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Triage Nursing Exam (100+ Questions) – ESI Levels, Emergency Scenarios, Disaster Response

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2025/2026

This document includes over 100 fully answered, high-yield questions from the Triage Nursing 2025/2026 exam, focusing on real-world clinical triage scenarios, ESI classification, trauma response, and emergency preparedness. Developed in alignment with national emergency care standards, this resource prepares nursing students for both exams and practical application in high-pressure clinical settings. Key features of the content include: Detailed ESI (Emergency Severity Index) level assessments for a wide range of patients: from neutropenic fever and arterial occlusion to head injuries and stable cases like poison ivy or minor infections Critical scenario-based questions requiring rapid decision-making, such as altered mental status, severe respiratory distress, suspected appendicitis, and chest pain triage Disaster triage protocols: prioritizing multiple victims in a mass casualty or fire situation, based on survivability and resource availability Management of trauma patients, including airway stabilization, oxygen therapy, IV fluid administration, neurological evaluation, and Foley catheter insertion Emergency response preparation: bioterrorism protocol, PPE use, decontamination procedures, and chain of reporting (CDC/public health) Identification of high-risk psychological outcomes such as PTSD in mass trauma events Clear step-by-step priority actions in clinical emergencies, including cardiac arrest response, neurological checks, code activation, and crash cart mobilization Special population considerations: pediatric triage, elderly care, and chemically exposed victims This document is perfect for: Nursing students in BSN, ADN, or LPN programs Emergency nurses preparing for NCLEX, CEN (Certified Emergency Nurse), or trauma response certifications EMTs and paramedics reviewing clinical triage principles Health professionals involved in mass casualty planning, hospital preparedness, or disaster simulations With clinical reasoning embedded in every question, this resource helps build confidence and accuracy in time-sensitive care situations. Keywords: triage nursing, ESI levels, disaster response, trauma triage, emergency prioritization, code team activation, ABCDE survey, chest pain triage, smallpox diagnosis, mass casualty protocol, IV fluid response, pediatric trauma, bioterrorism, personal protective equipment, decontamination zone, airway management, PTSD risk, crash cart steps, ED decision-making, clinical scenarios

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Triage Nursing 2025/2026 Exam
Questions and Answers 100%
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A 40-yr-old woman currently on chemotherapy, with a temperature of 102

F. What level triage this? - 🧠ANSWER ✔✔Level 2


Neutropenic Fever

5- yr-old has sudden onset of left foot pain. They have a history of diabetes

requiring insulin and their left foot cold to touch - no pulses. What level

triage would you place this? - 🧠ANSWER ✔✔Level 2


High risk acute arterial occlusion

A 19-yr-old male brought in by police, with ETOH on breath, an unsteady

gait, large head lac, and slurred speech but oriented. What level triage

would you place this? - 🧠ANSWER ✔✔Level 2


High risk serious head injury

, A 24-year-old patient is brought in with severe respiratory distress. Their

Spo2 is 80%. What level triage would you place this? - 🧠ANSWER

✔✔Level 1


Severe respiratory compromise

A woman brings in her 3-year-old child who fell down the steps. They are

unresponsive to a sternal rub. What level triage would you place this? -

🧠ANSWER ✔✔Level 1


High risk head or spinal cord injury and unresponsive

A healthy 52-year-old man is brought into the ED. He ran out of BP

medication and his blood pressure is 150/92. What level triage would you

place this? - 🧠ANSWER ✔✔Level 5


No resources needed

A 12-year-old girl is brought into the ED with poison ivy. What level triage

would you place this? - 🧠ANSWER ✔✔Level 5


No resources needed

A 19-year-old boy is brought in with a sore throat and fever. What level

triage would you place this? - 🧠ANSWER ✔✔Level 4

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