What Do You Know About Emergency Severity Index? Trivia Quiz
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What Do You Know About Emergency Severity Index? This post-test is used to evaluate your understanding, at a more advanced level, the Emergency Severity Index, and the triage practices in your triage department. This index helps you understand the patients you may come across and the urgency of their conditions. Please complete the testing as indicated, and the system will score the results.
- 1.
What are the three criteria that a presenting patient must meet (at least one of the three) in order to make the case an ESI level 2?
- A.
Severe pain, abnormal vital signs, intoxication
- B.
Abnormal vital signs, acute mental status changes, severe pain.
- C.
High risk situation, abnormal vital signs, severe pain.
- D.
High risk situation, acute mental status changes, severe pain.
- E.
Abnormal vital signs, severe pain, lethargic.
Correct Answer
D. High risk situation, acute mental status changes, severe pain.Explanation
The three criteria that a presenting patient must meet in order to make the case an ESI level 2 are high risk situation, acute mental status changes, and severe pain. This means that the patient must be in a situation that poses a high risk to their health, they must have acute changes in their mental status, and they must be experiencing severe pain. These criteria help determine the urgency and severity of the patient's condition, warranting a higher level of care.Rate this question:
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- 2.
A person should be considered for a higher acuity rating if the patient presents how soon after their previous visit for the same complaint that is not resolved?
- A.
Within three days.
- B.
Within 24 hours.
- C.
Within 36 hours.
- D.
Within 2 days.
- E.
Within one week.
Correct Answer
B. Within 24 hours.Explanation
A person should be considered for a higher acuity rating if the patient presents within 24 hours after their previous visit for the same complaint that is not resolved. This indicates that the patient's condition has not improved within a short period of time, suggesting a potentially more serious or urgent issue that requires immediate attention.Rate this question:
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- 3.
A 10-day old infant is brought to the Emergency Department in triage to which the mother states she measured a fever of 101.9 F at home. The current temperature of the patient in the triage department is 99.0 F rectally. The patient is appropriate for age, sleeping but arousable, skin pink and dry, and the mucous membranes are moist. What ESI level are you going to assign to this patient?
- A.
ESI level 1
- B.
ESI level 2
- C.
ESI level 3
- D.
ESI level 4
- E.
ESI level 5
Correct Answer
B. ESI level 2Explanation
Based on the given information, the 10-day old infant has a fever of 99.0 F rectally, which is slightly lower than the mother's measurement of 101.9 F. The patient is appropriate for age, sleeping but arousable, and has normal skin and moist mucous membranes. ESI level 2 is assigned to patients who have a high probability of a significant illness or injury, but who are stable at the moment. Therefore, considering the infant's age and the slightly elevated temperature, ESI level 2 is the appropriate assignment for this patient.Rate this question:
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- 4.
Which of the following patients are NOT considered ESI level 2 patients?
- A.
Suicidal ideation.
- B.
Rash with no shortness of breath or stridor.
- C.
Dialysis patient after fistula placement that same day and having arm swelling.
- D.
Chest pain radiating to the left arm and into the back.
- E.
Witnessed syncopal episode.
Correct Answer
B. Rash with no shortness of breath or stridor.Explanation
The ESI (Emergency Severity Index) is a tool used to categorize patients based on their acuity level in the emergency department. ESI level 2 patients are considered to have high acuity and require immediate attention. In this case, all of the given patients have symptoms that are indicative of a potentially serious condition, except for the patient with a rash and no shortness of breath or stridor. While a rash can be uncomfortable, it is not typically considered a life-threatening or high acuity condition. Therefore, this patient would not be considered an ESI level 2 patient.Rate this question:
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- 5.
A focused Emergency Severity Index, Version 4 triage assessment should take how many minutes to complete and assign an acuity level?
- A.
9-10 minutes.
- B.
6-8 minutes.
- C.
4-5 mintues.
- D.
2-3 mintues.
- E.
Less than 1 minute.
Correct Answer
D. 2-3 mintues.Explanation
A focused Emergency Severity Index, Version 4 triage assessment should take 2-3 minutes to complete and assign an acuity level. This time frame allows for a quick yet thorough evaluation of the patient's condition, ensuring that urgent cases are identified and prioritized appropriately. Completing the assessment within this time limit helps streamline the triage process and enables timely medical intervention for patients in need.Rate this question:
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- 6.
Why are vital signs not utilized to determine ESI levels 4 or 5 in non-pediatric patients?
- A.
It is a variable that is not constant and unreliable even under the best conditions.
- B.
Vital sings are time consuming.
- C.
Vital signs can change the patient's complaint.
- D.
Vital signs can be manipulated by the patient.
- E.
Vital signs are not required by the ER MD.
Correct Answer
A. It is a variable that is not constant and unreliable even under the best conditions.Explanation
Vital signs are not utilized to determine ESI levels 4 or 5 in non-pediatric patients because they are considered a variable that is not constant and unreliable even under the best conditions. This means that vital signs can fluctuate and may not accurately reflect the patient's condition. Additionally, vital signs can be time-consuming to measure and can be influenced or manipulated by the patient. Therefore, other factors and assessments are used to determine the ESI levels in these patients.Rate this question:
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- 7.
What information MUST be documented on the patient triage record for all pediatric patients?
- A.
Height, weight, temperature, pulse rate, respiratory rate, and oxygen saturation.
- B.
Height, weight, pulse rate, respiratory rate, oxygen saturation, and components of the pediatric triangle.
- C.
Height, weight, pulse, temperature, respiratory rate only.
Correct Answer
B. Height, weight, pulse rate, respiratory rate, oxygen saturation, and components of the pediatric triangle.Explanation
The information that MUST be documented on the patient triage record for all pediatric patients includes height, weight, pulse rate, respiratory rate, oxygen saturation, and components of the pediatric triangle. This comprehensive set of data is necessary to assess the overall health and condition of pediatric patients and guide appropriate medical interventions. It allows healthcare providers to monitor vital signs, identify any abnormalities or distress, and make informed decisions regarding further treatment or care.Rate this question:
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- 8.
What is the determining temperature that would determine ESI 2 for a 27 day-old patient with a fever?
- A.
99.5 F
- B.
100.3 F
- C.
101.0 F
- D.
101.5 F
- E.
100.4 F
Correct Answer
E. 100.4 FExplanation
The determining temperature that would determine ESI 2 for a 27-day-old patient with a fever is 100.4 F. This means that if the patient's temperature is equal to or higher than 100.4 F, they would be classified as ESI 2, indicating a high priority level for medical attention.Rate this question:
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- 9.
What ESI level should be considered for a 2 year-old child who presents with a measured temperature of 103.0 F, who is not current on their vacinations, and has no obvious cause for the fever?
- A.
ESI 1
- B.
ESI 2
- C.
ESI 3
- D.
ESI 4
- E.
ESI 5
Correct Answer
C. ESI 3Explanation
According to the Emergency Severity Index (ESI) triage system, ESI level 3 is appropriate for a 2-year-old child who presents with a high fever (103.0 F) and has no obvious cause for the fever. ESI level 3 indicates that the patient requires urgent medical evaluation and treatment, but their condition is not immediately life-threatening. The child's lack of vaccinations may increase the risk of potential serious infections, which warrants prompt medical attention.Rate this question:
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- 10.
What ESI level would a patient who is deemed a "P" on the AVPU scale?
- A.
ESI 1
- B.
ESI 2
- C.
ESI 3
- D.
ESI 4
- E.
ESI 5
Correct Answer
A. ESI 1Explanation
A patient who is deemed a "P" on the AVPU scale is responsive to stimuli, indicating that they have a high level of consciousness. This suggests that their condition is potentially life-threatening or requires immediate medical intervention. According to the Emergency Severity Index (ESI), patients in this category are classified as ESI 1, which means they require immediate attention and should be seen by a healthcare provider within minutes.Rate this question:
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- 11.
An example of an ESI level 1 patient is:
- A.
Chest pain with stable vital signs.
- B.
Right flank pain with significant guarding.
- C.
Child with barking cough and mild respiratory stridor but appropriate.
- D.
Elderly female with history of dementia with new mental changes.
- E.
Overdose patient with a respiratory rate of 6.
Correct Answer
E. Overdose patient with a respiratory rate of 6.Explanation
An ESI level 1 patient is someone who requires immediate life-saving intervention. In this case, the overdose patient with a respiratory rate of 6 is the correct answer because a respiratory rate of 6 is extremely low and indicates severe respiratory distress. This patient is in immediate danger and needs urgent medical attention to stabilize their breathing.Rate this question:
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- 12.
What question should a triage nurse ask themselves when deciding if a patient meets level 2 criteria?
- A.
How many resources will this patient need?
- B.
Would I give this patient my last available bed?
- C.
Is this patient dying?
- D.
What would my peers decide when in the same situation?
Correct Answer
B. Would I give this patient my last available bed?Explanation
The question a triage nurse should ask themselves when deciding if a patient meets level 2 criteria is "Would I give this patient my last available bed?" This question helps the nurse assess the severity of the patient's condition and determine if they require immediate attention and resources. It also helps in prioritizing patients based on the availability of beds and resources, ensuring that the most critical patients receive timely care.Rate this question:
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- 13.
What is the danger zone pulse rate for a patient in the 3-8 year-old range?
- A.
Greater than 120/min.
- B.
Greater than 130/min.
- C.
Greater than 140/min
- D.
Greater than 150/min.
- E.
Greater than 160/min.
Correct Answer
C. Greater than 140/minExplanation
The danger zone pulse rate for a patient in the 3-8 year-old range is greater than 140/min. This means that if a patient in this age range has a pulse rate higher than 140 beats per minute, it could indicate a potentially dangerous condition. It is important to monitor the pulse rate of young patients closely and seek medical attention if it exceeds this threshold.Rate this question:
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- 14.
According to the patient flow system of the Emergency Department, what is the accepted door to exam time for a level 4 patient?
- A.
Immediate.
- B.
10 minutes.
- C.
30 minutes.
- D.
60 minutes.
- E.
120 minutes.
Correct Answer
D. 60 minutes.Explanation
According to the patient flow system of the Emergency Department, the accepted door to exam time for a level 4 patient is 60 minutes. This means that within an hour of the patient arriving at the emergency department, they should be examined by a healthcare professional.Rate this question:
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- 15.
What is a major issue as it relates to "frequent flyers" to the Emergency Department?
- A.
The tendency to anger the staff for consuming their time.
- B.
The possibility that a future visit may turn out to be an emergency need.
- C.
The increased amount of cost to the system.
- D.
The need to provide specialty consultation such as behavioral health.
Correct Answer
B. The possibility that a future visit may turn out to be an emergency need.Explanation
One major issue for "frequent flyers" to the Emergency Department is the possibility that a future visit may turn out to be an emergency need. "Frequent flyers" are individuals who frequently visit the Emergency Department, often for non-emergency reasons. This can lead to a strain on resources and staff, as they have to allocate time and resources to these individuals, potentially taking away from patients with genuine emergency needs. Additionally, there is a concern that these frequent visits may indicate underlying health issues that could escalate into emergencies in the future.Rate this question:
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- 16.
What is the correct response to a mother presenting to your triage window with a small child in her arms that appears: dusky with discolored nail beds, listless, and retractions?
- A.
Grab the child from mom and run immediately to a room.
- B.
Call the Flow Facilitator and attempt room placement.
- C.
Call the ER physician to request orders.
- D.
Shake the child to attempt to arouse the child.
- E.
Immediately push the "code" button on the wall and administer high flow oxygen via a large volume device while in the triage room.
Correct Answer
E. Immediately push the "code" button on the wall and administer high flow oxygen via a large volume device while in the triage room.Explanation
The correct response to a mother presenting with a child who appears dusky, with discolored nail beds, listless, and retractions is to immediately push the "code" button on the wall and administer high flow oxygen via a large volume device while in the triage room. This is because the child is showing signs of respiratory distress, which could be life-threatening. Promptly activating the code button will alert the medical team to the emergency, and administering high flow oxygen will help improve the child's oxygenation.Rate this question:
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- 17.
Which of the following is NOT a duty of the Flow Facilitator?
- A.
The discharging of patients.
- B.
Quick triage of incoming ambulance patients.
- C.
Patient placement from triage and EMS.
- D.
Quick evaluation of placement of already triaged patients.
- E.
Evaluation of acuities regarding already placed patients and workload for the staff.
Correct Answer
A. The discharging of patients.Explanation
The correct answer is "The discharging of patients." The other duties listed in the options are all responsibilities of a Flow Facilitator. The Flow Facilitator is responsible for quick triage of incoming ambulance patients, patient placement from triage and EMS, quick evaluation of placement of already triaged patients, and evaluation of acuities regarding already placed patients and workload for the staff. However, the discharging of patients is not mentioned as a duty of the Flow Facilitator.Rate this question:
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- 18.
How often should a patient be reassessed after the initial triage assessment?
- A.
Minimum of every 2 hours for ESI 3 or lower and as often as determined by the triage nurse.
- B.
Minimum of every 1 hour for ESI 5.
- C.
Minimum of every 7 hours for all levels.
- D.
As determined strictly by the triage nurse.
- E.
We do not reassess patients in this ER.
Correct Answer
A. Minimum of every 2 hours for ESI 3 or lower and as often as determined by the triage nurse.Explanation
Patients should be reassessed after the initial triage assessment at least every 2 hours if they have an ESI level of 3 or lower. The frequency of reassessment should be determined by the triage nurse based on the patient's condition. This ensures that any changes in the patient's condition are promptly identified and appropriate interventions can be initiated.Rate this question:
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- 19.
How often should the ESI algorithm me manipulated or changed to better the patient flow of the ER?
- A.
Every year.
- B.
Every six months.
- C.
Every 2 years.
- D.
Every 5 years.
- E.
The algorithm should never be changed or manipulated.
Correct Answer
E. The algorithm should never be changed or manipulated.Explanation
The given answer states that the ESI algorithm should never be changed or manipulated. This implies that the algorithm is designed to be effective and efficient in managing patient flow in the ER, and any changes or manipulations may disrupt its functioning. Therefore, it is recommended to maintain the algorithm as it is without any alterations.Rate this question:
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Current Version
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Mar 22, 2023Quiz Edited by
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Feb 12, 2009Quiz Created by
Josephgaw
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