Question 1

A patient exposed to smallpox would present with a vesicular/pustular rash over which areas of their body? Place an "X" over the areas where the rash would initially present.

Accepted Answer

The answer of A patient exposed to smallpox would present...

Question 2

After an anthrax exposure, the healthcare provider orders doxycycline 100 mg po. The label on the bottle of doxycyline powder states to reconstitute with sterile water to prepare a concentration or 0.025 g/5 mL. The nurse should prepare to administer ______ mL to the patient.

Accepted Answer

The answer of After an anthrax exposure, the healthcare provider...

Question 3

A train derailment results in mass causalities. The triage nurse is tagging patients as they arrive. Her first patient has a sucking chest wound, BP 90/50, Resp 32, and she is alert and able to respond to 11ea992e_0a8b_c9f9_9f38_fb5950442c01

Accepted Answer

The patient's symptoms indicate an immediate threat to life, specifically with the sucking chest wound and low blood pressure, and should be prioritized as a red-tagged patient.

Question 4

The local hospital has joined with the county emergency management team to plan and conduct disaster drills on a monthly basis. This would be considered a component of which of the states and phases of a disaster? (See figure above.) 11ea992e_0a8b_f10a_9f38_0798874d440b

Accepted Answer

The nondisaster stage, also known as the mitigation and preparedness phase, involves planning and preparing for potential disasters, which includes conducting disaster drills. This stage is focused on minimizing the impact of disasters and improving response capabilities.

Question 5

Atropine is ordered for a patient who has been exposed to nerve gas. When preparing to give the medication, the nurse would select which site for the injection? Place an "X" on the site above.

Accepted Answer

The answer of Atropine is ordered for a patient who...

Question 6

On confirmation of anthrax exposure, Cipro prophylaxis would be initiated. You have received an order for 400 mg ciprofloxacin to be given over 60 minutes. The pharmacy has sent a 1 gram vial of Cipro to the nursing unit to be diluted with 10 mL of sodium chloride. The nurse should administer ____ mL.

Accepted Answer

The answer of On confirmation of anthrax exposure, Cipro prophylaxis...

Question 7

A mass casualty accident has occurred. The nurse has received a list of terms to use for the Alternate Triage 5-Category System. The first patient the nurse receives has a color code of red. The nurse knows that this patient needs

Accepted Answer

A red code indicates that the patient needs to be evaluated for immediate intervention. This patient is in critical condition and needs urgent medical attention to prevent further deterioration of their health. They should be prioritized for immediate treatment and cannot be sent home or evaluated in the next few hours. Additionally, they should not be sent with their family for privacy during the dying process as there is still a chance to save their life.

Question 8

Considering the risk of biological threat infections, healthcare providers need to be alert to illness patterns that could indicate an unusual infectious disease process. Which of the following would indicate a possible biological infection?  Select all that apply.

Accepted Answer

- A) Patients presenting with symptoms of a rare disease could indicate an unusual or deliberately introduced biological agent.- B) An inconsistent disease pattern with the patient's age might suggest an atypical presentation, possibly due to a biological threat.- D) Multiple patients coming from the same geographic area could suggest a localized outbreak, which might be natural or due to a biological attack.

Question 9

A train full of railroad cars filled with toxic chemicals and a full school bus with 90 children on board collides in a populated area. A huge explosion occurs and a fire develops in a nearby factory. When you arrive on the scene, the victim count is well above 200. Utilizing the chart above, which plan of care should be implemented? 11ea992e_0a8c_181b_9f38_93eb37ece4f1

Accepted Answer

The situation described is a major disaster with a high victim count. Therefore, employing reverse triage would be the most appropriate plan of care. Reverse triage involves prioritizing the evacuation and treatment of least injured patients first in order to make room for more critically injured patients. This method ensures that the maximum number of patients can be treated effectively and quickly. Conventional triage would not be appropriate in this situation as there are too many victims, and evacuating all ambulatory patients first may lead to leaving behind critical patients who require immediate attention. Evacuating critically injured patients first may be necessary in some situations, but in this scenario, employing reverse triage would be the best approach.

Question 10

You are sent to the scene of a radioactive explosion and instructed to do in-depth triage of the patients. Place an "X" in the zone where you would expect to perform this task.

Accepted Answer

The answer of You are sent to the scene of...

Question 11

The CDC requires that a Mass Trauma Data Instrument be completed on each victim of a disaster. This data tool contains which of the following information? Select all that apply.  Select all that apply.

Accepted Answer

The answer of The CDC requires that a Mass Trauma...

Question 12

Utilizing the simple triage and rapid transport (START) system, in what order would the nurse prioritize the following patients?  Click and drag the options below to move them up or down.
A)A 67-year-old male complaining of chest pain.His heart rate is 120 beats/minute, his blood pressure is 100/68 mmHg, and his respiratory rate is 20 breaths/min.
B)A 27-year-old woman presenting with a respiratory rate of 36 breaths/min, and capillary refill of 4 seconds.
C)A 58-year-old woman able to walk on her own and states over and over, " I don't know what happened." 
D)A 30-year-old male with a collapsed airway and multiple chest trauma; he does not have a palpable carotid pulse and you are unable to assess respiratory movement.

Accepted Answer

The answer of Utilizing the simple triage and rapid transport...

Question 13

There is a radiologic dispersion bomb (dirty bomb) explosion in a nearby subway station. In what order would the nurse deliver patient care at the scene of the explosion?  Click and drag the options below to move them up or down.
A)Begin direct patient care for complaints of fatigue and nausea.
B)Decontaminate clothing of patients.
C)Assess patients for burns and blunt trauma.
D)Evacuate patients from the exposure area.

Accepted Answer

The answer of There is a radiologic dispersion bomb (dirty...

Quiz 7: Nursing Care of Patients Experiencing Disasters