Disaster Triage in-class Questions

How would you triage this: You first patient is 2-year-old who was thrown from the burning building He is unresponsive with a hematoma to the forehead RR 34 Radial pulse 120

red

How would you triage this: A 42 y/o fabricator with fracture of tib/fib with deformity RR 30 Radial pulse 120 He verbalizes a pain of 10/10

yellow

How would you triage this: A client with deformities to upper and lower extremities and responds to verbal commands

yellow

How would you triage this: A young school aged boy props himself up on the road RR 28 Good distal pulse Answer's question and commands Has obvious deformity of both lower legs

yellow

How would you triage this: An 8-year-old crying loudly with no movement in the lower extremities

yellow

How would you triage this: An adult kneels at the side of the road, shaking his head He says he's too dizzy to walk RR 20 CRT is 2 seconds Obeys commands

yellow

How would you triage this: This patient has bilateral femur fractures His respirations are 24 His capillary refill is less than 2 seconds He follows commands and knows his name and whereabouts

yellow

A nurse is working at the scene of a catastrophic natural event. Which person should the nurse provide care to first? 1. A distraught mother looking for her children 2. A person walking towards the nurse with a bleeding head wound 3. A supine person with pale, cool, clammy skin 4. A child with a deformed lower leg crying in pain

3

A nurse is working at the scene. of a catastropic natural event. Which person should the nurse provide care to first? 1. An 8-year-old crying loudly with no movement in the lower extremities 2. A confused client with a laceration to the forehead 3. A client with no visible injuries and talks in gasps 4. A client with a broken jaw that is unable to follow commands

4

The nurse would classify a client with a black tag during a disaster situation for which type of injury 1. Young adult with closed fracture of the right leg 2. Young adult with bruises and superficial lacerations 3. Older adult with massive head trauma and multiple open fracture 4. Middle-aged adult with third-degree burns over 20% of his body

3

A nurse is working at the scene of a catastrophic event. Which person should the nurse provide care to first? 1. An unresponsive client with a deformity to the C-spine 2. A client with black discoloration around nose and mouth with audible wheezing 3. A client with a puncture wound to the eye 4. A client with deformities to upper and lower extremities and responds to verbal commands

2

Four clients injured in an automobile accident enter the emergency department at the same time. The triage nurse evaluates them immediately. The nurse should assign the highest priority to the client with the: 1. lumbar spinal cord injury and lower extremity paralysis 2. Maxillofacial injury and gurgling respirations 3. Severe head injury and no blood pressure 4. Second-trimester pregnancy in premature labor

2

How would you triage this: A client with a puncture wound to the eye

Green

How would you triage this: A client with no visible injuries and talks in gasps

Green

How would you triage this: A school aged girl crawls out of the wreckage She's able to stand and walk towards you. crying Jacket and shirt torn No obvious injuries noted

Green

How would you triage this: Client with a first degree burn to the forearm

Green

How would you triage this: The patient has two non displaced fractures of both arms His respirations are 24 His capillary refill is less than 2 seconds He follows commands and knows his name and whereabouts

Green

How would you triage this: This patient has a partial right-hand amputation Bleeding is controlled with direct pressure and elevation of the arm His respirations are 24 His capillary refill is less than 2 seconds He follows commands and knows his name and whereabouts

Green

How would you triage this: A 50-year-old man sustained injury in a fire Respirations 28/min Can answer questions 2nd and 3rd degree burns over 80% of his body

black

How would you triage this: A toddler lies with his lower body trapped under a seat inside the bus Apneic Remains apneic with modified jaw thrust No pulse

black

How would you triage this: An unresponsive client with a deformity to C-spine

black

How would you triage this: The patient is lying quietly on the floor He is not breathing When you open his airway, he gurgles a couple of times but does not resume breathing on his own

black

How would you triage this: A 50 y/o welder with partial amputation of RLE at the ankle RR 28/minute No radial pulses are noted CRT > 4 seconds

red

How would you triage this: A 6 y/o was found in a back bedroom He is semiconscious RR are 10/min Pulses are present

red

How would you triage this: A client with a broken jaw that is unable to follow commands

red

How would you triage this: A client with black discoloration around nose and mouth with audible wheezing

red

How would you triage this: A confused client with a laceration to the forehead

red

How would you triage this: A sucking chest wound with RR 32

red

How would you triage this: A toddler lies among the wreckage RR 50 Palpable distal pulse Withdraws from painful stimulus

red

How would you triage this: The patient appears to have no injuries. Her respirations are 20 Her capillary refill is less than 2 seconds She is unconscious

red

How would you triage this: The patient has a blood-soaked shirt on His respirations are 36 His capillary refill is less than 2 seconds He is awake and oriented

red

How would you triage this: The patient has some minor abrasions on his forehead His respirations are 16 His capillary refill is less than 2 seconds He is very slow in recalling his name and whereabouts

red