Triage

A man is lying down quietly in the CCS with blood on his face. He has a yellow triage tag on his wrist. You observe his airways are obstructed but he is breathing. He has a SBP of 95 and a GCS of 7. Sort this patient.

• Green

• Red

• Black

• Yellow

An adult male has been carried to the CCS. He has paradoxical movement as he breathes, a RR of 30, SBP of 135 and GCS of 13. He has been sieved and wears a red triage tag.

Sort this patient.

• Blue

• Green

• Yellow

• Red

A young female is lying down in the CCS with blood on both arms. She is quiet and has a yellow triage tag attached to her right ankle. Her RR is 18, SBP is 115 and her GCS is 9.

Sort this patient.

• Yellow

• Black

• Red

• Blue

• Green

A 42-year-old woman with no obvious injuries and without a carotid pulse.

• RED

• YELLOW

• GREEN

• BLACK

The emergency nurse is working in the triage area. Which of these four patients should the nurse evaluate first?

• 22-year-old man who is bent over in pain and believes he has kidney stones

• 62-year-old woman who is reporting severe chest pain, nausea, dizziness, and profuse sweating

• 72-year-old woman who has a productive cough and a temperature of 101.6 ⁰ F

• 9-year-old boy who has a broken arm, with the bone protruding from the wrist

You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority.

• Green

• Red

• Yellow

• Black

Large piece of wood in left thigh. Breathing once every 3 seconds. Color returns to finger tips in less than 2 seconds.

• Red

• Yellow

• Black

• Green

A casualty has broken their foot, but they are otherwise fine. Which category would you put them in?

• Red

• Yellow

• Green

• Black

A 2 year old female, unconscious, no pulse, no breathing.

• Red

• Black

• Yellow

• Green

What is the first step when you witnessed an accident?

• call for help and take care of the victim with the most serious injuries

• conduct voice triage

• start assessing the ones nearest you