Question 1

The nurse is assessing victims of a building collapse. Ambulances are nearby and there is a shelter set up with carts, chairs, tables, and refreshments for the victims. The nurse is most likely working within which decontamination zone?

Accepted Answer

The cold zone is where victims who have been decontaminated or were not contaminated gather for further care, support, and transportation. The presence of ambulances, shelters, and refreshments indicates that this is a safe area away from the immediate danger or contamination, characteristic of the cold zone.

Question 2

A group of workers arrives at the hospital after being exposed to chemicals during an industrial accident. The nurse would prepare to supervise decontamination in which zone?

Accepted Answer

The warm zone is where decontamination occurs, separating the contaminated area (hot zone) from the safe area (cold zone).

Question 3

Facilitators of a critical incident stress debriefing are instructing the nurses on ways to cope with the stress created by providing disaster care. The nurses are participating in which phase of the debriefing session?

Accepted Answer

The facilitators are teaching the nurses coping mechanisms for the stress of providing disaster care, indicating that the nurses are in the teaching phase of the critical incident stress debriefing.

Question 4

A patient has been prescribed 400 mg ciprofloxacin IV for anthrax prophylaxis. The pharmacy has sent a 1 gram vial of ciprofloxacin to the nursing unit to be diluted with 10 mL of sodium chloride. The nurse should administer ____ mL.

Accepted Answer

The answer of A patient has been prescribed 400 mg...

Question 5

Because of high demand during a disaster, the pharmacy has run out of normal saline intravenous solutions and the blood bank is down to 10 units of type O+ blood. The directors of these services would contact which section of the hospital incident command system HICS) to obtain these supplies?

Accepted Answer

The section responsible for obtaining and allocating resources, including supplies, is the Logistics section. They would work to obtain the necessary normal saline and blood for patients in need. Finance would handle cost considerations, Planning would address long-term strategies, and Operations would primarily focus on coordinating patient care.

Question 6

A mass casualty accident has occurred. The first patient the nurse receives has a color code of red. What is the nurse's disposition of this patient?

Accepted Answer

A color code of red indicates that the patient has life-threatening injuries and requires immediate interventions to stabilize their condition. The nurse should prioritize this patient's care and provide urgent medical attention to save their life. The other options are not appropriate as sending the patient home or delaying evaluation could worsen their condition, and allowing the patient to die is not an ethical or appropriate course of action.

Question 7

A patient is brought into the emergency department after an acute exposure to radiation from the local atomic power plant. The patient has skin burns on the face, arms, and neck. The nurse implements which priority intervention?

Accepted Answer

The priority intervention in this scenario is to determine the amount of radiologic exposure as it will guide the treatment plan. The other options may be necessary based on the patient's condition, but they are not the priority at this time.

Question 8

A patient tells the nurse that he thought that he would feel better because it has been a few days since his radiation exposure, but he still feels weak and tired. What is the nurse's best response to this patient?

Accepted Answer

It is common for patients to experience fatigue after radiation therapy, and this fatigue can persist for weeks to months after treatment. It is important for the nurse to acknowledge the patient's experience and reassure them that their symptoms are not uncommon. Encouraging rest and relaxation may be more helpful than pushing the patient to increase their activity levels. Option A is not recommended as increasing activity may exacerbate the patient's symptoms, and option B is irrelevant and may cause unnecessary anxiety for the patient. Option C is not necessarily true and may not be helpful for the patient's symptoms.

Question 9

During a natural disaster, the Strategic National Stockpile was deployed and supplies were used to treat patients. Now that the initial medical and nursing response is over, who is responsible for retrieving the remnants of the 12-hour push packs?

Accepted Answer

The answer of During a natural disaster, the Strategic National...

Question 10

The emergency department has been notified of a possible Category A biologic exposure in a rural community. When preparing staff for these patients, the nurse manager explains care for victims of which agents? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

All of these agents are Category A biologic exposures according to the Centers for Disease Control and Prevention, meaning they are easily spread, have high mortality rates, and have the potential for public health impact. Salmonella is not a Category A agent.

Question 11

The nurse who is a member of a Disaster Medical Assistance Team DMAT) has the remains of several victims of a disaster to be identified and collected. Which group should the nurse contact for this service?

Accepted Answer

Disaster Mortuary Operations Response Teams (DMORT) are responsible for providing assistance to local authorities in the identification and processing of human remains during a disaster. They can assist with the collection, transport, and identification of victims in a timely and respectful manner. The Department of Health and Human Services (HHS), Centers for Disease Control (CDC), and Office of Environmental Protection (EPA) do not have specific roles in the collection and identification of remains during a disaster.

Question 12

After an anthrax exposure, the health care provider orders doxycycline 100 mg PO. The label on the bottle of doxycycline oral powder states to reconstitute with sterile water to prepare a concentration of 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 health care...

Question 13

A patient is brought into the emergency department after being exposed to over 1,000 rads of radiation. Which intervention will take priority in the care of this patient?

Accepted Answer

The answer of A patient is brought into the emergency...

Question 14

A group of nurses are attending a meeting to discuss the outcomes and results of care provided to victims of a recent building collapse. The nurses are participating in which phase of the disaster planning process?

Accepted Answer

Recovery phase involves assessing outcomes and results of care provided after a disaster, including meetings to discuss and evaluate the effectiveness of the response and plan for future improvements.

Question 15

The nurse is admitting the fourth patient in 2 days who is experiencing malaise, high fever, and headache. All patients attended a local air show the previous weekend. Which nursing action is necessary?

Accepted Answer

The symptoms described in the patients are consistent with a potential infectious disease outbreak. It is essential to inform public health authorities to ensure prompt measures are taken to prevent further spread of the illness. Choosing B would be inappropriate because placing patients with similar symptoms in the same room could increase the risk of transmission. C is also not the best option because it does not address the urgency of the potential outbreak. D is irrelevant as symptoms are not related to food consumption but rather attending the same event.

Question 16

Law enforcement authorities have notified the emergency department that several people who have been exposed to nerve gas will be arriving. The nurse manager alerts the department nursing staff to expect patients with which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Law enforcement authorities have notified the emergency...

Question 17

The hospital incident command system HICS) has been activated following a multivehicle accident. Nurses are moving ambulatory patients to one section of the emergency department. These patients will be assigned which START triage category?

Accepted Answer

Ambulatory patients are those who are able to walk and do not require immediate medical attention. These patients would be assigned a Green START triage category, which indicates that they have minor injuries and can wait for medical attention.

Question 18

The nurse is interested in learning how to become a disaster relief nurse. What should the nurse consider prior to joining the Disaster Medical Assistance Team DMAT) program?

Accepted Answer

The answer of The nurse is interested in learning how...

Question 19

The nurse is planning to attend a program to learn how to respond to mass casualty incidents. The nurse anticipates this program will address which core competencies of emergency and disaster preparedness for nurses? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The program to learn how to respond to mass casualty incidents is likely to address several core competencies of emergency and disaster preparedness for nurses. These may include creative problem-solving skills, emergency communication skills, understanding of personal limitations, and identification of emergency situations. Adherence to standard protocols and policies may also be important, but it is not specifically mentioned in the question stem. Therefore, the best answer is A, C, D, E.

Question 20

The hospital has activated its incident command system HICS) and is currently triaging patients and determining the extent of injuries and casualties. The nurse would refer calls from the media to which person?

Accepted Answer

The public information officer is responsible for communicating with the media during an incident, and would be the appropriate person for the nurse to refer calls from the media to. The safety and security officer may be involved in managing the incident, but would not necessarily be responsible for communicating with the media. The liaison officer may facilitate communication between different agencies involved in the incident, but would not necessarily be responsible for communicating with the media. The incident commander is responsible for overall management of the incident, but may delegate media communication duties to the public information officer.

Quiz 65: Disaster Nursing