Deck 8: Emergency Situations and All-Hazards Preparation

Question 1

Which of the following terms describes a life-threatening condition if not immediately treated?

A) heat cramps
B) heat exhaustion
C) heat stroke
D) heat wave

Answer 1

C

Question 2

Which natural disasters are classified numerically 1 through 5?

A) earthquakes
B) floods
C) hurricanes
D) tsunamis

Answer 2

C

Question 3

What process does the human body use to achieve natural hemostasis?

A) coagulation
B) compensation
C) transfusion
D) transmission

Answer 3

A

Question 4

The first-line drug used in the treatment of severe anaphylactic reaction is:

A) adenosine diphosphate
B) epinephrine
C) oxidized cellulose
D) thrombin

Question 5

Which of the following is an emergent pathological process that creates systemic hypercoagulation followed by hypocoagulability and internal hemorrhaging?

A) anaphylactic reactions
B) coronary heart disease
C) disseminated intravascular coagulation (DIC)
D) malignant hyperthermia

Question 6

What would be the primary role of the surgical technologist in an intraoperative cardiac arrest?

A) Break scrub and dial 911.
B) Break scrub and quickly pull an open-heart setup.
C) Perform chest compressions on the patient.
D) Protect the sterile field unless directed otherwise.

Question 7

Which member of the U.S.government makes a federal disaster declaration and mobilizes FEMA?

A) governor
B) president
C) secretary of state
D) surgeon general

Question 8

The treatment for DIC includes:

A) transfusion of fresh frozen plasma
B) cryoprecipitate
C) heparin
D) all of the above

Question 9

What is the clinical term for the lesions that appear on the skin of a patient experiencing an allergic reaction?

A) abrasions
B) carbuncles
C) plaque
D) urticaria

Question 10

What would the circulating RN assess by weighing soiled sponges after use in a surgical procedure on a neonate?

A) blood loss
B) contamination
C) irrigation totals
D) potential retained object

Question 11

Which type of natural disaster is the traveling of seismic waves outward from an epicenter and is measured by the Richter scale?

A) earthquake
B) hurricane
C) tornado
D) volcanic eruption

Question 12

In which type of disaster would hot, warm, and cold zone triage protocols be used?

A) airline crash
B) interstate highway pileup
C) nuclear plant meltdown
D) storm surge flooding

Question 13

DIC leads to the consumption of coagulation factors and

A) plasma
B) platelets
C) red cells
D) white cells

Question 14

Which type of man-made disaster would cause the most varied physical trauma requiring surgical treatment?

A) bioterrorist attack
B) chemical gas spill
C) factory explosion
D) nuclear plant leak

Question 15

Which term BEST describes the broad response plans in place applicable to any area of the country or any category of disaster?

A) all-hazards
B) emergency action plan
C) hot zoning
D) triage systems

Question 16

How long should a person performing disaster triage take to categorize patients for treatment?

A) 1 minute or less
B) 1-2 minutes
C) 2-5 minutes
D) 5-10 minutes

Question 17

The depth of compressions for adults should be:

A) 1 inch
B) 1 1/2 inches
C) 2 inches
D) 3 inches

Question 18

What does the letter D stand for in reference to the chain-of-survival concept in cardiopulmonary resuscitation?

A) death reduction
B) definitive treatment
C) depth of compression
D) destination planning

Question 19

The Delayed, Immediate, Minimal, and Expectant (DIME) categories are used in:

A) disaster triage
B) labor and delivery
C) surgical scheduling
D) weapons grading

Question 20

Exposure of the population to anthrax and smallpox would be a result of which of the following?

A) bioterrorism
B) a chemical release accident
C) infrastructure incidents
D) natural disasters

Question 21

All of the following are examples of man-made disasters EXCEPT: A) chemical or radiation release B) hurricane C) infrastructure incidents D) transportation accidents

Question 22

Which medical specialist is probably BEST suited to perform disaster triage?

A) surgeon
B) radiologist
C) ER physician
D) anesthesiologist

Question 23

Which biological disease poses to be one of the highest risks to nations: A) anthrax B) HIV C) hepatitis D) MRSA (methicillin-resistant Staphylococcus aureus)

Question 24

During an anaphylactic reaction, the surgical team must maintain the airway and provide supplemental oxygen or the patient may die of: A) respiratory failure B) heart attack C) hypovolemia D) stroke

Question 25

?The objectives of emergency care and trauma surgery are:

A) ?to preserve life
B) to prevent deterioration of patient condition
C) ?to provide necessary care to restore the patient to his/her previous lifestyle
D) ?all of the above

Question 26

Injuries associated with an exploded nuclear device include: A) blast injuries B) thermal/flash burns C) retinal injuries D) all of the above

Question 27

Health care workers can focus better on their job of patient care in disaster situations if they have done their own personal disaster planning in advance with their family members.

Question 28

Which of the following disaster response units would include surgical technologist volunteer members?

A) Disaster Medical Assistance Teams (DMAT)
B) Disaster Mortuary Operations Response Team (DMORT)
C) Incident Command System (ICS)
D) National Pharmacy Response Team (NPRT)

Question 29

The Federal Emergency Management Agency (FEMA) is a division of which governmental group?

A) Centers for Disease Control and Prevention
B) Food and Drug Administration
C) Department of Health and Human Services
D) Department of Homeland Security

Question 30

Which of the following is a mild form of shock, due to the increase in blood flow to the skin, thus causing a reduction of blood flow to vital organs A) heat cramps B) heat exhaustion C) heat stroke D) hyperthermia

Question 31

The 20101 AHA Guidelines for CPR stress activation of the ERS and follow: A) CAB (chest compressions, airway, breathing) B) ABC (airway, breathing, chest compressions) C) BCA (breathing, chest compressions, airway) D) none of the above

Question 32

All of the following are emergency response agencies EXCEPT:? A) NIMS B) LEMA C) ICS D) CDC

Question 33

DIME triage categories for the "walking wounded" are color coded:? A) green B) yellow C) red D) black

Question 34

The Joint Commission requires health care facilities to twice yearly practice their:

A) National Incident Management System (NIMS)
B) Emergency Action Plan (EAP)
C) Point of Distribution (POD)
D) Simple Triage and Rapid Treatment (START)

Question 35

All of the following are chemical agents EXCEPT: A) nerve B) mustard gas C) phosgene D) tularemia

Question 36

Clinical death begins? how many minutes after the cessation of heart action and breathing: A) 4-6 B) 2-4 C) 3-5 D) 1-3

Question 37

During triage of a chemical and nuclear disaster, victims are separated in order to contain the contamination.The warm zone? A) is 300 feet from the hot zone B) is 50 feet from the hot zone C) is 1000 feet form the hot zone D) is 500 feet from the hot zone

Question 38

Which of the following accounts for up to 90% of contamination and should be removed as soon as possible after exposure to a radiological disaster?

A) ash
B) clothing
C) dust
D) hair

Question 39

Which of the following substance is least likely to cause an anaphylactic reaction: A) certain antibiotics B) insulin C) contrast media D) benadryl

Question 40

The lead federal agency ?that coordinates treatment to victims and food and shelter during a nationally declared emergency is called: A) CDC B) NDMS C) FEMA D) EPA