TRIAGE EXAMINATION SOLUTIONS GUIDE
2026 FULL ANSWERS GRADED A+
◍ Which individual could qualify to be a triage nurse? Answer: A
nurse with 1 year of experience in emergency nursing.
◍ Which patient poses the greatest risk for violence at triage?
Answer: 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? Answer: 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? Answer: 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? Answer: 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? Answer: Traffic director
, ◍ When performing an across-the-room assessment, the triage nurse
uses which senses? Answer: Sight and hearing
◍ Which question best elicits details from a patient seeking treatment
in the emergency department. Answer: "Why do you think you fell?"
◍ The triage nurse should being the interview with which activity?
Answer: Confirming the patient's identity
◍ The triage nurse should perform which important infection control
measure? Answer: Place an immunosuppressed patient in a separate
waiting area.
◍ Detection of severe jaundice during an across-the-room assessment
falls under which category of assessment? Answer: Skin color
◍ In response to the triage nurse's question, a patient says, "The pain
starts in my lower abdomen and goes through to my back." This
response reflects which component of the PQRST mnemonic?
Answer: R - radiation
◍ Which statement correctly reflects the requirements set forth in the
Emergency Medical Treatment and Active Labor Act? Answer: If no
emergency condition exists, the requirements of this act cease.
2026 FULL ANSWERS GRADED A+
◍ Which individual could qualify to be a triage nurse? Answer: A
nurse with 1 year of experience in emergency nursing.
◍ Which patient poses the greatest risk for violence at triage?
Answer: 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? Answer: 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? Answer: 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? Answer: 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? Answer: Traffic director
, ◍ When performing an across-the-room assessment, the triage nurse
uses which senses? Answer: Sight and hearing
◍ Which question best elicits details from a patient seeking treatment
in the emergency department. Answer: "Why do you think you fell?"
◍ The triage nurse should being the interview with which activity?
Answer: Confirming the patient's identity
◍ The triage nurse should perform which important infection control
measure? Answer: Place an immunosuppressed patient in a separate
waiting area.
◍ Detection of severe jaundice during an across-the-room assessment
falls under which category of assessment? Answer: Skin color
◍ In response to the triage nurse's question, a patient says, "The pain
starts in my lower abdomen and goes through to my back." This
response reflects which component of the PQRST mnemonic?
Answer: R - radiation
◍ Which statement correctly reflects the requirements set forth in the
Emergency Medical Treatment and Active Labor Act? Answer: If no
emergency condition exists, the requirements of this act cease.
