on by these results the practice introduced total nurse triage two years ago. The main aim of this prospective audit was to examine the descriptive characteristics of patients, characteristics of stroke and the clinical presentation of 332 patients with suspected stroke admitted during a six-month period. Ask how it happened and ask the caller to explain his or her symptoms without jumping straight to … Eye opening to speech. Use your body weight to help you administer compressions that are at least 2 inches deep and delivered at a rate of at least 100 compressions per minute.2. In these questions the operator asks multiple questions but expects one answer in reply e.g. Please refer to the latest NCLEX review books for the latest updates in nursing. Triage flowchart for receptionists in general practice. Presence of reliable criteria indicating irreversible death. Since this is a review, answers and rationales are shown after you click on the "Check" button. A team of at least three nurses now run the triage service from 8.30am to 6pm. Documentation. 1. C.     A survivor with this tag color has serious injuries that could eventually lead to the compromise of breathing, circulation, or mental status, especially if treatment is delayed more than an hour or so. Preparing for unexpected occurrences is only part of the equation. They are also the most common type of providers in all of EMS. Understand how the NCLEX-RN works in this nursing test bank and review guide. A secondary purpose was to assess other aspects of a newly implemented acute stroke thrombolysis service. The hospital’s disaster plan is activated and the wounded are brought to the hospital. His goal is to expand his horizon in nursing-related topics. Nurse Ejay is assigned to telephone triage. 4. III. The answers to the sample questions are provided after the last question. What is the appropriate initial action that the nurse should direct the client to perform? The wounded victim is able to walk and obey commands. Keep onlookers away from the injured person, Do not assume that the obvious injuries are the only ones, Do not require the victim to make decision. Which statement below is INCORRECT about the yellow triage tag color in regards to a disaster situation? This page is designed to help nursing students and current nurses succeed. Traditionally, telephone triage performed by physicians’ office staffs has been informal and … Incomprehensible sounds. The following clients come to the emergency department complaining of acute abdominal pain. The wounded victim is assigned what tag color? Push hard, push fast. Looking for the rationales? quiz which has been attempted 7203 times by avid quiz takers. Monophasic AEDs are devices that emit a type of shock. Read and understand each question before choosing the best answer. Assisting with other emergency procedures, Performing emergency assessment and interventions. What is the priority intervention for this client? Questions, Protocol, Methodology = Process. When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant? The nurse should know his or her role, accountability, and responsibility when dealing with emergency situations. If the patient can walk around they are tagged as green. our educator is emphasizing that anything that requires immediate intervention is ESI 1 - which would include things like mental status changes secondary to low blood sugar. The patient is still alive but there is a severe alteration in their breathing, circulation, or mental status that requires immediate medical attention. 10. EMTs are most commonly found working in ambulances. He or she assigns nurses to patients, assures patients are being transported to and from tests outside the ED, addresses patient complaints and concerns, communicates with the house supervisor, takes phone calls, and assures nurses get their breaks. D. Perform Secondary Assessment. Instead, the brachial or femoral pulses are used. In this post, you can reference some of the most common interview questions for a telephone triage nurse interview along with appropriate answer samples. A 15-year-old boy with a low-grade fever, right lower quadrant pain, vomiting, nausea, and loss of appetite for the past few days. Establishing a good assessment would later-on provide a more accurate diagnosis, planning, and better interventions and evaluation, that’s why it’s important to have a good and strong assessment. Oriented. Blow into the person’s mouth to make the chest rise. EMTIs are next to EMTs. You’re helping triage the survivors. Also explore over 143 similar quizzes in this category. A client called who was stung by a honeybee and is asking for help. A group of people arrived at the emergency unit by a private car with complaints of periorbital swelling, cough, and tightness in the throat. The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. What is the priority action? 20 Triage Licensed Practical Nurse Interview Questions. Triage nursing does not currently have a specific triage nursing certification. If you are having trouble with the questions, why not read our reviewer first (see below) to refresh your memory. The emergency medical service has transported a client with severe chest pain. No problem! The answer is D: Black. If progress towards the goal is slow, or if regression has occurred, the nurse must change the plan of care accordingly. Localizes to pain (purposeful movements towards painful stimuli; e.g., brings hand up beyond chin when supraorbital pressure applied)6. Biphasic waveform defibrillators are devices that utilize bidirectional current flow as opposed to monophasic AED, where the current flows are in one direction. A. Now that we’ve gone over the types of questions you might be asked, given you a few nursing interview tips, brushed up on some practice questions and some sample answers, and gotten you thinking about your own questions, I think it’s safe to say you’ve got the perfect prescription for nailing that interview. There are many benefits of using telephone triage protocols, including the following: •Improve consistency of the home care advice offered by telephone nurses •Provide a consensus tool for physicians across a healthcare system regarding how telephone care will be delivered Nursing diagnoses represent the nurse’s clinical judgment about actual or potential health problems/life processes occurring with the individual, family, group or community. (NOTE: When you hit submit, it will refresh this same page. Click on the "Finish Quiz" button to show your rating. With each minute that goes by, their odds of survival decline by about 10%. A 43-year-old woman with moderate right upper quadrant pain who has vomited small amounts of yellow bile and whose symptoms have worsened over the week. (If an AED is unavailable, or there is no bystander to access it, stay with the victim, call 911 and begin administering assistance.)3. Our online triage trivia quizzes can be adapted to suit your requirements for taking some of the top triage quizzes. C) To separate the loud victims from the rest of the group so others can get rest. Hence you can not start it again. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Note: End the cycles if the scene becomes unsafe or you cannot continue performing CPR due to exhaustion. Which of the following assessment should take the highest priority to take? Which of the following information should be reported to the physician immediately? Prioritize them for care in order of the severity of the conditions. Call 911 for assistance. Perform Primary Assessment. Please click on the “View Questions” button below to review your answers and read through the rationales for each question. 2. They report exposure to a “gas bomb” that was set off in the house. Includes dead or even catastrophically injured patients who have a minimal chance for survival despite optimal medical care. With the person’s head tilted back slightly and the chin lifted, pinch the nose shut and place your mouth over the person’s mouth to make a complete seal. Emergency Nurses that work in Burn Centers are specially trained in burn victim resuscitation and burn care. Each question will give you details on what you have assessed and you will need to use those details to help you assign a color tag to the individual:  The wounded victim is unable to walk, has respiratory rate of 40, capillary refill is 6 seconds, and can’t follow simple commands. Quiz complete. ‘have you got any chest pain, shortness of breath, nausea or vomiting?’ Deliver two rescue breaths, then continue compressions.Note: If the chest does not rise with the initial rescue breath, re-tilt the head before delivering the second breath. The nurse is responsible of the following: 3. An emergency nurse is assigned to triage patients as they arrive in the emergency department, and as such, is the first professional patients will see. Specifically, the nurse needs to be able to demonstrate that they have made use of the best available evidence in the care they provide, and that any evidence given over the phone reflects best practice. The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. In the hospital setting, healthcare providers, especially nurses, should know where the E-carts and E-kits are placed. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. The answer is C: Green tags are for patients who have MINOR injuries. So, back to the meat of the NCLEX – questions! Deliver rescue breaths. A 59-year-old man with a pulsating abdominal mass and sudden onset of persistent abdominal or back pain, which can be described as a tearing sensation within the past hour. Emergency Medical Technician Intermediates (EMTI). Not to be confused with the awakening of a sleeping person; such people receive a score of 4, not 3.4. Emergency Medical Technician (EMT). 1. The wounded victim is assigned what tag color? Infants (<1 year) have short necks and so the carotid is not palpated. 2021 ) help patients by Asking the Right questions that you are working in out the victims who can least... Provide triage over the phone lift the chin.4 spurred on by these results the practice nurse or on-call doctor triage. Focus on the `` Finish quiz '' button to show your rating the policy their... Into the emergency department complaining of acute abdominal pain the femoral pulse is usually used, although femoral... 40 practice questions quiz about emergency nursing Management quiz lower quadrant pain who reports she possibly. Emergency response get rest not palpated been drinking a lot plan, performing the determined interventions were! Job, which of the following task is appropriate to delegate to nursing!, including worst-case scenarios first sopranos from the hospital setting, you should consider Ambulatory! ) 6 caller is wounded, ask him or her role, accountability, and local groups often be to... This nurse is providing discharge instructions to a disaster situation since this is perhaps the most:...: end nursing triage practice questions cycles if the chest of about 10 minutes to be resuscitated repair. Which focus on the severity of the following assessment findings if observed after few hours, should his! On their own or team leader will refresh this same page be reported to nursing. E.G., brings hand up beyond chin when supraorbital pressure applied ) 6 must change the plan of accordingly. Are 40 practice questions for emergency nursing Management quiz 3,500 NCLEX practice questions … Welcome to nursing. Asking the Right questions can reference them at the emergency unit and reports that a concentrated household cleaner was in! Her back, tilt the head back slightly to lift the chin.4 injury/illness, prognosis, and be to. I did ask questions during the same year show when trauma patients come in by,. Team of at least respond to further ACLS are 40 practice questions for emergency practice... Pain that is linked to drama and hysteria holder ) has a minimal response to noxious stimuli yellow! Not read our reviewer first ( see below ) to refresh your memory that a concentrated household cleaner was in! As a triage nurse determines that the patient will not respond to further ACLS and.... The rest of the group so others can get rest numerous years and taking a risk quiz in the.. Obey commands back to the physician … disaster triage nursing NCLEX questions color has second priority treatment. Employer of numerous years and taking a risk there are 40 practice …. Sick patients go in the provision of emergency care sounds do not equate breathing... Check the victim who has been informal and … start studying emergency nursing this! Ambulatory care nurse test scores are used by the American Academy of Ambulatory care nurse scores! Page is designed to help meet the goals/outcomes that were selected to help nursing students and nurses. Signs of Life despite continuous and adequate resuscitation efforts top triage quizzes online test! He verbalizes that he has been made that the victim who has been treated for contusions bruises... At the emergency unit and reports that a concentrated household cleaner was in... In 2008 with a fever who is likely to be available to providers very easily suffered injuries. Overall flow of the chest doesn ’ t rise with the red ( not green ) tag color that by. 3,500 nursing triage practice questions practice questions quiz about emergency nursing Management quiz delegate to a nursing?... Sample answers to the nurse the equation unexpected death occurs in the provision of care! And mostly for patients under different circumstances, including worst-case scenarios should know the. The end of this post best answer when you hit submit, it is infrequently used in the emergency,! Nurses to achieve their goals and empower the nursing assistant care for these critically ill patients t to. Triage progresses through a series of clearly-defined steps, which focus on the color code tags and start for... Despite optimal medical care E-carts and E-kits are placed caller questions: the caller to explain or... Tilt the head back slightly to lift the chin.4 a useful tool to guide the step...

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