Leadership PQ Part IV ATI

A nurse is participating in a staff discussion about disaster triage. The nurse should include which of the following clients as an example emergent (red tag) category?

A client who has a punctured femoral artery

A nurse in an acute care mental health facility is caring for a client who commits suicide. Which of the following is the priority intervention for staff following this incident?

Identifying cues in the client's behavior that might have warned staff that he was contemplating suicide.

A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

In the event of a fire, it is helpful to recall the mnemonic RACE to prioritize the actions to take: R - Rescue and remove the clients, A - Activate the alarm, C - Confine the fire, and E - Extinguish the fire. The nurse's priority action is to remove the clients from the room. The nurse should then sound the fire alarm and close the door to confine the fire. Finally and if possible, the nurse should extinguish the fire.

A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident report about the pressure ulcer, which of the following actions should the nurse take?

Include any relevant statements the client made about the incident

A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

Shower and scrub the client's skin.

A nurse is reinforcing teaching with a group of newly licensed nurses about completing an incident report. For which of the following situations should the nurse complete an incident report?

A client's family member becomes short of breath and reports having chest pain.

A community health nurse is reinforcing teaching with a group of nurses about activities that they should participate in prior to a disaster. Which of the following activities should the nurse include in the teaching?

Remove boxes and objects that are blocking exits is correct. Put together emergency bags containing food, water, and medication is correct.

A public health nurse is reviewing the disaster management cycle. The nurse should identify that activation of a disaster plan occurs during which phase of the cycle?

Response

A nurse is caring for a client who is agitated and threatening to leave against medical advice. The client is pacing the unit and yelling. Which of the following actions should the nurse take?

Set parameters for the client.

A nurse enters the room of a client who is confused and finds the client sitting on the floor. After determining that the client is free from injury, and completing an incident report which of the following actions should the nurse take?

Submit the incident report to the risk manager.

A community health nurse is discussing the emotional phases often experienced during a disaster with a group of community members. Which of the following scenarios should the nurse include as an example of the honeymoon phase?

Survivors of an earthquake relive their experiences during the disaster

A community health nurse is reviewing initiatives that guide disaster preparedness plans. Which of the following is true regarding the National Preparedness Goal?

The National Preparedness Goal focuses on the whole community, including families, schools, places of worship, and media outlets. CORRECT

A nurse is completing an incident report after finding a client lying on the floor. Which following information is appropriate for the nurse to include?

The client was lying on the floor next to his bed.

A community health nurse is reinforcing teaching with a group of community members about natural disasters. Which of the following information about natural disasters should the nurse include?

They are geological or meteorological occurrences.

A public health nurse is responding to a disaster and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse take within the domain of safety and security?

Wear personal protective equipment (PPE) when necessary

A community health nurse is discussing types of natural disasters with members of the community. Which of the following should the nurse include as an example of a natural disaster?

Wildfire

A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

"How will you carry out your plan?"

A nurse is talking with a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?

"I need to make sure that the potential victim is notified."

A community health nurse is reinforcing teaching with a group of community members about disaster preparedness. Which of the following statements should the nurse include about when to plan for a disaster?

"Planning for a disaster should happen before a disaster occurs."

A nurse is assisting with teaching a class about incident reports. The nurse should include that which of the following situations requires completion of an incident report?

A client falls getting out of bed.

A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?

A client tells the nurse that his dentures are missing.

A nurse administers the wrong medication to a client. After collecting data from the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

Accountability

A nurse is assisting with teaching a newly licensed nurse about incident reports. The nurse should include that which of the following events requires an incident report?

An IV medication is administered via an oral route.

A nurse working with a client observes an RN ask the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which of the following types of assessment is the RN conducting?

An environmental health assessment

A community health nurse is responding to a disaster and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse take in the domain of intervention?

Assisting with decontamination of clients exposed to hazardous materials

A nurse is working with community members to prepare for an external disaster. The nurse is assisting the community members to compile a list of basic supplies needed in the case of a disaster. Which of the following supplies should the nurse instruct the community members to include? (Select all that apply.)

Clean clothing is correct. Personal identification is correct. Matches is correct.

A nurse is caring for a client who has heart failure notices that the client did not receive his scheduled dose of furosemide. When filling out an incident report about the occurrence, which of the following information should the nurse include? (Select all that apply.)

Clients breath sounds clear bilaterally is correct. The nurse documents the client's status as a result of the occurrence is correct. The client's statement about the occurrence is correct.

A community health nurse is reinforcing teaching with a group of new nurses about the emotional phases experienced during a disaster. Which of the following should the nurse include as an example of the reconstruction phase?

Community members boil water before drinking it due to a water plant not being operational. CORRECT

A community health nurse is assigned to assist a community with disaster preparedness. Which of the following information is true about disaster preparedness?

Disaster preparedness is a shared responsibility of the nation

A nurse is working with an individual in the emergency department following an accidental gun injury sustained while cleaning the firearm. The individual shares a home with another adult and 3 children. The nurse should include which of the following in the plan of care?

Educate the client about gun safety and securing access to firearms in the home

A community health nurse is reinforcing teaching with a group of first responders about emotional phases experienced during a disaster. Which of the following scenarios should the nurse include as an example of the heroic phase?

First responders and survivors work together to rescue others during a flood

A nurse is reviewing disaster management with a newly licensed nurse. Which of the following actions should the nurse identify as being the responsibility of the nurse during a disaster?

Focus on providing care that prevents life-threatening emergencies.

A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase?

Identify community members who have disabilities

A nurse is planning activities to increase disaster preparedness in the community. Which of the following activities should the nurse include?

Identify emergency shelter locations

A nurse is assisting with teaching a newly licensed nurse about incident reports. Which of the following information should the nurse include?

Identify other people involved with the event in the incident report.

A community health nurse is assisting with initiating a community's disaster plan following a nearby disaster. Which of the following resources responds to the disaster first?

Local government CORRECT

A staff nurse suspects that a newly licensed nurse is chemically impaired. Which of the following actions should the staff nurse take?

Notify the charge nurse of the situation.

A charge nurse is discussing emergency response with a newly licensed nurse. The charge nurse should identify which of the following as a triage officer during the time of a disaster?

Nurses and other emergency medical personnel

A community health nurse is reviewing disaster preparedness and response. Which of the following actions should the nurse identify as occurring during the disaster preparation phase?

Participating in emergency drills is correct. Contributing to the update and maintenance of community disaster plans is correct. Including the identified vulnerable populations in the community in the disaster plan is correct.

A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients' situation?

Physiological

A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply)

Place wet towels under the doors is correct. Close the doors and windows of each resident's apartment is correct. Turn off fans and heaters is correct

A community health nurse is discussing the role of places of worship in disasters with a newly licensed nurse. Which of the following information should the nurse include?

Places of worship can help educate their congregations on how to prepare for disasters. CORRECT

A community health nurse lives and works in a city that is affected by hurricanes every hurricane season. As a part of their duties, the nurse is responsible for collecting data on vulnerabilities throughout the community. This is a part of which of the following phases of the disaster management cycle?

Prevention/mitigation

A nurse has volunteered to provide care following a human-caused disaster. Which of the following settings are related to a human-caused disaster?

Providing medical aid following a bomb explosion is correct. Providing support to a school nurse following a school shooting is correct. Providing care to the emergency department due to a local chemical spill is correct.

A public health nurse is reviewing the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions is included in the domain of communication?

Relaying important updates to disaster team members in a timely manner is correct. Using an interpreter when caring for clients who speak a different language than the nurse is correct.

Which of the following is a human-made disaster?

Release of manufactured smallpox is correct. P

A home health nurse is providing instructions for a client about fire safety within the home. Which of the following information should the nurse include in the teaching?

Unplug small appliances when not in use is correct. Keep flammable items 0.9 meters (3 feet) from space heaters is correct. Ensure that the refrigerator is the only appliance plugged into an outlet is correct.

A nurse is assisting with planning an in-service for staff nurses about disaster management and triage. Which of the following color tags should the nurse include as identifying a client who requires treatment within 30 min to 2 hr?

Yellow The nurse should identify a client who has a yellow tag as requiring treatment within 30 min to 2 hr, such as large abdominal wounds and open fractures.

A nurse is assisting with revising a facility's emergency response plan for tornado disasters in the community. The nurse should plan to collaborate with which of the following agencies?

​Federal Emergency Management Agency (FEMA)