MDC 4 Module 9+10 Practice Emergency, Trauma, Mass Casualty Nursing

A nurse is caring for a patient with multiple injuries and performs the following. Place these actions in the order in which the nurse would perform them. Use all options. 1. Establish airway and ventilation 2. Assess for abdomen, back, and extremity injuries 3. Prevent and treat shock 4. Assess for head and neck injuries 5. Splint fractures 6. Control hemorrhage

1. Establish airway and ventilation 6. Control hemorrhage 3. Prevent and treat shock 4. Assess for head and neck injuries 2. Assess for abdomen, back, and extremity injuries 5. Splint fractures

A nurse is performing triage at the scene of a building collapse and is using a five-level triage system. Place the categories below in the proper order from most to least immediate. 1. Urgent 2. Less Urgent 3. Emergent 4. Resuscitation 5. Nonurgent

4. Resuscitation 3. Emergent 1. Urgent 2. Less Urgent 5. Nonurgent

The ED staff work collaboratively and follow the ABCDE method to establish and treat health priorities effectively in a client experiencing a trauma. Which action is completed by the nurse when implementing the "D" element of this method? a. Assessing the client's Glasgow Coma Scale score b. Providing cervical spine protection c. Managing hypothermia d. Undressing the client quickly

a. Assessing the client's Glasgow Coma Scale score

A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement? a. Induced vomiting b. Administration of activated charcoal c. Dilution with water or milk d. Gastric lavage

a. Induced vomiting

Which of the following statements would most lead a nurse to suspect that a patient is experiencing food poisoning? a. "I've been feeling sick to my stomach for about 3 or 4 days now." b. "My brother got sick like me after eating the same food." c. "I have a pain in my left side, down low near my groin." d. "The food I ate seemed to look and taste like it should."

b. "My brother got sick like me after eating the same food."

A nurse is establishing a patient's airway. Which action would the nurse perform first? a. Using the jaw-thrust maneuver b. Giving abdominal thrusts c. Repositioning the patient's head d. Inserting an artificial airway

c. Repositioning the patient's head

The nurse is providing care to a client who will be ambulating for the first time after being extubated. The client tells the nurse, "I don't want to do this today. It's too soon and I am afraid I am not strong enough." What intervention should the nurse implement first for the client's fear of falling? a. Allow the client to remain on bedrest b. Clear the area around the bed c. Evaluate the client for cognitive impairment d. Explore possible causes of the client's fear

d. Explore possible causes of the client's fear

During a disaster, the nurse triages a victim with a fractured wrist. Which color triage tag should the nurse apply? a. Black b. Red c. Yellow d. Green

d. Green

Which phase of the psychological reaction to rape is characterized by fear and flashbacks? a. Acute disorganization phase b. Reorganization phase c. Denial phase d. Heightened anxiety phase

d. Heightened anxiety phase

A nuclear reactor overheated, releasing radiation throughout the plant. A worker close to reactor received at least 800 rads and has had an onset of vomiting, bloody diarrhea, and, when brought to the hospital, was in shock. What is this patient's predicted survival? a. Likely b. Possible c. Probable d. Improbable

d. Improbable

A patient arrives at the emergency department after sustaining a gunshot wound to the abdomen. When assessing the patient, the nurse pays particular attention to which of the following? a. Stomach b. Kidneys c. Large intestine d. Liver

d. Liver

The nurse is caring for an intensive care unit client who has died with family members at the bedside. The death was sudden and unexpected resulting from a car accident that took place three days ago. The family is upset and the client's partner, crying loudly, yells, "How did this happen? We were just about to celebrate his birthday. He can't be gone!" The family member continues to cry inconsolably. How should the nurse respond? a. "We did everything we could possibly do to try to save his life." b. "It is important to face the reality that he is gone." c. "He has passed on to a better place now." d. " I will get you some medication that will help you feel more calm."

a. "We did everything we could possibly do to try to save his life."

A client has a gaping wound on his forearm that is bleeding profusely. Applying pressure to which pressure point would be most helpful? a. Brachial b. Radial c. Subclavian d. Femoral

a. Brachial

A client with a history of allergies comes to the emergency department. The nurse suspects anaphylaxis based on which of the following? Select all that apply. a. Chest tightness b. Generalized itching c. Facial angioedema d. Pallor e. Increasing blood pressure

a. Chest tightness b. Generalized itching c. Facial angioedema d. Pallor

A client presents to the ED following a motor vehicle collision. The client is suspected of having internal hemorrhage. The nurse assesses the client for signs and symptoms of shock. Which are signs and symptoms of shock? Select all that apply. a. Cool, moist skin b. Delayed capillary refill c. Increasing heart rate d. Increasing urine volume e. Decreasing blood pressure

a. Cool, moist skin b. Delayed capillary refill c. Increasing heart rate e. Decreasing blood pressure

The health care team in an intensive care unit have experienced a critical incident in which a young client died unexpectedly and the client's father physically attacked the senior physician treating the client. The client's father was arrested and escorted from the intensive care unit by police, against his will and in handcuffs. A critical incident stress management (CISM) staff meeting held 3 days after the incident took place. What would be the purpose for that meeting? a. Debriefing b. Follow up c. Defusing d. Counselling

a. Debriefing

A high school football player is brought to the emergency department after collapsing at practice in extremely hot and humid weather. Which of the following would lead the nurse to suspect that the client is experiencing heat stroke? a. Delirium b. Bradycardia c. Temperature of 101 degrees F (38 degrees C) d. Diaphoresis

a. Delirium

A nurse is providing care to a client who is a victim of trauma resulting from injuries sustained in a convenience store robbery. The client has been stabbed numerous times in the abdomen and chest. His shirt is bloody and torn. Which of the following would be most appropriate when collecting forensic evidence? a. Hanging up any damp or wet clothing to dry before securing b. Placing the client's clothing in a plastic bag c. Cutting away clothing through the tears or holes d. Placing the law enforcement officer's name on the secured clothing for pick up

a. Hanging up any damp or wet clothing to dry before securing

Which is a true statement regarding severe acute respiratory syndrome (SARS)? a. It is most contagious during the second week of illness. b. Constipation usually develops. c. Hypothermia will occur. d. It is spread by fecal contamination.

a. It is most contagious during the second week of illness.

A client presents to the ED following a chemical burn. The client identifies the source of the burn as white phosphorus. The nurse knows that treatment will include a. No application of water to the burn. b. washing off the chemical using warm water, then flushing the skin with cool water. c. alternately applying water and ice to the burn. d. immediately drenching the skin with running water from a shower, hose, or faucet.

a. No application of water to the burn.

A nurse working in an emergency department notes that several clients who have arrived at the emergency department within the past day are experiencing the same unusual signs and symptoms. All the clients have attended the same sporting event. Which of the following should the nurse do next? a. Obtain an extensive history from each of the clients. b. Notify the person in charge of the Emergency Operations Plan. c. Report the findings to the Centers for Disease Control and Prevention (CDC). d. Put on personal protective equipment.

a. Obtain an extensive history from each of the clients.

A nurse who is a member of an emergency response team anticipates that several patients with airway obstruction may need a cricothyroidotomy. For which of the following patients would this procedure be appropriate? Select all that apply. a. Patient with laryngeal edema secondary to anaphylaxis b. Patient who is bleeding from the chest c. Patient with a lumbar spine injury d. Patient with extensive facial trauma e. Patient with an obstructed larynx

a. Patient with laryngeal edema secondary to anaphylaxis d. Patient with extensive facial trauma e. Patient with an obstructed larynx

A nurse is performing a primary survey of a client brought to the emergency department. Which of the following would the nurse include? Select all that apply. a. Providing adequate ventilation b. Obtaining a complete health history c. Assessing neurologic function d. Establishing airway patency e. Applying monitoring devices

a. Providing adequate ventilation c. Assessing neurologic function d. Establishing airway patency

The NATO triage system uses color-coded tagging to identify severity of injuries. A patient with survivable but life-threatening injuries (i.e., incomplete amputation) would be tagged with which color? a. Red b. Green c. Yellow d. Black

a. Red

A patient is brought to the ED by a friend, who states that a tree fell on the patient's leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.) a. Splinting the wound in a position of rest to prevent motion b. Applying a clean dressing to protect the wound c. Elevating the site to limit the accumulation of fluid in the interstitial spaces d. Inserting an indwelling catheter e. Performing a fasciotomy

a. Splinting the wound in a position of rest to prevent motion b. Applying a clean dressing to protect the wound c. Elevating the site to limit the accumulation of fluid in the interstitial spaces

A client comes to the emergency department after experiencing a wound. Inspection reveals an opening in the skin with distinct edges and whose depth is greater than the length of the wound. The nurse documents this as which type of wound? a. Stab b. Patterned c. Laceration d. Avulsion

a. Stab

The nurse is triaging victims after an explosion at an oil refinery. One victim reports tinnitus, dizziness, and otorrhea. For what probable condition should the nurse prepare care? a. Tympanic rupture b. Abdominal injury c. Head injury d. Blast lung

a. Tympanic rupture

A nursing instructor is describing the role of a nurse during a disaster. Which of the following would best reflect the nurse's role? a. Variable depending on the needs of the situation b. Client care within the area of expertise c. Directly specified by the physician in charge d. Provision of comprehensive client-specific care

a. Variable depending on the needs of the situation

An 85-year-old client is admitted to the ED. Heat stroke is suspected. The client's core temperature is 106.2°F (41.2°C), blood pressure (BP) 90/60 mm Hg, and pulse 102 bpm. The nurse understands that the primary treatment measure for the client will include a. immersion of the client in a cold-water bath. b. administration of sodium supplements. c. IV hydration with normal saline solution. d. endotracheal intubation with mechanical ventilation.

a. immersion of the client in a cold-water bath.

Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. The nursing observation that most suggests the client is bleeding is: a. orthostatic hypotension. b. a recent history of warfarin (Coumadin) usage. c. diminished breath sounds. d. a prolonged partial thromboplastin time (PTT).

a. orthostatic hypotension.

Permanent brain injury or death will occur within which time frame secondary to hypoxia? a. 1 to 2 minutes b. 3 to 5 minutes c. 6 to 8 minutes d. 9 to 10 minutes

b. 3 to 5 minutes

The nurse received a patient from a motor vehicle accident who is hemorrhaging from a femoral wound. What is the initial nursing action for the control of the hemorrhage? a. Elevate the injured part. b. Apply firm pressure over the involved area or artery. c. Immobilize the area to control blood loss. d. Apply a tourniquet.

b. Apply firm pressure over the involved area or artery.

During a mass casualty event, a person whose injuries are extensive and whose chances of survival are unlikely even with definitive care would receive which color tag? a. Red b. Black c. Green d. Yellow

b. Black

A nurse working as part of a disaster response team is triaging clients. Which of the following clients would the nurse color code as green? Select all that apply. a. Client with multiple injuries in profound shock b. Client with arm contusions c. Client with a sucking chest wound d. Unresponsive client with a penetrating head wound e. Client with a first-degree burn to the forearm

b. Client with arm contusions e. Client with a first-degree burn to the forearm

The nurse is conducting a secondary survey on a client in the ED. Which action is completed during the secondary survey? a. Establishing a patent airway b. Diagnostic and laboratory testing c. Undressing the client d. Assessment of peripheral pulses

b. Diagnostic and laboratory testing

A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of the following would be most appropriate to do? a. Explain to the client that care is going to be provided because he is seriously ill. b. Document the client's condition and absence of friends or family for obtaining consent to treatment. c. Check the client's record for the name of a family member to call to allow care to be provided. d. Ask the ambulance team for information about the client's family to ensure informed consent.

b. Document the client's condition and absence of friends or family for obtaining consent to treatment.

The nurse is triaging people that have been involved in a bus accident. A triaged patient with psychological disturbances would be tagged with which color? a. Black b. Green c. Red d. Yellow

b. Green

The nurse educator is providing orientation to a group of nurses newly hired to an intensive care unit. The group of nurses are correct in stating which is the most common type of shock managed in critical care? a. Neurogenic b. Hypovolemic c. Cardiogenic d. Anaphylactic

b. Hypovolemic

A client undergoes a total abdominal hysterectomy. When assessing the client 10 hours later, the nurse identifies which finding as an early sign of shock? a. Elevated blood pressure b. Increasing heart rate c. Heart rate of 70 beats/minute d. Pale, warm, dry skin

b. Increasing heart rate

When preparing to perform abdominal thrusts on a client with an airway obstruction, which of the following would be most appropriate? a. Placing the thumb side of one hand at the xiphoid process b. Positioning the hands in the midline slightly above the umbilicus c. Having the conscious client lie down d. Using a sequence of four thrusts, each progressing in intensity

b. Positioning the hands in the midline slightly above the umbilicus

Three victims of radiation exposure are brought into the Emergency Department. As the nurse caring for these clients, you would expect what substance to be ordered to reduce radiologic organ damage? a. Cyan red b. Potassium iodide c. Russian blue d. Medical iodine

b. Potassium iodide

A nurse is providing care to a client in the emergency department and walks into the hallway to get equipment. All of a sudden, gunshots are heard. Which of the following would be the nurse's priority? a. Securing the area b. Protecting himself or herself c. Providing care to the injured d. Gaining control of the situation

b. Protecting himself or herself

A nurse is providing care to the family of a client who was brought to the emergency department and suddenly died. Which of the following would be appropriate for the nurse to do? Select all that apply. a. Talk with the family about the client having "passed on." b. Provide a private place for the family to be together. c. Allow the family to express their emotions freely. d. Ask the family if they would like to view the body. e. Provide sedation to family members as needed.

b. Provide a private place for the family to be together. c. Allow the family to express their emotions freely. d. Ask the family if they would like to view the body.

Homeland Security has alerted the disaster response teams in your region of a potential terrorist attack in the form of a nuclear blast. You are a part of the disaster response system and you know that with a nuclear blast you would need to be prepared for what classification of disaster? a. Biologic b. Radiologic c. Chemical d. Manmade

b. Radiologic

A client has been exposed to a vesicant and is undergoing decontamination. Which of the following most likely would be used? a. Sodium hypochlorite b. Soap and water c. Alcohol d. Chlorhexidine

b. Soap and water

You are an Emergency Department nurse who has to care for three victims of anthrax. The first victim inhaled the toxin, the second victim ingested it, and the third victim suffered a skin infection. Which client should be cared for first? a. The one who ingested the toxin b. The one who inhaled the toxin c. The one with the skin infection d. Any convenient order

b. The one who inhaled the toxin

Which category of triage encompasses clients with serious health problems that are not immediately life threatening? a. Psychological support b. Urgent c. Nonurgent d. Emergent

b. Urgent

The nurse is caring for three clients who have been diagnosed with anthrax. They were exposed after boarding a flight where a white powdery substance was found in one of the restrooms. The nurse knows that these clients would be classed as being victims of which of the following? a. A chemical disaster b. A natural disaster c. A biologic disaster d. A radiologic disaster

c. A biologic disaster

The nurse is caring for a client in the ED with frostbite to the left hand. During the rewarming process of the hand, the nurse should perform which action? a. Rupture any hemorrhagic blebs that are noted. b. Keep the hand in the circulating bath for 1 hour. c. Administer analgesic medications as ordered. d. Have the client complete active range-of-motion exercises.

c. Administer analgesic medications as ordered.

A homeless client presents to the ED. Upon assessment, the client is experiencing hypothermia. The nurse will plan to complete which priority intervention during the rewarming process? a. Insert a Foley urinary catheter b. Administer inotropic drugs c. Attach a cardiac monitor d. Assist with endotracheal intubation

c. Attach a cardiac monitor

A nurse who was working as part of an emergency response team for a mass casualty incident is engaging in a Critical Incident Stress Management program. The nurse has received information about how to recognize stress reactions and ways to manage them. The nurse is involved in which of the following? a. Field support b. Debriefing c. Defusing d. Follow-up

c. Defusing

A nurse is working with a group of disaster victims to reduce the psychological effects of the trauma. Which of the following would be least helpful? a. Encouraging victims to return to normal activities as they feel ready. b. Actively listening to the victims' concerns. c. Encouraging the victims to watch television replays of the event. d. Referring victims to appropriate social service agencies.

c. Encouraging the victims to watch television replays of the event.

A patient brought to the ED by the rescue squad after getting off a plane at the airport is complaining of severe joint pain, numbness, and an inability to move the arms. The patient was on a diving vacation and went for a last dive this morning before flying home. What is a priority action by the nurse? a. Send the patient for a chest x-ray. b. Send the patient to the hyperbaric chamber. c. Ensure a patent airway and that the patient is receiving 100% oxygen. d. Draw labs for a chemistry panel.

c. Ensure a patent airway and that the patient is receiving 100% oxygen.

In which triage category would the nurse include a client who requires simple first aid or basic primary care? a. Emergent b. Nonurgent c. Fast track d. Urgent

c. Fast track

After inserting an oropharyngeal airway, which of the following indicates that the airway is properly positioned? a. Tongue lies on top of the airway. b. Air is moving through the airway. c. Flange is at the client's lips. d. Distal end is in the pharynx.

c. Flange is at the client's lips.

The nurse is caring for victims who have inhaled anthrax. The nurses assesses for symptoms that mimic which disease processes? a. Burns b. Respiratory distress c. Flu d. Bronchospasm

c. Flu

A nurse is working as a camp nurse during the summer. A camp counselor comes to the clinic after receiving a snakebite on the arm. What is the first action by the nurse? a. Apply ice to the area. b. Apply a tourniquet to the arm above the bite. c. Have the patient lie down and place the arm below the level of the heart. d. Make an incision and suck the venom out.

c. Have the patient lie down and place the arm below the level of the heart.

A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has a complete airway obstruction based on which of the following? a. Forceful coughing b. Wheezing between coughs c. High-pitched noise on inhalation d. Refusal to lie flat

c. High-pitched noise on inhalation

A nurse is caring for a client who has arrived at the emergency department in shock. The nurse intervenes based on the knowledge that which of the following is the most common cause of shock? a. Anaphylaxis b. Cardiac dysfunction c. Hypovolemia d. Sepsis

c. Hypovolemia

A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying on his back. He is unconscious and isn't breathing. What maneuver should the nurse use to open his airway? a. Neck tilt-head lift b. Seldinger c. Jaw-thrust d. Abdominal thrust

c. Jaw-thrust

A client with suspected inhalation anthrax is admitted to the emergency department. Which action by the nurse takes the highest priority? a. Reassure the client that intubation and mechanical ventilation will be temporary. b. Suction the client as needed to obtain a sputum specimen for culture and sensitivity. c. Monitor vital signs and oxygen saturation every 15 to 30 minutes. d. Assess intake and output and maintain adequate hydration.

c. Monitor vital signs and oxygen saturation every 15 to 30 minutes.

A nurse volunteers to help decontaminate a victim. Which is the first action that the nurse should take? a. Washing victim with soap and water, then rinsing b. Applying chemical decontamination foam to the area c. Removing the victim's clothing and jewelry d. Dressing the victim in personal protective equipment

c. Removing the victim's clothing and jewelry

The nurse is caring for a client exposed to a blistering agent. While the nurse is quickly decontaminating the client by showering and bagging all client clothing, what is the nurse simultaneously assessing for? a. Sensory neglect b. Neurological compromise c. Respiratory compromise d. Cardiovascular compromise

c. Respiratory compromise

The nurse has commenced a transfusion of fresh frozen plasma (FFP) and notes the client is exhibiting symptoms of a transfusion reaction. After the nurse stops the transfusion, what is the next required action? a. Remove the peripheral IV line b. Start a dextrose 5% water infusion c. Run a normal saline line to keep the vein open d. Obtain a blood culture from the IV insertion site

c. Run a normal saline line to keep the vein open

The intensive care unit nurse is assessing a client who is going to require a peripheral intravenous (PIV) line for fluids. The nurse should consider what information in the client's health history when deciding the site for the PIV? a. The client has a fluid volume restriction b. The client has a history of falls c. The client has had a mastectomy on the right side d. The client has hypertension

c. The client has had a mastectomy on the right side

The nurse is caring for a client who is being prepared for the placement of a central intravenous line. The nurse recognizes this client requires this type of intravenous access for which reason? a. The client requires infusion of a dextrose 5% water (D5W) b. The client requires infusion of intravenous antibiotics c. The client requires total parenteral nutrition d. The client will require intravenous access for three days

c. The client requires total parenteral nutrition

The nurse is instructing volunteers at an emergency bioterrorism drill about the management and medications required to combat various viruses, bacteria, and toxins. The nurse knows that the volunteers understand the instruction when they state that managing clients who exhibit symptoms of the variola virus (smallpox) includes a. decontamination. b. acyclovir. c. isolation. d. radiation.

c. isolation.

What is a common source of airway obstruction in an unconscious client? a. A foreign object b. Saliva or mucus c. Edema d The tongue

d The tongue

A client arrives at the emergency department and is experiencing a severe allergic reaction to a bee sting. The client received treatment and is being discharged. Which client statement indicates that additional teaching about exposure prevention is needed? a. "If a bee comes near me, I should stay still." b. "I should always wear something on my feet when I'm outside." c. "I need to avoid using perfumes and scented soaps when I'm going outside." d. "Brightly colored clothes help to ward off bees."

d. "Brightly colored clothes help to ward off bees."

Which is the most likely weaponized biological agent available? a. Botulism b. Plague c. Smallpox d. Anthrax

d. Anthrax

The nurse is caring for a client diagnosed with botulism. Which medication classification does the nurse anticipate? a. Antipyretics b. An anti-inflammatory c. An antibiotic d. Antitoxins

d. Antitoxins

A nurse working at a disaster scene is assisting in triaging clients. Which client would the nurse triage as expectant? a. Client with two chest wounds who is unstable b. Client with a closed fracture of his upper arm c. Client with a mechanical airway obstruction d. Client with third-degree burns over 75% of his body

d. Client with third-degree burns over 75% of his body

During a mass disaster, the nurse is caring for a victim whose status has been categorized as yellow during triage. How should the nurse best allocate time and resources to this client's care? a. Place a low priority on the client's care because the client will likely recover independently b. Provide high-priority, immediate care to save the client's life c. Forego immediate care because the client is unlikely to survive d. Delay the client's treatment for a few hours if other clients need immediate care

d. Delay the client's treatment for a few hours if other clients need immediate care

A client is brought to the emergency department after being involved in a motor vehicle collision. Which of the following would lead the nurse to suspect internal bleeding? a. Rising blood pressure b. Pale pink dry skin c. Bradycardia d. Delayed capillary refill

d. Delayed capillary refill

A client presents to the ED reporting choking on a chicken bone. The client is breathing spontaneously. The nurse applies oxygen and suspects a partial airway obstruction. Which action should the nurse do next? a. Insert a nasopharyngeal airway. b. Prepare the client for a bronchoscopy. c. Insert an oropharyngeal airway. d. Encourage the client to cough forcefully.

d. Encourage the client to cough forcefully.

For a patient who is experiencing multiple injuries, which sequence of medical or nursing management would the nurse identify as a priority? a. Assess for head injuries, control hemorrhage, establish an airway, prevent hypovolemic shock. b. Prevent hypovolemic shock, assess for head injuries, establish an airway, control hemorrhage. c. Control hemorrhage, prevent hypovolemic shock, establish an airway, assess for head injuries. d. Establish an airway, control hemorrhage, prevent hypovolemic shock, assess for head injuries.

d. Establish an airway, control hemorrhage, prevent hypovolemic shock, assess for head injuries.

A soldier is preparing to enter an area in which there is a high risk for chemical exposure to a nerve agent. What should the soldier be given prior to entering this area? a. Mark I automatic injector filled with cyanide b. Mark I automatic injectors that contain an antiseizure medication such as carbamazepine c. Mark I automatic injector filled with morphine 10 mg d. Mark I automatic injectors that contain 2 mg atropine and 600 mg pralidoxime chloride

d. Mark I automatic injectors that contain 2 mg atropine and 600 mg pralidoxime chloride

A nurse is providing care to an older adult client who has frostbite of the feet. Which action would be least appropriate? a. Providing an analgesic for pain b. Restricting ambulation c. Placing sterile cotton between the toes after rewarming d. Massaging the feet

d. Massaging the feet

Exposure to gamma radiation can be decreased by completing which action? a. Providing plastic shielding b. Wearing thick clothes c. Lengthening the duration of exposure d. Providing distance from radiation source

d. Providing distance from radiation source

Clients involved in a mass casualty incident are triaged and assigned a color-coded tag. When prioritizing care, clients tagged with which color would be treated first? a. Black b. Yellow c. Green d. Red

d. Red

When providing care to a client who has experienced multiple trauma, which of the following would be most important for the nurse to keep in mind? a. The most lethal injuries are often the most readily apparent. b. Injuries have occurred to at least three distinct organ systems. c. Most multiple trauma victims exhibit evidence of the trauma. d. The client is assumed to have a spinal cord injury until proven otherwise.

d. The client is assumed to have a spinal cord injury until proven otherwise.

You are caring for clients who have been exposed to a toxic nerve agent. You will need to use diazepam with these clients. Why is diazepam given when managing the effects of toxic nerve agent toxicity? a. To counter excess acetylcholine b. To control hypersecretion c. To reactivate acetylcholinesterase d. To control possible seizures

d. To control possible seizures

A triage nurse in the ED determines that a patient with dyspnea and dehydration is not in a life-threatening situation. What triage category will the nurse choose? a. Emergent b. Delayed c. Immediate d. Urgent

d. Urgent