Disaster Planning
The registered nurse is teaching a student nurse about the disaster triage tag system. Which statement made by the student nurse indicates ineffective learning?
"I will use a yellow tag for clients with shock."
The registered nurse is teaching a nursing student about the duties of various health care professionals during disaster management. Which statement by the nursing student indicates a need for further teaching? Select all that apply.
"The medical command physician assumes overall leadership for all activities of disaster management." "The public relations officer should be able to draw the media's attention to the clinical areas for better media coverage."
A nursing student compares the pathophysiology of submersion injury in victims of freshwater drowning and victims of saltwater drowning. Which statement made by the nursing student indicates effective learning?
"The osmotic gradient caused by the aspirated fluid causes fluid imbalances in case of submersion in both types of water."
During a disaster response, the emergency department (ED) charge nurse is performing functions according to the healthcare facility emergency preparedness and response plan. Which interventions performed by the ED charge nurse are most appropriate? Select all that apply.
Assign a communications nurse to work with the media personnel Assign acritical care unit nurse to transfer the clients out to expand the capacity Inform the medical command physician about the need for providers with specialty training
A team is sent to care for earthquake victims. Which basic professional certification is most desirable in the nurse to become the member of this team?
Certification in Emergency Care
Which statement by the nurse is true regarding the disaster triage tag system?
Class II clients are marked with a yellow tag.
After examining victims of a mass shooting in an emergency department, the nurse believes that some clients will remain in a stable condition even after delaying treatment for 3 hours. What leads the nurse to this conclusion?
Clients are issued green disaster triage tags
While caring for clients who survived an earthquake, the nurse finds the need to free up inpatient beds for disaster victims. Which clients does the nurse plan to discharge? Select all that apply.
Clients who can be treated in long-term care Clients who can be cared for in rehabilitation Clients who had no critical change in condition for the past 3 days
Which statement is true about the disaster triage tag system?
Clients with airway obstruction, who require immediate attention, are given a red tag.
What steps would the nurse explain are to be followed for preventing post-traumatic stress disorder (PTSD) in hospital staff during a mass casualty event? Select all that apply.
Drinking plenty of water Encouraging co-workers Monitoring each other's stress levels
A client critically injured in a bomb blast is admitted to an emergency unit. Which order should the nurse follow to perform initial assessment to manage immediate threats in the client?
Establishing a patent airway by positioning, suctioning, and oxygen as needed Assessing breathing sounds and respiratory effort Monitoring vital signs Evaluating the client's level of consciousness using the GCS Removing all clothing for a complete physical assessment
The emergency room nurse is training to be a member of a direct response team to respond to community emergencies. Which new triage level would this nurse be required to learn?
Expectant
Who should the nurse contact to receive training as a Community Emergency Response Team (CERT) member?
Federal Emergency Management Agency (FEMA)
A staff nurse is called into work because the organization is experiencing an internal disaster. What should the nurse expect when she/he arrives at work?
Fire in the information technology department
Which client injury would receive a black tag by the triage nurse during a mass casualty incident?
Full-thickness body burns 80% total body surface area (TBSA)
What would be the priority to maintain the hospital environment when a large number of clients walk into the emergency room asking to be treated for minor injuries sustained from the detonation of a car bomb?
Initiate a decontamination process
Which functional level of trauma center is involved in providing a full continuum of trauma services?
Level I
The fire alarm is sounding in a skilled nursing facility and smoke is pouring from the kitchen. What should the nurse do to ensure the safety of the clients, staff, and family members? Select all that apply.
Move bedridden clients via stretcher Turn off all sources of supplemental oxygen Provide manual respiratory support to critically ill clients Close all windows and doors and use an ABC fire extinguisher
Which nurses should be reassigned to assist with acute care of trauma victims coming through the emergency department? Select all that apply.
Nurse who works in intensive care Nurse who works in the post-anesthesia care unit
An accredited healthcare organization takes an "all-hazards approach" to disaster planning. Which activities performed in this approach does the nurse consider to be related to the preparedness phase of risk management?
Planning the disaster drills for healthcare agencies
A disaster management team is planning a protocol for survivors of a winter storm who present with frostbite. How would the nurse order the interventions in the protocol?
Remove the victim from the cold environment. Immerse the feet in warm water. Give pain medication. Apply sterile and loose dressings.
Which nurse could be safely reassigned to assist in the operating room for emergency surgeries being performed on trauma victims?
Surgical suite staff development trainer
The head nurse of the emergency department (ED) is assigning duties to volunteer nurses to care for a group of clients injured in a mass casualty situation. Which assignments are appropriate in this situation? Select all that apply.
The trauma nurse manager should organize ancillary services. The medical-surgical nurse should recommend clients for discharge. The ED nurse leader should direct the ancillary departments to deliver supplies.
What will influence the amount of stress community members might experience after flooding and building damage caused by a Category 4 hurricane? Select all that apply.
Type of disaster Age of the community members Previous medical and psychologic histories Preexisting mechanisms to cope with disasters
A group of 100 bomb blast victims were admitted to the hospital within an hour of the event. How should the hospital management use this information?
Prepare staff to treat 100 more clients.
Several emergency preparedness agencies are developing emergency response plans in case of an earthquake alert. In which phase of the disaster management continuum would the nurse state this activity is included?
Preparedness
The nurse is assessing clients who have sustained submersion injuries. Which are most likely to be the nurse's assessment findings? Select all that apply.
Ronchi Cough with pink-frothy sputum
The hospital administrator receives a text message from the city emergency management team that an 80-car pileup on the interstate has occurred because of icy road conditions and over 125 victims are being transported to the facility. How should this information be shared with all hospital staff? Select all that apply.
Group paging Telephone trees Instant computer alert messages
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?
Avalanche
What should the nurse place in temporary shelters without running water that were created for disaster victims to use for toileting?
Hand sanitizer
Which personnel should the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster?
Medical command physician
The nurse is assessing the victims of a disaster brought in to the emergency department for signs of hypothermia. Which statements made by the nurse indicate accurate awareness about the conditions associated with hypothermia? Select all that apply.
"Hypothermia can often be misdiagnosed as it mimics other disorders." "Near drowning increases evaporative heat loss to 25 times greater than normal."
The emergency department nurse is teaching a group of student nurses about maintaining hygiene after a community disaster. Which statement of the student nurse indicates effective learning?
"I should encourage digging a pit to serve as an improvised toilet in an austere environment."
The registered nurse is teaching a group of student nurses about preventing post-traumatic stress disorder (PTSD) during a mass casualty event. Which statement made by the student nurse indicates effective learning?
"I should take a break whenever needed."
A registered nurse is teaching a nursing student about disaster management during an accidental fire in an industry. Which statement by the student indicates the need for further teaching?
"I will risk my life to move clients to a safe location if needed."
The registered nurse is teaching a student nurse about handling mass casualty disaster situations in the field. Which statements made by the student nurse shows the need for further teaching? Select all that apply.
"I will try to provide maximum care and save the clients tagged expectant or critically ill." "I will provide green-tagged clients the least priority of care compared to other categories."
The nurse is performing a rewarming procedure on a client with severe hypothermia by administering warmed intravenous fluids. The nurse carefully monitors the client's core temperature while performing this procedure. What is the lowest temperature at which the nurse will stop the rewarming?
91.4° F (33°C)
The nurse is preparing a community education session about the family emergency preparedness kit. Which information should the nurse include in the teaching plan? Select all that apply.
Matches should be included in a waterproof container. Cereal bars and peanut butter crackers should be included. Household liquid bleach and resealable plastic bags should be included.
Which medical relief team would the nurse expect to help healthcare facilities that face personnel shortages during a mass casualty event?
Medical Reserve Corps (MRC)
While caring for a client who was critically injured in an earthquake, the nurse expects that the client will not survive. Which interventions should the nurse follow while dealing with family members after the death of the client? Select all that apply.
Coordinating with crisis staff Offering the option of speaking to a clergy
A nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident. Which type of emergency assessment is being performed?
Focused adjuncts
In a mass casualty situation, which healthcare professional can direct departments such as physical therapy or a surgical clinic to cancel their usual operations to convert the space into a minor treatment area?
Hospital incident commander
After fertilizer plant explosion, the nearest healthcare facility services were flooded with clients. The green-tagged clients who self-transported to the hospital from the site unknowingly carried toxins. Which emergency response plan devised by the emergency department (ED) does the registered nurse consider to be most suitable to reduce the risk of potentially disastrous consequences in the hospital?
Providing appropriate decontamination measures at the facility
A client who survived an explosion was found with moist blebs and blisters on the skin with cherry red color. The client is having severe pain. After assessing, the nurse finds the skin is hypersensitive to touch or air. Which condition can be suspected in the client?
Second-degree burn
The registered nurse is teaching a nursing student about the Hospital Incident Command Systems (HICS). Which statements should the nurse include in the teaching? Select all that apply.
Specific job action sheets are distributed to all HICS personnel The emergency operations center or command center is established by HICS personnel All internal requests and communication with field teams should be coordinated through the emergency operations center
Which disaster event involves an internal disaster compounded with an external disaster?
St. John's Regional Medical Center in Joplin, MO
Which individual would be an appropriate member of a critical incident stress debriefing (CISD) team for a group of staff nurses? Select all that apply.
Staff nurse Physician trained in critical debriefing Advanced practice mental health nurse
The nurse is performing a rewarming procedure in a client with severe hypothermia. What should the nurse keep in mind while performing this procedure?
The client should be monitored for after drop during rewarming.
The nurse is planning a protocol for providing care to earthquake victims found with severe injuries. Which order of care should the nurse include in the protocol?
To maintain the cervical spine alignment To assess the breath sounds To stop bleeding by applying external pressure To infuse intravenous fluids
After an earthquake, why would the federal government send a Disaster Medical Assistance Team (DMAT) to the site?
To provide medical equipment sufficient for 72 hours
Five victims of a shooting are identified as needing urgent care. What should the triage officer do first when these victims arrive in the emergency department?
Triage the victims
The pandemic swine flu outbreak of 2009-2010 led to fears of large scale failures of disaster management plans. What would the nurse feel are plausible concerns about the failure of resource capabilities that could lead to a crisis of the entire healthcare system during a similar scenario? Select all that apply.
Vast population seeking medical care Illness and absenteeism of the workers Personal choice of the workers to be quarantined
