What Do You Know About Emergency Severity Index? Trivia Quiz

19 Questions | Total Attempts: 3523

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What Do You Know About Emergency Severity Index? Trivia Quiz - Quiz

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.


Questions and Answers
  • 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.

  • 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.

  • 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

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

  • 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

  • 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

  • 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.

  • 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?

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

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