Esi Re-education Post-test-site Specific 1
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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. Please complete the testing as indicated and the system will score the results. A score of 85% or higher is needed for passing. You are not allowed to reference the ESI algorithm nor any other reference during this testing. A certification will be available for printing after a passing score of 85% is achieved. Good luck.
- 1.
- 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.
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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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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