Question 1

Which is the critical factor among health-care professionals,state agencies,and federal agencies to determine when and how to evacuate safely during a natural disaster?&#10;A) Cooperation&#10;B) Classification&#10;C) Collaboration&#10;D) Communication&#10;

Accepted Answer

Communication is the critical factor among health-care professionals, state agencies, and federal agencies to determine when and how to evacuate safely during a natural disaster. Effective communication can ensure that all parties involved are on the same page and can make informed decisions based on the most up-to-date information. It is important to communicate clearly and effectively to ensure the safety of all involved.

Question 2

A nurse manager is a member of the emergency response planning team for a hospital located in the Rocky Mountains.Which type of natural disaster will the nurse manager recommend be included in their hospital disaster plan?

A) Tornado
B) Hurricane
C) Avalanche
D) Earthquake

Avalanche

Accepted Answer

As the hospital is located in the Rocky Mountains, the nurse manager should recommend including the risk of avalanches in their disaster plan. Tornadoes and hurricanes are not common in mountain regions, while earthquakes may be a risk, but not as specific to the location as avalanches.

Question 3

Which treatment for anthrax should be included in the biological agent portion of a disaster plan for terrorist attacks?&#10;A) Antivirals&#10;B) Antitoxins&#10;C) Antibiotics&#10;D) Vaccinations&#10;

Accepted Answer

Antibiotics are the treatment of choice for anthrax, as they can effectively kill the bacteria causing the infection. Antivirals would not be effective, as anthrax is caused by bacteria not viruses. Antitoxins can be used in conjunction with antibiotics to neutralize the toxin produced by the bacteria, but antibiotics are still necessary to kill the bacteria. Vaccinations can be used as a preventative measure, but are not sufficient as a treatment once someone has already been infected.

Question 4

Which is the priority in the preparedness of health-care professionals in any type of disaster plan?&#10;A) Identification of hazards&#10;B) Cooperation with state authorities&#10;C) Collaboration with local authorities&#10;D) Implementation of federal mandates&#10;

Accepted Answer

Identification of hazards should always be the top priority when preparing for any type of disaster plan in order to assess the potential impact on public health and safety. Cooperation with state and local authorities and implementation of federal mandates are also important, but secondary to understanding the potential hazards involved.

Question 5

The nurse is a member of the critical incident stress management unit that looks to meet the psychosocial needs of first responders after a mass casualty incident.Which action by the nurse is appropriate when conducting a session?

A) Arranging group discussion
B) Administering anti-anxiety medication
C) Scheduling individual therapy appointments
D) Documenting individual responses to the session

Accepted Answer

Arranging group discussion is appropriate as it allows first responders to share experiences and emotions, providing mutual support and helping to process the incident collectively.

Question 6

Which type of event can often be handled by an individual hospital disaster plan without collaboration with other systems?&#10;A) A motor vehicle accident involving five cars&#10;B) A tornado destroying 50 homes and businesses&#10;C) An act of terrorism injuring and kills hundreds of people&#10;D) A hurricane causing flooding,displacing thousands of people&#10;

Accepted Answer

A motor vehicle accident involving five cars can often be handled by an individual hospital disaster plan without collaboration with other systems since it is a localized event that would not require widespread coordination among multiple agencies or resources. The hospital's emergency staff can handle the immediate needs of the patients and coordinate with local EMS providers for transport to the hospital. However, the other options are more complex events that would require collaboration with other systems to effectively respond and manage the situation.

Question 7

Which medication should be listed as the antidote to a nerve agent in the disaster plan for a terrorist attack?&#10;A) Atropine&#10;B) Dopamine&#10;C) Epinephrine&#10;D) Norepinephrine&#10;

Accepted Answer

Atropine is the medication listed as the antidote for nerve agents in the disaster plan for a terrorist attack. It works by blocking the effects of acetylcholine, which is the chemical that nerves use to communicate with muscles and other nerves. Nerve agents like VX and sarin can cause excessive acetylcholine to build up in the body, leading to symptoms like muscle twitching, convulsions, and respiratory failure. Atropine counteracts these effects by blocking the receptors that acetylcholine binds to, allowing the body to break down and eliminate the excess chemical. Dopamine, epinephrine, and norepinephrine are not used as antidotes for nerve agents.

Question 8

Which situation does not cover nurses who respond to a mass casualty incident (MCI)for malpractice or negligent lawsuits under the Good Samaritan Act?&#10;A) Terrorist act&#10;B) Neighborhood fire&#10;C) Roadside car accident&#10;D) High school sporting event&#10;

Accepted Answer

The answer of Which situation does not cover nurses who...

Question 9

A workplace violence prevention plan is often one component of a hospital disaster plan.Which unit assumes priority for implementation and evaluation of this component to the plan?&#10;A) Medical unit&#10;B) Surgical unit&#10;C) Radiology department&#10;D) Emergency department&#10;

Accepted Answer

The emergency department assumes priority for implementation and evaluation of the workplace violence prevention plan as they are the first point of contact for any violent incidents that may occur within the hospital.

Question 10

Which health-care team member is a first responder when an emergency or mass casualty incident (MCI)occurs?&#10;A) Fireman&#10;B) Police officer&#10;C) Critical care nurse&#10;D) Unlicensed assistive personnel&#10;

Accepted Answer

Critical care nurses are trained to respond to emergencies and mass casualty incidents, providing immediate medical care and triage.

Question 11

Which emergency medical system (EMS)first responders can perform triage during mass casualty incidents?&#10;A) Unlicensed assistive personnel&#10;B) Nurses appointed to a field team&#10;C) A physician who survives the incident&#10;D) Community response team members&#10;

Accepted Answer

The answer of Which emergency medical system (EMS)first responders can...

Question 12

The nurse is a first responder for a health-care organization for a mass casualty incident.Which injury would the nurse tag as yellow during the triage process?&#10;A) Ankle sprain&#10;B) Hypovolemic shock&#10;C) Open femur fracture&#10;D) Massive head trauma&#10;

Accepted Answer

The answer of The nurse is a first responder for...

Question 13

The nurse is conducting triage under mass casualty conditions.Which tag should the nurse use for a patient who is experiencing hypovolemic shock due to a penetrating wound?&#10;A) Red&#10;B) Black&#10;C) Green&#10;D) Yellow&#10;

Accepted Answer

The answer of The nurse is conducting triage under mass...

Question 14

Which amount of time is appropriate for nurse to spend triaging each patient during a mass casualty incident?&#10;A) Less than 10 seconds&#10;B) Less than 15 seconds&#10;C) Less than 30 seconds&#10;D) Less than 60 seconds&#10;

Accepted Answer

The answer of Which amount of time is appropriate for...

Question 15

The nurse administrator for a long-term care facility is implementing a disaster response plan for staff and residents.Which staff member statements indicate correct understanding of the plan?&#10;A) &#34;We have to implement annual drills.&#34;&#10;B) &#34;Nursing homes are not required to have a plan.&#34;&#10;C) &#34;Our facility is held to the same standards as hospital facilities.&#34;&#10;D) &#34;This is an important component to receive insurance payments for care.&#34;&#10;

Accepted Answer

The answer of The nurse administrator for a long-term care...

Question 16

Which public health risk became a major focus for hospitals after the September 11,2001 terrorist attacks?&#10;A) Anthrax exposure&#10;B) Multi-casualty incidents&#10;C) Mass casualty incidents (MCI)&#10;D) Weapons of mass destruction (WMD)&#10;

Accepted Answer

The answer of Which public health risk became a major...

Question 17

The nurse is helping devise a training plan to familiarize health-care providers with emergency response procedures.Which training measure is most effective to adequately prepare the trainees?&#10;A) Drills&#10;B) Tabletop exercises&#10;C) Access to the policy&#10;D) Computer simulations&#10;

Accepted Answer

The answer of The nurse is helping devise a training...

Question 18

Which is the priority nursing action to include in a disaster plan for the radioactive dust and smoke that can cause illness from a radiologic dispersal device (RDD)?&#10;A) Covering the nose&#10;B) Protecting the eyes&#10;C) Decontaminating the skin&#10;D) Administering prophylactic antibiotics&#10;

Accepted Answer

The answer of Which is the priority nursing action to...

Question 19

Which organization in the United States mandates ongoing disaster preparedness for hospitals?&#10;A) The Joint Commission (TJC)&#10;B) The local government&#10;C) The state government&#10;D) The Occupational Safety and Health Administration (OSHA)&#10;

Accepted Answer

The answer of Which organization in the United States mandates...

Question 20

The nurse manager is reviewing the hospital disaster plan with other members of the committee.Which is the minimum number of disaster drills the committee must plan and implement each year?&#10;A) Two&#10;B) Three&#10;C) Four&#10;D) Five&#10;

Accepted Answer

The answer of The nurse manager is reviewing the hospital...

Question 21

A green-tagged patient arrives at the emergency department after a mass casualty incident (MCI)involving radiation.Which is the priority nursing action for this patient?&#10;A) Implementing decontamination measures&#10;B) Performing a head-to-toe physical examination&#10;C) Placing a special bracelet with a disaster number&#10;D) Taking a digital photo and placing it on the medical record&#10;

Accepted Answer

The answer of A green-tagged patient arrives at the emergency...

Question 22

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)?&#10;A) Local emergency management system&#10;B) State emergency management system&#10;C) Federal emergency management agency&#10;D) Hospital-level emergency management system&#10;

Accepted Answer

The answer of Which entity is responsible for activating the...

Question 23

Which patient injury would receive a black tag by the triage nurse during a mass casualty incident?&#10;A) Concussion&#10;B) Ankle sprain&#10;C) Open femur fracture&#10;D) Full-thickness body burns&#10;

Accepted Answer

The answer of Which patient injury would receive a black...

Deck 71: Mass Casualty and Disaster Preparedness