EDAPT Trauma & Emergency Nursing Exam – Primary Survey,
Triage & Priority Actions|Verified Questions provided with A+
Graded Verified Rationales Latest Updated 2026
A nurse is performing a primary survey in the emergency department (ED). What are the
components of the primary survey? Select all that apply.
Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather additional data. Which
adjunct measures should be initiated? Select all that apply.
Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
A client presents to the emergency department with periorbital bruising and a dysconjugate
gaze (failure of the eyes to turn together in the same direction). Which intervention is
contraindicated?
Insert a nasogastric tube.
Review the four clients below and properly assign them the correct emergency service index
(ESI).
Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor vehicle accident with a
compound fracture of the left femur. During the primary survey, the nurse notes asymmetric
chest wall movement and absent breath sounds on the left side. Pulse is 125, and respiratory
rate is 36. What is the priority action of the nurse?
Administer 100% oxygen via bag-valve-mask device.
, The body loses heat through four mechanisms: radiation, conduction, convection, and
evaporation. Match the type of heat loss to the example.
Radiation - Bed near a cold window
Conduction - Cold operating room table
Convection - Wind chill
Evaporation - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives to the emergency
department via ambulance with a core body temperature of 87ºF (30.5ºC). Which assessment
findings should the nurse anticipate? Select all that apply.
Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
A catastrophic disaster occurred 3 miles from the hospital. As clients begin to arrive at the
facility, identify which color triage tag should be placed on each.
Victim is walking around with minor lacerations on the arms, hands, chest, and legs. All vital
signs are normal, and the client can obey simple commands. This victim should be tagged
__________.
Victim is not breathing, has no radial pulse, and does not respond to simple commands. This
victim should be tagged __________.
Victim is unable to walk but able to obey simple commands. Respiration rate is 20, and capillary
refill is 2 seconds. This victim should be tagged __________.
Victim is unable to walk, unresponsive, respiration rate is 12, and pulse is weak and thready.
This victim should be tagged __________.
Green
Black
Yellow
Red
A ski lift collapsed in a local community 3 miles from the hospital. First responders report at
least 50 victims will need medical evaluation and care.
Triage & Priority Actions|Verified Questions provided with A+
Graded Verified Rationales Latest Updated 2026
A nurse is performing a primary survey in the emergency department (ED). What are the
components of the primary survey? Select all that apply.
Disability
Breathing
Circulation
Alertness
Exposure
While conducting the primary survey, it may be necessary to gather additional data. Which
adjunct measures should be initiated? Select all that apply.
Collect blood specimens for laboratory testing.
Determine pain level.
Initiate continuous cardiac monitoring.
Monitor oxygenation.
A client presents to the emergency department with periorbital bruising and a dysconjugate
gaze (failure of the eyes to turn together in the same direction). Which intervention is
contraindicated?
Insert a nasogastric tube.
Review the four clients below and properly assign them the correct emergency service index
(ESI).
Client 1: 5
Client 2: 1
Client 3: 4
Client 4: 2
A client presents to the emergency department following a motor vehicle accident with a
compound fracture of the left femur. During the primary survey, the nurse notes asymmetric
chest wall movement and absent breath sounds on the left side. Pulse is 125, and respiratory
rate is 36. What is the priority action of the nurse?
Administer 100% oxygen via bag-valve-mask device.
, The body loses heat through four mechanisms: radiation, conduction, convection, and
evaporation. Match the type of heat loss to the example.
Radiation - Bed near a cold window
Conduction - Cold operating room table
Convection - Wind chill
Evaporation - Wet clothing
The nurse is caring for a client experiencing homelessness who arrives to the emergency
department via ambulance with a core body temperature of 87ºF (30.5ºC). Which assessment
findings should the nurse anticipate? Select all that apply.
Bradypnea
Shivering
Kussmaul respirations
Hematocrit 55%
A catastrophic disaster occurred 3 miles from the hospital. As clients begin to arrive at the
facility, identify which color triage tag should be placed on each.
Victim is walking around with minor lacerations on the arms, hands, chest, and legs. All vital
signs are normal, and the client can obey simple commands. This victim should be tagged
__________.
Victim is not breathing, has no radial pulse, and does not respond to simple commands. This
victim should be tagged __________.
Victim is unable to walk but able to obey simple commands. Respiration rate is 20, and capillary
refill is 2 seconds. This victim should be tagged __________.
Victim is unable to walk, unresponsive, respiration rate is 12, and pulse is weak and thready.
This victim should be tagged __________.
Green
Black
Yellow
Red
A ski lift collapsed in a local community 3 miles from the hospital. First responders report at
least 50 victims will need medical evaluation and care.
