Question 1

Which of the following represents a Level II disaster?&#10;A)A building collapse that fills the local emergency room with patients&#10;B)A freeway accident that involves multiple vehicles&#10;C)Flooding of a three-state area affecting food and water resources&#10;D)An earthquake that destroys homes and transportation facilities

Accepted Answer

Level II disasters require the community health nurse to respond in a greater capacity using larger casualty practices in coordination with regional response agencies (such as state health and emergency management agencies).Level I disasters are small-scale,local disasters that do not require an outside agency response.Level III disasters consume local,state,and federal resources to the fullest extent and will require an extended response time by the community health nurse that can extend into weeks or months.

Question 2

Which unit's responsibilities include triage of victims at a disaster site,medical care at the site,and staging locations outside the disaster site for transportation of patients to alternative health care facilities?

A)Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
B)Medical Reserve Corps (MRC)
C)Disaster Medical Assistance Teams (DMAT)
D)NIMS National Incident Management System (NIMS)

Accepted Answer

DMAT units are composed of teams of various clinical health specialties that include,but may not be limited to,communications,logistics,maintenance,and security.These teams are locally based but can be deployed federally on request.ESAR-VHP is a registry of health professionals that can be accessed and executed to recruit medical and clinical professionals (e.g.,retired,nonlicensed)during an emergency response.START is a form of triage care used during a mass casualty event.MRC is a registry of medical reserve corps persons who can be recruited for overall assistance with a health or hospital facility during an emergency response.NIMS is the national framework developed by the Department of Homeland Security and FEMA to standardize emergency response from a local through federal level.

Question 3

Which statement by the nurse indicates the understanding of the biological agents that can be disseminated by airborne release?&#10;A)&#34;Anthrax and plague can be disseminated 50% of the time.&#34;&#10;B)&#34;Botulism and anthrax can be disseminated by aerosolization.&#34;&#10;C)&#34;Plague and smallpox are airborne illnesses that can be disseminated.&#34;&#10;D)&#34;Botulism and smallpox can be disseminated 100% of the time.&#34;

Accepted Answer

Both anthrax and botulism can be aerosolized and inhaled and disseminated by airborne release.Plague and smallpox are spread person to person.

Question 4

The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)&#10;A)Car accident&#10;B)Train derailment&#10;C)Hurricane&#10;D)Tsunami&#10;E)House fire&#10;F)Tornado

Accepted Answer

Hurricanes and tsunamis are large-scale disasters that consume local,state,and federal resources to the fullest extent and will require an extended response time by the community health nurse that can extend into weeks or months.Car accidents and house fires are Level I disasters,which are small-scale,local disasters that do not require an outside agency response.Train derailments and tornadoes are Level II disasters,which require the nurse to respond in a greater capacity using larger casualty practices in coordination with regional response agencies (e.g.,state health and emergency management agencies).

Question 5

An emergency department nurse should suspect a possible bioterrorist agent if,during the Fourth of July weekend,the nurse notices which of the following?&#10;A)Three patients arrive complaining of abrupt onset of severe myalgia,fever,sore throat,and headache.&#10;B)Four patients,all from the same family picnic,arrive complaining of abdominal pain and nausea,vomiting,and diarrhea.&#10;C)Two patients arrive from the local lake complaining of tiredness,weakness,dizziness,muscle cramps,and headache.&#10;D)Two patients arrive from a local concert with superficial burns on the faces,necks,arms,and legs and complaining of pain in these areas.They are tachycardic and appear dehydrated.

Accepted Answer

Symptoms of influenza in July are not a normal occurrence and should be investigated further.Bioterrorist agents are usually not endemic to an area (patients coming from the same location [e.g.,local lake or local concert]).Having GI symptoms after a picnic more than likely is a foodborne pathogen.

Question 6

A nurse manager is educating a new hire on the form of standardized structure used in the hospital during an emergency.The teaching has been effective when the new hire states&#10;A)&#34;the Emergency System for the Advance Registration of Volunteer Health Professionals (ESAR-VHP)is implemented to coordinate and standardize command and operations.&#34;&#10;B)&#34;the START system of triage is implemented to coordinate and standardize command and operations.&#34;&#10;C)&#34;the Hospital Incident Command System (HICS)is implemented to coordinate and standardize command and operations.&#34;&#10;D)&#34;Initiation of the Medical Reserve Corps (MRC)is implemented to coordinate and standardize command and operations.&#34;

Accepted Answer

The Hospital Incident Command System (HICS)is a standardized command structure that allows for coordination and collaboration across jurisdictions and professions within a hospital facility during an emergency response.ESAR-VHP is a registry of health professionals that can be accessed and executed to recruit medical and clinical professionals (e.g.,retired,nonlicensed)during an emergency response.START is a form of triage care used during a mass casualty event.MRC is a registry of medical reserve corps persons who can be recruited for overall assistance with a health or hospital facility during an emergency response.

Question 7

The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting.The charge nurse judges the education to be effective when the nurse states&#10;A)&#34;Surveillance is primarily the responsibility of the safety officer.&#34;&#10;B)&#34;Surveillance is primarily the responsibility of the risk manager.&#34;&#10;C)&#34;Surveillance is primarily the responsibility of the infection control nurse.&#34;&#10;D)&#34;Surveillance is primarily the responsibility of the hospital radiation safety officer.&#34;

Accepted Answer

In the hospital,the infection control nurse is responsible for both passive and active hospital surveillance monitoring.Epidemiologists are involved in the community.The safety officer,risk manager,and hospital radiation safety officers do not have primary responsibility for surveillance of disease outbreak.

Question 8

The nurse has an adequate understanding of smallpox when the nurse states which of the following?&#10;A)&#34;Smallpox does not exist because of vaccines.&#34;&#10;B)&#34;Smallpox can easily be spread from person to person.&#34;&#10;C)&#34;Smallpox must be ingested for a person to become sick.&#34;&#10;D)&#34;Smallpox is resistant to vaccines.&#34;

Accepted Answer

The nurse has an adequate understanding when the nurse states that smallpox can easily be spread from person to person.Smallpox does still exist,does not need to be ingested for a person to become sick,and is not resistant to vaccines.

Question 9

A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states&#10;A)&#34;Sarin gas is a chemical agent that is classified as a nerve agent.&#34;&#10;B)&#34;Mustard gas is a chemical agent that is classified as a nerve agent.&#34;&#10;C)&#34;Ricin is a chemical agent that is classified as a nerve agent.&#34;&#10;D)&#34;Chlorine gas is a chemical agent that is classified as a nerve agent.&#34;

Accepted Answer

Sarin gas is an organophosphate ester classified under nerve agents.The nerve agents inhibit the uptake of acetylcholine.Mustard gas is classified as a vesicating (skin)agent.Ricin is a biological agent.Chlorine gas is classified as a choking agent.

Question 10

Which statement by the nurse indicates the most important goal in the management of a severe disaster?&#10;A)&#34;Rescue the victims.&#34;&#10;B)&#34;Plan to prevent such disasters.&#34;&#10;C)&#34;Give immediate first aid and medical care to the victims.&#34;&#10;D)&#34;Evacuate the injured to medical facilities.&#34;

Accepted Answer

Although all of the options are important,the most important aspect of any disaster management is to have a plan of prevention in place.Disaster prevention can eliminate or reduce tremendous pain,suffering,and loss of life that could occur.Having a plan in place sets the procedures for rescuing victims,evacuating facilities,and administering first aid and medical care.

Question 11

A nurse is one of the first responders on the scene of a disaster.What is the initial priority?&#10;A)Triage the patients.&#10;B)Delegate care to additional personnel as they arrive.&#10;C)Task assignment.&#10;D)Prioritize care.

Accepted Answer

The answer of A nurse is one of the first...

Question 12

A nurse is caring for a group of sick patients.Which patient would the nurse be least likely to use isolation precautions with?&#10;A)Tuberculosis (TB)&#10;B)Plague&#10;C)Botulism&#10;D)Smallpox

Accepted Answer

The answer of A nurse is caring for a group...

Question 13

A nurse manager is educating a group of nurses on biological agents that do not have a chemoprophylaxis therapy and only allows for the nurse to provide supportive care.The manager judges the teaching to be effective when the nurses can state

A)"Anthrax is one of these biological agents."
B)"The plague is one of these biological agents."
C)"Smallpox is one of these biological agents."
D)"Botulism is one of these biological agents."

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Accepted Answer

The answer of A nurse manager is educating a group...

Question 14

A patient is tagged as &#34;Minor&#34; during a mass casualty event.An example of a &#34;Minor&#34; triage is a patient with&#10;A)a strained right shoulder.&#10;B)a large laceration to the right leg.&#10;C)an obstructed airway.&#10;D)who is unconscious.

Accepted Answer

The answer of A patient is tagged as &#34;Minor&#34; during...

Question 15

An infection control nurse is educating a nurse about potential bioterrorism agents.The nurse knows the teaching has been effective when the nurse states&#10;A)&#34;Smallpox has three routes of exposure to humans.&#34;&#10;B)&#34;Anthrax has three routes of exposure to humans.&#34;&#10;C)&#34;Botulism is caused by a bacterium found only in animals.&#34;&#10;D)&#34;Tularemia is transmitted via ingestion of toxin-contaminated food.&#34;

Accepted Answer

The answer of An infection control nurse is educating a...

Question 16

The nurse has an adequate understanding of phosgene gas when stating which of the following?&#10;A)&#34;Phosgene gas smells like bleach.&#34;&#10;B)&#34;Phosgene gas smells like fresh cut grass.&#34;&#10;C)&#34;Phosgene gas smells like almonds.&#34;&#10;D)&#34;Phosgene gas smells like rotting fruit.&#34;

Accepted Answer

The answer of The nurse has an adequate understanding of...

Question 17

In understanding terrorist threats as they relate to public health and medical preparedness,the nurse knows that the current acronym that categorizes the scope of threats is&#10;A)BOMB.&#10;B)THREAT.&#10;C)CBRNE.&#10;D)ESAR-VHP.

Accepted Answer

The answer of In understanding terrorist threats as they relate...

Question 18

A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers.The teaching has been effective when one of the nurse managers states which of the following?

A)"The recovery stage deals with operations that occur after the disaster."
B)"The recovery stage deals with operations during a disaster."
C)"The recovery stage deals with operations before a disaster."
D)"The recovery stage involves the process of dealing with disasters."

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Accepted Answer

The answer of A public health nurse is giving a...

Question 19

Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?&#10;A)Expectant&#10;B)Delayed&#10;C)Minor&#10;D)Immediate

Accepted Answer

The answer of Second- or third-degree burns that cover more...

Question 20

Which federal program provides a &#34;push-pack&#34; that,when requested,can be transported within 12 hours to an affected community and consists of medical assets such as medications,medical equipment and supplies,and personal protective equipment?&#10;A)Strategic National Stockpile (SNS)&#10;B)CHEMPACK federal program designed to supplement the medical response.&#10;C)Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)&#10;D)National Incident Management System (NIMS)

Accepted Answer

The answer of Which federal program provides a &#34;push-pack&#34; that,when...

Question 21

A nurse manager is educating a staff nurse on the four top agents for potential bioterrorism.The nurse manager judges that the teaching has been effective when the staff nurse states that the top agents include (Select all that apply.)

A)smallpox.
B)anthrax.
C)flu virus.
D)botulism.
E)plague.

Accepted Answer

The answer of A nurse manager is educating a staff...

Question 22

A nurse is caring for patients after a major disaster has occurred.What is the best action in caring for these patients? (Select all that apply.)&#10;A)Avoid discussing the disaster that has occurred.&#10;B)Encourage patients to talk about their experience.&#10;C)Empathize with patients and their emotions and experiences.&#10;D)Ask patients not to discuss the disaster until they are under the care of a psychologist.&#10;E)Reinforce their emotions and reactions as normal.

Accepted Answer

The answer of A nurse is caring for patients after...

Question 23

A nurse is receiving education on disaster levels.The teaching has been sufficient when the nurse states that a Level III disaster includes (Select all that apply.)&#10;A)earthquakes.&#10;B)house fires.&#10;C)tsunamis.&#10;D)train derailment.&#10;E)hurricanes.

Accepted Answer

The answer of A nurse is receiving education on disaster...

Question 24

A public health nurse is discussing disaster planning with family.What suggestions can be made to help them be prepared? (Select all that apply.)&#10;A)Discuss probable disasters in the area.&#10;B)Create a family disaster preparedness kit.&#10;C)Establish family emergency communication.&#10;D)Only prepare if there is a imminent threat of a disaster in the area.&#10;E)Create an evacuation plan.

Accepted Answer

The answer of A public health nurse is discussing disaster...

Question 25

A patient has been exposed to chlorine gas.What symptoms can the nurse expect the patient to have? (Select all that apply.)&#10;A)Nose and throat irritation&#10;B)Eye redness&#10;C)Ear pain&#10;D)Cough&#10;E)Suffocation

Accepted Answer

The answer of A patient has been exposed to chlorine...

Deck 26: Emergency Preparedness