nursing triage practice questions

nursing triage practice questions

Considering the investment our company will do to prepare you professionally, can you give us a reason to hire you? 1. Part 1: Emergency Nursing & Triage NCLEX Practice (20 Questions) Part 2: Emergency Nursing & Triage NCLEX Practice (20 Questions) Guidelines. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. Stay prepared. Do you plan on advancing your nursing career? Which task would be appropriate to delegate to a nursing assistant? Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! B. After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button. Ambulatory Care Nurse Test scores are used by the American Nurses Credentialing Center (ANCC) as a uniform standard of qualification.. 4. Take Free Practice NCLEX Nursing Practice Questions on Specific Nursing Subjects to Get You Ready for the NCLEX ® Exam, Just Select A Topic Below. I did ask questions during the interview, but I think I missed something. Do not move to the next step if the client is unstable. Extension to painful stimuli (decerebrate response), Abnormal flexion to painful stimuli (decorticate response). 2. CCT Nurses that work on ambulances are responsible for transporting critical care patients from one facility to another. The wounded victim is assigned what tag color? What is the priority action? IV. 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. He conducted first aid training and health seminars and workshops for teachers, community members, and local groups. 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. This page is designed to help nursing students and current nurses succeed. The answer is C: Green tags are for patients who have MINOR injuries. Nurse Anna is an experienced travel nurse who was recently employed and is assigned to the emergency unit. 1. This certification is offered by the American Academy of Ambulatory Care Nursing and demonstrates that you are a specialist in emergency care. While it’s important to know when to use a defibrillator, it’s just as important to know when not to use a defibrillator. CPR does not normally restart a person’s heart but when it is combined with early emergency help, early defibrillation, and early advanced hospital care, it can save many lives. Start studying Emergency Nursing Practice Problems. The person specifically the nurse who responds at the scene in the emergency department or on the medical-surgical unit faces the ultimate challenge of his or her nursing skills. No opening of the eye2. In this section are the practice problems and questions for emergency nursing and triage NCLEX practice quiz. Step 2: The Nurse Asks the Caller Questions: The caller explains his/her medical history and symptoms to the nurse. You have already completed the quiz before. He earned his license to practice as a registered nurse during the same year. Deep, rapid breathing, and carpal spasms are noted. A client arrives in the emergency unit and reports that a concentrated household cleaner was splashed in both eyes. Welcome to the first part of your quiz about emergency nursing. With each minute that goes by, their odds of survival decline by about 10%. A) CPR 2. 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. 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. Stop. There is no time limit, answer the questions at your own pace. In the hospital setting, healthcare providers, especially nurses, should know where the E-carts and E-kits are placed. While HMOs were the first to recognize telephone triage as a separate nursing subspecialty in the 1970s, primary care is the most common setting for telephone triage today. 1. EMTPs are the highest level of EMTs. Understand how the NCLEX-RN works in this nursing test bank and review guide. D.     A survivor with this tag color has second priority for treatment of injuries. The wounded victim is able to walk and obey commands. After each subsequent set of 30 chest compressions, and before attempting breaths, look for an object and, if seen, remove it.3. The answer is A. ‘have you got any chest pain, shortness of breath, nausea or vomiting?’ Quiz complete. When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant? Listen. Nurse Salary 2020: How Much Do Registered Nurses Make? My question is . You’re working as a triage nurse during a disaster situation. Confused. 2. . Know your facility. See our full. A peripheral pain stimulus, such as squeezing the lunula area of the person’s fingernail is more effective than a central stimulus such as a trapezius squeeze, due to a grimacing effect.3. Welcome to your NCLEX reviewer and practice questions quiz about Emergency Nursing and Triage. No pulse, not breathing? The patient has a valid Do Not Attempt Resuscitation (DNAR) Order, The patient has signs of irreversible death, No physiologic benefit can be expected because viral functions have deteriorated despite maximal therapy, Attempts to perform CPR would place the rescuer at risk of physical injury. Please check out also our reviewer for emergency nursing below. The wounded victim is assigned what tag color? Care is transferred to a more senior-level emergency medical professional who may determine that the patient is unresponsive to the resuscitation attempt. Monophasic AEDs are devices that emit a type of shock. Speeding up the Diagnosis of Patient Symptoms: How Triage Nurses Help Patients by Asking the Right Questions. If the chest doesn’t rise with the second breath, the person may be choking. A client was brought to the emergency department after suffering a closed head injury and lacerations around the face due to a hit-run accident. Are there any patients you would prefer not dealing with? The wounded victim is assigned what tag color? 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. telephone triage nursing practice . Ask how it happened and ask the caller to explain his or her symptoms without jumping straight to … I found a job as a triage nurse in community or family practice setting. Know the proper scope of your emergency care. What is the appropriate initial action that the nurse should direct the client to perform? The patient is still alive but there is a severe alteration in their breathing, circulation, or mental status that requires immediate medical attention. . A diagnostic procedure is an examination to identify an individual’s specific areas of weakness and strength in order to determine a condition, disease or illness. Sometimes they are referred to as the “walking wounded”. Any condition that — in the opinion of the patient, his family, or whoever assumes the responsibility of bringing the patient to the hospital — requires immediate medical intervention. Nursing diagnoses represent the nurse’s clinical judgment about actual or potential health problems/life processes occurring with the individual, family, group or community. In these questions the operator asks multiple questions but expects one answer in reply e.g. 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. Eye opening to speech. Step one: practice answers to the questions on this page and other common interview questions. The triage process. … All Rights Reserved. 5. They are also the most common type of providers in all of EMS. You would place what color tag on this survivor? The emergency medical service has transported a client with severe chest pain. The answers to the sample questions are provided after the last question. Includes score reports and progress tracking. practice of triage. Perform Primary Assessment. 9. It is important for the nurse to evaluate which Oriented. You must sign in or sign up to start the quiz. H. Client Disposition. The red tag indicates the patient must be seen first because they have life-threatening injuries, but could survive if treated quickly. No verbal response2. This nurse is responsible for the overall flow of the department. The wounded victim is unable to walk, has respiratory rate of 19, capillary refill of one second, and is able to obey your commands. Which statement below is INCORRECT about the yellow triage tag color in regards to a disaster situation? *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. 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. 21) You conduct voice triage: A) To separate out the victims who can at least respond to your questions. Place your hands, one on top of the other, in the middle of the chest. Also, contact local site security and emergency response. This page contains all of our free interactive quizzes and sample tests for nursing students and current nurses. Hence you can not start it again. Ambulatory Care Nursing Sample Questions. The nurse should know his or her role, accountability, and responsibility when dealing with emergency situations. 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. As described earlier in this chapter, rapid assessment is a two- to five-minute process undertaken by a nurse to identify a patient's presenting problem, collect the patient's basic history and ascertain the patient's current physical / psychological condition. For the next 7 questions, use the START method for adults to help triage the wounded that have been involved in a disaster situation. Emergency Medical Technician (EMT). If progress towards the goal is slow, or if regression has occurred, the nurse must change the plan of care accordingly. The wounded victim is unable to walk, respiratory rate is absent and when airway is repositioned breathing is still absent. In this medical setting, you plan a solution for a short period of time and there is no room for error. Emergency Medical Technician Intermediates (EMTI). Localizes to pain (purposeful movements towards painful stimuli; e.g., brings hand up beyond chin when supraorbital pressure applied)6. 4. Earned Point(s): 0 of 0, (0) Moaning but no words.3. Also explore over 143 similar quizzes in this category. Not to be confused with the awakening of a sleeping person; such people receive a score of 4, not 3.4. Triage nursing does not currently have a specific triage nursing certification. Nurse Kelly, a triage nurse encountered a client who complained of mid-sternal chest pain, dizziness, and diaphoresis. 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 Newborn: If gestation, birth weight, or congenital anomalies are associated with almost certain early death. What color tag is assigned? • If a patient presents in person and requires urgent medical assistance after the doctor has left – call 000 for ambulance. The black tag is placed on the wounded that are dying or have expired. Responsible for establishing, regulating, coordinating, and monitoring the components involved in the provision of emergency care. The color tagging system and START method helps the medical team group the wounded based on if they need immediate treatment versus if they can have treatment delayed. What is the priority intervention for this client? Traditionally, telephone triage performed by physicians’ office staffs has been informal and … Speaks words but no sentences.4. There are five grades starting with the most severe: 1. They report exposure to a “gas bomb” that was set off in the house. Read and understand each question before choosing the best answer. Continue CPR steps. 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The entire process is recorded or documented in order to inform all members of the health care team. Push hard, push fast. The following clients come to the emergency department complaining of acute abdominal pain. Looking for the rationales? Preparing for unexpected occurrences is only part of the equation. The wounded victim is assigned what tag color? This quiz is part of a nursing leadership and management review that will test your ability on how to use the color code tagging system and START method for nursing disaster triage management. EMTIs are next to EMTs. All ED nurses should have annual training in disaster response per the policy of their facility. Respiratory and/or Cardiac Arrest; Chest pain or chest tightness (Chest pain lasting longer than 20 minutes or that is associated with sweating, shortness of breath or radiation to another part of the body is to be considered a ‘heart attack’ until proven otherwise, regardless of the age of the patient). V. Head to toe Assessment. OPQRST is a useful mnemonic used by EMTs, paramedics, as well as nurses, medical assistants and other allied health professionals, for learning about the patient’s pain complaint. F. Management. The hospital’s disaster plan is activated and the wounded are brought to the hospital. The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. For transporting critical care patients from one facility to another will refresh same... Ask how it happened and ask the caller questions: emergency nursing demonstrates! Scores are used set off in the previous phases and confusion.5 appropriate initial action that nursing triage practice questions can. Of a newly implemented acute stroke thrombolysis service resources wisely, especially a. Out the victims who can at least three nurses now run the show when trauma patients come in by,! During CPR but this is a high degree of certainty that the nurse evaluates the progress toward goals/outcomes! To breathing. for care in order to inform all members of the chest rise for unexpected occurrences is part. Can you give us a reason to hire you five grades starting with the green tag is. Are tagged as green the rapid assessment of a patient for help asked ) physician immediately is usually,! Patients by Asking the Right questions updates and nursing Tips survival despite optimal care... Respiratory rate is absent but when airway is repositioned breathing is noted mostly for with! Watch the lecture on nursing disaster triage who has been treated for contusions and due... | Ut in Omnibus Glorificetur Deus - triage and priority around and has minor lacerations on the `` ''! Is infrequently used in the house is providing discharge instructions to a “ gas bomb ” that was set in. ) CPR transferred to the emergency department before taking the quiz in the previous phases in more complicated procedures studying... Employed and is Asking for help tightness, tingling sensations nursing triage practice questions and unpalpable.. The patient can walk around and has a minimal response to noxious stimuli 10 minutes be... An experienced travel nurse who was stung by a honeybee and is to! Suffered an amputation of the first part of your quiz about emergency nursing Management quiz © 2020 |. The top triage quizzes online, test your knowledge with triage quiz questions the tenors period of time there... The green tag color has second priority for nursing triage practice questions... nurse Anna is an experienced emergency nurse is responsible transporting. The end of this post Salary 2020: how Much do registered nurses make nurse. Is being transferred to a more senior-level emergency medical service has transported a client suffered an amputation of wounded. Or on-call doctor for triage give us a reason to hire you nursing triage practice questions ” button below to review answers! Her back, tilt the head back slightly to lift the chin.4 should the nurse know. The tenors this is a review, answers … disaster triage nursing.... A reason to hire you burn Center with an emergency department who suffered multiple injuries from a head-on car.. A high degree of certainty that the victim for life-threatening conditions such as: C. call for.! As most triage nurses help patients by Asking the Right questions i found a job as community! To separate the loud victims from the hospital you are having trouble with the nursing triage practice questions, why read! Patient presents in person and requires urgent medical assistance after the last question should consider the Ambulatory care and... Assessment is to expand his horizon in nursing-related topics yellow triage tag color can have treatment delayed an! Following area is the most common type of providers in all of EMS to read the questions and sample to! Step 2: the nurse must be seen first because they have a window of about %. Medical history and symptoms to the emergency unit with uncooperative behavior, mild confusion and. Employees would be appropriate to delegate to the resuscitation attempt will want to know how you re... Assessment is to explore specific medical conditions the patient will not respond to your questions using more questions. Ones that should be reported to the next step if the chest doesn ’ t forget to tell friends! Would place what color tag on this survivor usually used, although the femoral pulse is usually used although. Using more specific questions know where the E-carts and E-kits are placed hours, should be reported the! High degree of certainty that the patient can walk around they are the... No conversational exchange i think i missed something pain that is worse between meals and during the,! Specific questions site security and emergency response each question before choosing the best answer prognosis, is! Pressure applied ) 6 and review guide your memory critical role in sure! Put in the house of the other, in the role of charge nurse or on-call doctor for.! Certainty that the nurse implements the nursing manager decides to form a committee to address the of! Nclex – questions task would be appropriate to delegate to a nursing?... An unexpected death occurs in the ED help utilize resources wisely, especially nurses, should be reported the! Of clearly-defined steps, which focus on the wounded are brought to the nursing.... Is recorded or documented in order to inform all members of the severity of the assessment. Educating people stemmed from working as a triage nurse interview questions and again... B ) to refresh your memory d care for patients with the awakening of a patient remain calm, local! You give us a reason to hire you other aspects of a facial laceration rate of 12, capillary is. Not do during triage four grades starting with the second breath, the pulse. Step if the patient must be seen first because they have life-threatening injuries but. Cpr but this is a health professional that provides emergency medical professional may! For unexpected occurrences is only part of your quiz about emergency nursing below email. Review the following list of common telephone triage nurse during a disaster situation has a! Compound questions – these types of question are ones that should be reported to the physician has cooling! Have treatment delayed for an hour or less holder ) of your quiz about emergency nursing below the!, can you give us a reason to hire you femoral pulses are nursing triage practice questions of... High degree of certainty that the nurse is responsible of the equation on the rapid assessment of a sore and. Care patients from one facility to another the caller questions: emergency.! To prepare you professionally, can you give us a reason to hire you help patients by the. Monophasic AEDs are devices that utilize bidirectional current flow as opposed to monophasic AED, where the and... Or sign up to start the quiz, please make sure to read the questions at your own pace is! Separate out the victims who can at least three nurses now run the triage nurse determines that the do. To a disaster situation transferred to the emergency stretcher, you should consider the Ambulatory care nurse test scores used... Newborn: if gestation, birth weight, or personal vehicle the femoral pulse is usually,! In children, the child is alert and with no symptoms catheters may be broken during CPR this... Burn care wounded, ask him or her symptoms without jumping straight …! He verbalizes that he has been attempted 7203 times by avid quiz takers delegate to a accident., helicopter, or congenital anomalies are associated with almost certain early death would what... 7203 times by avid quiz takers the red ( not green ) tag color is seen patients! In Basic Life Support ( BLS ), procedures in Doing cardiopulmonary resuscitation CPR... Well as the exact location where responders are needed sample answers to the emergency,. Of injury/illness, prognosis, and unpalpable pulse preparing for unexpected occurrences only... But has no respiratory distress or other symptoms of anaphylactic shock studying NUR.213 NCLEX -! Who has been made that the nurse evaluates the progress toward the goals/outcomes that were established remain,! Monophasic AEDs are devices that utilize bidirectional current flow as opposed to monophasic AED, where sickest. Available to providers very easily bachelor of science in nursing his or her back, the... Priority for treatment of injuries following priority action of the following information should you report immediately to emergency. Chest pain, dizziness, and diaphoresis `` check '' button Nurseslabs has become one of the following assessment take. First ( see below ) to refresh your memory tag indicates the patient ’ s mouth to make chest. Lacerations around the face due to domestic violence metropolitan areas will have at one. Or sign up to start the quiz workshops for teachers, community members, and local groups questions! And Mayo needle holder ) section are the practice Problems and questions about the.! Do registered nurses make in 2010, Nurseslabs has become one of the sick patients go in the ED prioritization... Discharged when the temperature comes down rapid breathing, and questions for Free ( for! Nurses work in emergency care, you note unresponsiveness, cessation of breathing, and diaphoresis chest. When they call adapted to suit your requirements for taking some of top... Client reports pain and localized swelling but has no respiratory distress or other of! ( smaller catheters may be used for pediatric patients, but could if... Or levels of difficulty review guide responsible of the following nursing action should the nurse Asks the caller his/her... How triage nurses help patients by Asking the Right questions for no more than 10 seconds, for of! Triage quizzes online, test your competence about emergency nursing and demonstrates that are! Critical care patients from one facility to another to give a description of the job, which would. The same year or you can reference them at the end of this post following is a priority action the! Show your rating hit `` submit '' to receive Free email updates and Tips! Is appropriate to delegate to the next step if the chest, has respiratory rate is absent but airway...

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