EAQ
Management at a hospital receives information that members of the community have been exposed to sarin gas in a terrorist attack. Which medications should the hospital staff keep on hand in anticipation of the victims' arrival at the emergency department?
Atropine and pralidoxime chloride
The nurse would consider which disaster management plan to be most applicable if an earthquake hits a metropolitan area, causing widespread death and injuries? Select all that apply.
Activation of the facility's emergency management plan Collaboration of multiple agencies and healthcare facilities
During the activation of an emergency preparedness plan, which individual should communicate with the media?
Director of human resorces
What should the nurse educator emphasize when teaching about mass casualty incidents (MCIs)? Select all that apply.
Involves large numbers of victims Can be from man-made or natural causes Causes permanent changes in a community Overwhelms a community's ability to respond with resources
What type of trauma center would the nurse consider to be most appropriate for a client who survived an accidental fire and has multiple injuries?
Level II trauma centers provide care to the most injured clients. Level III trauma centers stabilize clients with multiple injuries. Level I trauma centers provide a full continuum of trauma services for all clients. Level IV provides advanced life support and basic trauma client stabilization.
The emergency operation center is triaging a group of clients who have been injured during a major earthquake. Which healthcare personnel are required to work with the emergency operation center to organize nursing services? Select all that apply.
Trauma program manager Emergency department charge nurse
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
Who should the nurse contact to receive training as a Community Emergency Response Team (CERT) member?
Federal Emergency Management Agency (FEMA) The Federal Emergency Management Agency (FEMA) provides Community Emergency Response Team (CERT) training. The National Disaster Life Support Foundation offers Core, Basic, and Advanced Disaster Life Support training courses. The Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) do not provide disaster preparedness training.
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
What areas should the nurse keep in mind when participating in the planning of an organization's emergency preparedness plan? Select all that apply.
Staffing for surge situations Methods of communication Definition of specific nursing role need for secureity
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 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 Assign a communications nurse to work with the media personnel
A client who survived a lightning strike is admitted to the emergency unit. Which interventions could be beneficial for this client's condition? Select all that apply.
Applying spinal immobilization technique Stabilization of airway, breathing, and circulation
The nurse is caring for the victims of a snowstorm who have been exposed to cold temperatures. Which clients are at a high risk of sustaining cold injuries? Select all that apply.
A client who is hypoglycemic A client who is on opioid medication A client who has been a heavy smoker for years
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."
he 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.
he 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.
A group of clients who sustained severe injuries in an earthquake received a full continuum of trauma services. Which level of trauma center provided these services to the clients?
level 1
Which technological disasters would the nurse consider as leading to inadequate resources for the incoming emergency department (ED) clients, resulting in mass casualties? Select all that apply.
Boston Marathon bombing on April 15, 2013 Fertilizer plant explosion in West, Texas on April 17, 2013
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."
Which biologic agents of terrorism can be treated effectively with antibiotics? Select all that apply.
Plague Anthrax Tularemia
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
The nurse is caring for the victims of a natural disaster who are all hypothermic. Which interventions does the nurse employ when using spontaneous rewarming? Select all that apply.
Using radiant lights Moving the client to a warm and dry place
The emergency department (ED) charge nurse is preparing a group of medical-surgical and critical care unit nurses for participation in emergency preparedness and response for casualties due to an earthquake in the nearby area. Which actions performed by these staff nurses are appropriate? Select all that apply.
Working with ED nurses in the resuscitation setting Recommending which clients are stable for discharge Identifying clients who can be transferred out of the critical care unit
Advanced Cardiac Life Support (ACLS) certification allows nurses to perform electrical therapies, special resuscitation, and invasive airway management. Basic Life Support(BLS) certification is granted when the nurse performs airway maintenance or cardiopulmonary resuscitation. Certified Emergency Nurse (CEN) certification indicates that a nurse has core emergency nursing skill and knowledge. Pediatric Advanced Life Support (PALS) certification is needed to perform neonatal and pediatric resuscitation.
An emergency nursing staff member is performing defibrillation/cardioversion and special resuscitation for clients who sustained injuries in a tsunami. Which certification does the emergency nursing staff member possess?
Which clients should the medical-surgical nurse identify as appropriate for transfer or discharge to make room for admission of victims of a disaster? Select all that apply.
68-year-old client third post-operative day total knee replacement 80-year-old client being regulated on medication for transient ischemic attacks 72-year-old client beginning oral anticoagulant therapy for a deep vein thrombus
The nurse is contributing to a disaster plan for a possible terrorist attack. Which biologic agents should be included in the plan? Select all that apply.
Botulism Tularemia Smallpox A
The nurse is categorizing victims of hypothermia as having mild, moderate, and severe hypothermia. Which assessment findings will help the nurse identify the clients with moderate hypothermia? Select all that apply.
Hypovolemia Respiratory acidosis
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
In a health care system, the nurse is planning management of a disaster that involves second order change. Which type of change would characterize this disaster? Select all that apply.
Revolutionary and episodic change Change requiring radical adjustments in a person or in the structure of the system
A nurse working in a disaster management team is caring for clients who suffered severe injuries in a train accident requiring cardiopulmonary resuscitation. Which statements by the nurse are correct? Select all that apply.
"A 16-gauge needle should be used to obtain intravenous (IV) access in the antecubital region." Presence of radial pulse indicates a minimum systolic blood pressure of 80 mm Hg." "Hypotension occurs after the body's compensatory mechanism to maintain vital signs is exhausted."
After a hurricane, the nurse is assessing the response of a client to stimuli on the Glasgow Coma Scale (GCS) as a part of the primary survey. The nurse observes that the client opens his eyes when his name is stated, uses disorganized words, and is unable to follow commands, but attempts to remove the offending stimulus. What is the Glasgow coma score for this client? Record your answer using a whole number.
11
A diabetic client survives a fire. The client has a head injury, tachycardia, and pale and ashen-colored skin. Which primary interventions should the nurse perform? Select all that apply.
Administering cool intravenous fluids Placing the client in a cool environment Managing and maintaining airway, breathing, and circulation
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 first phase of the disaster management continuum is preparedness. This is a protective plan designed before the event to structure the response, assess the risk, and evaluate the response. The response phase of the disaster continuum includes the actual implementation of the disaster plan. The recovery phase is related to actions focusing on stabilization of the community and returning it to the previous state. The mitigation phase includes attempts to limit a disaster's impact on human health and community function.
Which personnel of the institutional emergency response plan serves as a liaison between hospital administration and the media during a mass casualty incident such as an earthquake or a terrorist attack?
Community relations information officer The community public information officer is a person who serves as a liaison between the healthcare facility and the media releasing only appropriate or accurate information about the incident. A triage officer is a physician or nurse who rapidly evaluates each client to determine priorities for treatment. A medical command physician is the personnel who decides the number, acuity, and resource needs of the clients. A hospital incident commander is a physician or administrator who assumes overall leadership for implementing the emergency plan.
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
Which treatment for anthrax should be included in the biologic agent portion of a disaster plan for terrorist attacks?
Antibiotics Anthrax is treated effectively with antibiotics if sufficient supplies are available and the organisms are not resistant. Antivirals would not be effective against anthrax, and there is no established treatment for most viruses that cause hemorrhagic fever. Botulism is treated with antitoxin, though several vaccines are being studied. Smallpox can be prevented or the incidence reduced by vaccination, even when first given after exposure.
The nurse is learning about the types of injuries caused by explosive devices used as agents of terrorism. Which statement about the injuries caused by explosive devices does the nurse know to be true?
Blast injuries primarily damage the gastrointestinal (GI) tract.
The nurse is assessing a client reporting sharp abdominal pain who survived an earthquake. The client has decreased pulse pressure and level of consciousness along with cool, clammy skin and decreased urine output. Which primary interventions are most appropriate for the client?
Ensuring patent airway Utilizing a non-rebreather mask Inserting indwelling urinary catheter
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?
Group paging Telephone trees Instant computer alert messages
The nurse is caring for victims of a biologic terrorism incident that has caused them to develop hemorrhagic fever. What does the nurse know about the treatment of this condition?
There is no established treatment for this condition.
After an earthquake, there were a large number of deaths and casualties who required acute care for several days in the field. Which teams activated by state and federal government authorities would the nurse consider to be the most suitable in managing the event? Select all that apply.
Medical Reserve Corps (MRC) Disaster Mortuary Operational Response Teams (DMORTs)
