Disaster Nursing

Question 1

A preceptor is teaching a graduate nurse the concepts of mitigation. Which of the following statements, if made by the graduate nurse, would indicate an understanding of this concept?

A. “The key to effective disaster management is predisaster planning and response.
B. “Response is having a comprehensive disaster plan in place that coordinates efforts.
C. A key nursing activity related to mitigation is reducing risk of IoSS from the occurrence of any undesirable event.
D. Mitigation is the health care system’s ability to rapidly expand beyond normal services to meet the increased demand for qualified personnel.”

Answer 1

C. A key nursing activity related to mitigation is reducing risk of IoSS from the occurrence of any undesirable event.

Question 2

In the work setting, what is your primary responsibility in preparing for disaster management that includes natural disasters?

A. Knowledge of how and what to report to the CDC
B. Awareness of the signs and symptoms for potential agents of bioterrorism
C. Ethical decision-making about exposing self to potentially lethal substances
D. Knowledge of the agency’s emergency and disaster management response plan

Answer 2

D. Knowledge of the agency’s emergency and disaster management response plan

Question 3

Which is an accurate definition of individual resilience?

A. Maintaining safety of infrastructures
B. Sustained action taken to eliminate the long-term risks
C. training respondents to strengthen capabilties
D. The capability to equitably meet the vital human needs

Answer 3

C. training respondents to strengthen capabilties

Question 4

An emergency room nurse iS working when there iS a bioterrorism attack in the city. Which of the following statements is correct about injuries or symptoms associated with ạ bioterrorism attack?

A. Biological attacks are usually known right away.
B. Detection is easy as clients go to different health care faci lities
C. The main purpose of biological weapon use is contained devastation.
D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken orkill people, livestock, or crops,

Answer 4

D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken orkill people, livestock, or crops,

Question 5

Disaster managementincludes

response
recovery
Mitigation
all the above

Answer 5

all the above

Question 6

Disasters can happen at any time. What is the first p part of the disaster management cycle to consider?

Response
Recovery
Mitigation
P reparation

Answer 6

Mitigation

Question 7

What phase of emergency management includes exercises and
drills?

Recovery
Response
Mitigation
Preparedness

Answer 7

Preparedness

Question 8

A newly graduated nurse is learning about the nurse’s role in
disaster relief as part of an orientation to the hospital. Which of the following concepts is accurate?

A. Applying advanced skills can be very helpful until help arrives
B. Nurses take a passive role in helping others to save lives and fulfll an important obligation
C. Learning about the prevention and mitigation of disasters is nice to know, but not essential.
D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

Answer 8

D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

Question 9

Which of the following is NoT an example of a rapid-onset disaster?

Cyctone
Drought
Tsunami
Earthquake

Answer 9

Drought

Question 10

Which one of the following is NOT a natural disaster?

Flood
Tsunami
Blow-out
Volcano eruption

Answer 10

Blow-out

Question 11

An emergency room nurse is at work when major terrorist attack occurs. In addition to caring for injured clients, the nurse must control the crowd. Which ofthe following statements, if made by the nurse, demonstrates an understanding of the concept of crowd control?

A. “Even if the crowd control is maintained, chaos ensues
B. “The job of crowd control is under the auspices of the nurses.
C. Nurses will need to enter areas that have not been secured yet to reach the clients.
D. The agency’s security personnel and/or the local police force must control these crowds

Answer 11

D. The agency’s security personnel and/or the local police force must control these crowds

Question 12

What is an example of a natural threat?

Aircraft incident
Workplace violence
Animal disease outbreak
Hazardous material release

Answer 12

Animal disease outbreak

Question 13

Effective hazard management largely relies on

disaster response
predisaster planning
emergency responses
government agencies

Answer 13

predisaster planning

Question 14

In which phase of disaster damage assessment is done?

Impact phase
Rescue phase
Rehabilitation
Warning phase

Answer 14

Rehabilitation

Question 15

A nursing student is studying about disasters and emergency preparedness. Which of the following statements by the nursing student depicts a correct understanding of the difference between a disaster and an emergency?

A. “Disasters are man-made only.”
B. Man-made disasters are intentional only.”
C. Emergencies are caused by acts of nature or emerging diseases
D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

Answer 15

D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

Question 16

Which of the following is man-made disaster?

Pollution
Terrorism
Major fire
All the above

Answer 16

All the above

Question 17

What does CBRNE stand for

A. chemical, biological, radiological, nuclear, explosive
B. Chemical, biological, radiological, nuclear, extensive
C. Chemical, biochemical, radioactive, nuclear, explosive
D. Chemical, biochemical, radiological, natural, explosive

Answer 17

A. chemical, biological, radiological, nuclear, explosive

Question 18

What is an appropriate strategy for responding to an individual
experiencing acute distress?

A. Have the individual state their most urgent needs
B. Have the individualist everything that they lost in the disaster
C. Have the individual receive disaster preparedness in the disaster
D. Have the individual think about what 1 they will need in the future

Answer 18

A. Have the individual state their most urgent needs

Question 19

Which of the following IS a seasonally related hazard?

Typhoon
Earthquake
Terrorist attack
Volcanic eruption

Answer 19

Typhoon

Question 20

Disaster recovery efforts include

A. conducting a hazard vulnerability analysis
B. strategies for reducing the impact of disasters
C. training respondents to strengthen capabilties
D. reconnecting displaced populations with essential health and social services

Answer 20

D. reconnecting displaced populations with essential health and social services

Question 21

The nurse in a disaster is triaging the following clients. Which
client should be triaged as an Expectant Category, priority 4, and color black?

A. The client with a sprain
B. The client with a head injury and confused
C. The client with a sucking chest wound and unresponsive
D. The client with an abdominal wound and stable vital sign

Answer 21

C. The client with a sucking chest wound and unresponsive

Question 22

Reasons why patient tracking, and identification is important
include

A. family reunification
B. people respond better to their own name instead of a number
C. patient accountability - to ensure all surviving casualties have been transported from the scene to a treatment destination
D. All the above

Answer 22

D. All the above

Question 23

The triage nurse iS working as the main responder in a Mass
Casualty Incident. Which client should be assessed first?

A. The 25-year-old male who cut his hand with a hunting knife
B. The 10-year-old child whose dad thinks the child’s leg is broken
C. The 45-year-old male who is diaphoretic and clutching his chest
D. The 58-year-old female complaining of a headache and seeing spots

Answer 23

C. The 45-year-old male who is diaphoretic and clutching his chest

Question 24

During the primary assessment of a trauma victim, the nurse determines that the patient has patent airway. The next assessment by the nurse should be to

A. observe the patient’s respiratory effort
B. check the patient’s level of consciousness
C. palpate for the presence of peripheral pulses
D. examine the patient for any external bleeding

Answer 24

A. observe the patient’s respiratory effort

Question 25

Labeling all patients with a triage tag provides allergies. pre-existing conditions color coding for treatment priority ltriage tag numbers for reference and patient tracking

Answer 25

pre-existing conditions color coding for treatment priority ltriage tag numbers for reference and patient tracking

Question 26

The wounded victim is unable to walk; respiratory rate is absent and when airway IS repositioned breathing is still absent. The wounded victim is assigned what tag color? Red Black Green Yellow

Answer 26

Black

Question 27

The nurse is teaching a class on disaster preparedness. Which are components of an Emergency Operations Plan (EOP)? Select all that apply (12-16) A security plan A plan for practice drlls A deactivation response A post-incident r response Clinical and support activities A plan for internal communication only

Answer 27

A security plan A plan for practice drlls A deactivation response A post-incident r response Clinical and support activities

Question 28

The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color? Red Black Green Yellow

Answer 28

Red

Question 29

Which of these are included in the defining features of a traumatic disastrous experience? Disaster, volence and loss Fear,helplessness, and horor Depression, anger, and helplessness Memory loss, confusion, and anxiety

Answer 29

Fear,helplessness, and horor

Question 30

A catastrophic disaster has occurred 5 miles from the hospital point you are working in. The hospital's disaster plan is activated, and the wounded are brought to the hospital. You're helping triage the survivors. One of the wounded can walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor? Red Black Green Yellow

Answer 30

Green

Question 31

Once a victim is assessed, their triage status stays the same throughout the entire length of care True False

Answer 31

False

Question 32

You re working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first? Red Black Green Yellow

Answer 32

Red

Question 33

On JuLY 16, 1990, a 7.7 magnitude earthquake in the Philippines killed approximately 2, 412 people and injured thousands more lines of communication (including road and rail networks) were severed hindering rescue attempts. Hundreds of thousands were left homeless, and treatment of casualties delayed. Which of the following statements apply in the context of major incidents? The major incident was simple The major incident was natural The major incident was man-made The major incident was compensated

Answer 33

The major incident was natural

Question 34

The nurse observes that the family members of a patient who was injured in an accident are blaming each other for the circumstances leading up to the accident. The nurse appropriately lets the family members express their feelings of responsibility while explaining that there was probably little, they could do to prevent the injury. In what stage of crisis is this family? Anger Grief Anxiety and denial Remorse and guilt

Answer 34

Remorse and guilt

Question 35

Mass Casualty Triage is doing nothing currently deciding who gets to take a break first determining what patients gets admitted first the assignment of response priority based on level of injury and available resources

Answer 35

the assignment of response priority based on level of injury and available resources

Question 36

In conducting a primary survey on a trauma patient, which of the following iS considered one of the priority elements of the primary survey? Complete set of vital signs Initiation of pulse oximetry Brief neurologic assessment Palpation and auscultation of the abdomen

Answer 36

Brief neurologic assessment

Question 37

An emergency incident that produces several patients that exceeds the capacity of area medical systems and facilities is called a large scale disaster multiple injury event mass casualty incident multiple casualty incident

Answer 37

mass casualty incident

Question 38

The wounded victim can walk and obey commands. The wounded victim iS assigned what tag color? Red Black Green Yellow

Answer 38

Green

Question 39

You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform. 1. Establish unresponsiveness. 2. Call for help and activate the code team. 3. Perform the chin lift or jaw thrust maneuver. 4. Initiate cardiopulmonary resuscitation (CPR) 5. Instruct a nursing assistant to get the crash cart. 1,23,4,5 1,3,245 1,4,2,3,5 1,5,2,3,4

Answer 39

1,23,4,5