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Name:_______________________ June 26, 2013

RLE 40 CI: Ms. Jessele B. Janioso

I. Multiple choice. Choose the BEST answer.

1. You are triage nurse on a PM shift in the emergency department. At 7pm four patients came in.

The patients are a 75 y/o woman with dehydration, a 25 y/o male with a closed fracture, a 10

y/o boy with a lacerated wound the thigh, and a 19 y/o girl complaining of abdominal cramps.

As the triage nurse, whom of them should you give attention first?

a. 19 y/o girl complaining of abdominal cramps

b. 10 y/o boy with a lacerated wound the thigh

c. 75 y/o woman with dehydration

d. 25 y/o male with a closed fracture

2. A typhoon had struck the city. On its wake, you are part of the response team as a triage nurse

sent to the affected areas. As a triage nurse, you are going to sort out the patients according to

their conditions. Which of the following are you going to call out first?

a. The ambulatory

b. Those with non-life threatening injuries

c. Those with massive bleeding

d. Those with poor prognosis

3. Mr. R. Atkinson is a patient involved in a vehicular accident. He had a cerebral concussion. How

would you check his mental status?

a. Ask the victim know who they are, where they are, what day/time it is, what happened

to them, the name of the last team to win the World Series?

b. Ask the patient to squeeze your hand

c. Tell the patient to count backwards from 100 by threesd. Obtain an EEG.

4. A patient came in to the ED with a lacerated wound from the shoulders to the back d/t knife

hacking. You noticed that the patient is irritable and drowsy. What would be your primary

course of action?

a. Establish an IV line

b. Keep pressure on the wound

c. Clean the wound

d. Provide privacy to the patient

5. An earthquake happened, a medical team was assembled to respond to the disaster and

you were the assigned triage nurse. As you arrived to the area you, you immediately

identified a victim, he appears quite still when you get to them. You shake the victim

and shout. They do not respond. What do you do next?a. Go to the next person

b. Open their airway

c. Shout again

d. Tag them red

6. After the person you first identified, you heard a victim not far from you moaning. What do you

do next?

a. Count respiration for 15 seconds

b. Open the airway

c. Ask them why he is moaning

d. Check his capillary refill

e.

7. Which is most important?

a. Your safety

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b. The teams safety

c. The victims safety

d. Whether the victim lives or not

8. In an event of a disaster, which SHOULD you do first?

a. Tag the victims

b. Give medical attention to the victims

c. Transport the victims

d. None of the above

9. Which do you not do during triage?

a. Control bleeding

b. Remove an impaled object

c. Clean out tiny fragments of glass from the bottom of feet

d. Apply bandaging

10.A patient with massive bleeding has been rushed to the ER. As an ER nurse what would you do

first?

a. Establish an IV line with isotonic solution

b. Keep pressure on the wound

c. Apply wound dressing

d. Clean the wound

11.You are a medic during the university intramurals. A student was rushed in to your tent with an

open-fracture. What would be your priority intervention?

a. Clean the wound from debris

b. Let it bleed

c. Place a sterile gauze wetted with PNSS

d. Call for transport

12.A patient was rushed in the ER unconscious and is not breathing, what should you do FIRST?

a. Establish an IV line

b. Insert a urinary catheter

c. Take vital signs

d. Perform CPR

13.You are an ER nurse on an AM shift. 4 patients was rushed in. One is a 20 y/o male with a

fractures limb d/t vehicular accident, a 7 month old girl with dehydration, 39 y/o woman

complaining with chest pain, and a 6 y/o boy with a lacerated wound on the thigh. Who should

you attend first?

a. a 6 y/o boy with a lacerated wound on the thigh

b. a 20 y/o male with a fractures limb d/t vehicular accident

c. a 7 month old girl with dehydration

d. 39 y/o woman complaining with chest pain

14.Which do you notdo during triage?

a. CPR

b. Cool a burn

c. Treat hypothermia

d. all of the above

e.

none of the above

15.You are triaging victims in a building after an earthquake. You come upon a victim partially

trapped under heavy debris. They are unconscious, but when you open their airway they start

breathing. You can't roll them into the recovery position because their hips are trapped. What

do you do next?

a. Stop triage and get them out from under the debris

b. Ignore them and go on to someone you really can help

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c. Have a volunteer walking wounded keep their airway open

d. Take their shoes off them and put them under their neck so as to keep their head

tilted and their airway open.

II. FILL IN THE BLANKS.

Triage Categories

Category Definition Color Treatment

P1 - Life threatening - Red - no.16

P2 - Urgent - no.17 - urgent

P3 - Minor - n0.18 - no.19

P4 - Dead - no.20