Question 1

An _________________ provides a standard approach to managing emergencies in which multiple agencies are involved.

Accepted Answer

incident command system
An incident command system (ICS), also referred to as the incident management system (IMS), provides a standard approach to managing emergencies in which multiple agencies are involved.

Question 2

The government agency that coordinates the efforts of multiple organizations to secure and maintain the safety of our nation is the __________________.

Accepted Answer

Department of Homeland Security (DHS)
The Department of Homeland Security (DHS) was established to provide a unifying core as the basis for efforts to prevent and discourage terrorist attacks.This governmental agency coordinates the efforts of multiple organizations to secure and maintain the safety of our nation.

Question 3

Releasing nuclear energy in an explosive manner as the result of a nuclear chain reaction is known as a ________________.

Accepted Answer

nuclear event
A nuclear event involves a device that releases nuclear energy in an explosive manner as the result of a nuclear chain reaction.

Question 4

Hurricane Zee has caused severe flooding and loss of power throughout the state.The local community has a stockpile of supplies that will help it get through the next 72 hours.Beyond this, once local and federal authorities confirm the need, a "push package" of supplies will be issued within 12 hours of the confirmation.These supplies will come from the ____________.

Accepted Answer

strategic national stockpile (SNS)
The C

Question 5

The patient is being treated for biological agent exposure and is resting in the emergency department bay.It is important that the nurse evaluate changes in airway, breathing, and circulation, as well as ____________________.

Accepted Answer

psychological status
Observe for improve

Question 6

It is recommended that every household prepare a ____________.

Accepted Answer

disaster supply kit
Every household shou

Question 7

The patient is admitted with exposure to an unknown chemical.His clothing appears to be grossly contaminated.What should the nurse do? (Select all that apply.)

Accepted Answer

A) Avoid touching contaminated parts of clothing. 
B) Pull the patient's tee shirt off over his head. 
C) Cut the patient's clothes off. 
D) Wash the patient with large amounts of soap and water. 
A) Avoid touching contaminated parts of clothing. 
B) Pull the patient's tee shirt off over his head. 
C) Cut the patient's clothes off. 
D) Wash the patient with large amounts of soap and water.

Question 8

An outbreak of influenza A in the same geographical location is known as an __________.

Accepted Answer

epidemic
An epidemic is an inf

Question 9

__________ is the sorting of individuals by the seriousness of their condition and the likelihood of their survival.

Accepted Answer

Triage
Triage is the sorting o

Question 10

Upon arriving at a mass causality scene, health care providers using the SALT approach will initiate triage by doing which of the following first?

Accepted Answer

A) Assess 
B) Move 
C) Sort 
D) Send 
A) Assess 
B) Move 
C) Sort 
D) Send

Question 11

Which of the following are goals of the Department of Homeland Security (DHS)? (Select all that apply.)

Accepted Answer

A) Prevention of terrorist attacks 
B) Response to disasters 
C) Recovery from disasters 
D) Coordination of efforts among agencies 
A) Prevention of terrorist attacks 
B) Response to disasters 
C) Recovery from disasters 
D) Coordination of efforts among agencies

Question 12

An outbreak of an infectious disease such as SARS in many parts of the world is known as a ______________.

Accepted Answer

pandemic
A pandemic

Question 13

A patient has been exposed to a toxic chemical.The nurse's first priority is _______________.

Accepted Answer

decontamination
Suspect a toxic chemical

Question 14

In the event of a mass casualty incident, part of the CDC's disaster preparedness program involves backup plans for maintaining public and intraagency/interagency ____________.

Accepted Answer

communication
Traditional modes of commu

Question 15

How is a disaster best defined?

Accepted Answer

A) Any event or situation that results in multiple casualties and/or deaths 
B) A catastrophic and/or destructive event that disrupts normal functioning 
C) An industrial accident and unplanned release of nuclear waste 
D) An event that results in human casualties that overwhelm available health care resources 
A) Any event or situation that results in multiple casualties and/or deaths 
B) A catastrophic and/or destructive event that disrupts normal functioning 
C) An industrial accident and unplanned release of nuclear waste 
D) An event that results in human casualties that overwhelm available health care resources

Question 16

The patient is brought into the emergency department as part of an MCI.The patient has white powder on his clothes, and it is suspected that the patient has been exposed to anthrax.What should the nurse do first?

Accepted Answer

A) Cut off the patient's clothing and place it in a plastic bag. 
B) Have the patient remove his sweater by pulling it over his head. 
C) Avoid using oxygen that could decrease the patient's oxygen drive. 
D) Provide the patient with appropriate antibiotics. 
A) Cut off the patient's clothing and place it in a plastic bag. 
B) Have the patient remove his sweater by pulling it over his head. 
C) Avoid using oxygen that could decrease the patient's oxygen drive. 
D) Provide the patient with appropriate antibiotics.

Question 17

Disaster nursing differs from general nursing because when caring for patients during a disaster:

Accepted Answer

A) the focus is on caring for the sickest people first. 
B) using a color tag system reduces the amount of emotional stress on the nurse. 
C) the focus is no longer on airway, breathing, and circulation. 
D) the focus is on caring for those most likely to survive. 
A) the focus is on caring for the sickest people first. 
B) using a color tag system reduces the amount of emotional stress on the nurse. 
C) the focus is no longer on airway, breathing, and circulation. 
D) the focus is on caring for those most likely to survive.

Question 18

The patient is admitted to the emergency department with possible smallpox exposure.The patient has never had a smallpox immunization.The nurse prepares to administer a smallpox vaccination, realizing that vaccination:

Accepted Answer

A) within 3 days of exposure will completely prevent the disease. 
B) is effective only if received before exposure. 
C) 4 to 7 days after exposure will completely prevent the disease. 
D) within 3 days will offer only some protection from disease. 
A) within 3 days of exposure will completely prevent the disease. 
B) is effective only if received before exposure. 
C) 4 to 7 days after exposure will completely prevent the disease. 
D) within 3 days will offer only some protection from disease.

Question 19

Dispersal of biological agents is a real and psychological terrorist threat.Which of the following organisms has the potential to cause the greatest harm?

Accepted Answer

A) Anthrax 
B) Ricin 
C) Salmonella 
D) Hantavirus 
A) Anthrax 
B) Ricin 
C) Salmonella 
D) Hantavirus

Question 20

After a suspected radiological exposure, the initial scan of the patient's extremities is positive.What will be the next step in this patient's care?

Accepted Answer

A) Washing the skin with soap and water while taking care not to irritate or abrade the skin 
B) Removing clothing to eliminate 70% to 90% of the contamination 
C) Isolating and covering up any skin that is positive for radiation using a plastic wrap 
D) Conducting a thorough survey of the patient's entire body with the radiation sensing equipment 
A) Washing the skin with soap and water while taking care not to irritate or abrade the skin 
B) Removing clothing to eliminate 70% to 90% of the contamination 
C) Isolating and covering up any skin that is positive for radiation using a plastic wrap 
D) Conducting a thorough survey of the patient's entire body with the radiation sensing equipment

Exam 14: Disaster Preparedness

An _________________ provides a standard approach to managing emergencies in which multiple agencies are involved.

The government agency that coordinates the efforts of multiple organizations to secure and maintain the safety of our nation is the __________________.

Releasing nuclear energy in an explosive manner as the result of a nuclear chain reaction is known as a ________________.

The patient is being treated for biological agent exposure and is resting in the emergency department bay.It is important that the nurse evaluate changes in airway, breathing, and circulation, as well as ____________________.

It is recommended that every household prepare a ____________.

The patient is admitted with exposure to an unknown chemical.His clothing appears to be grossly contaminated.What should the nurse do? (Select all that apply.)

An outbreak of influenza A in the same geographical location is known as an __________.

__________ is the sorting of individuals by the seriousness of their condition and the likelihood of their survival.

Upon arriving at a mass causality scene, health care providers using the SALT approach will initiate triage by doing which of the following first?

Which of the following are goals of the Department of Homeland Security (DHS)? (Select all that apply.)

An outbreak of an infectious disease such as SARS in many parts of the world is known as a ______________.

A patient has been exposed to a toxic chemical.The nurse's first priority is _______________.

In the event of a mass casualty incident, part of the CDC's disaster preparedness program involves backup plans for maintaining public and intraagency/interagency ____________.

How is a disaster best defined?

The patient is brought into the emergency department as part of an MCI.The patient has white powder on his clothes, and it is suspected that the patient has been exposed to anthrax.What should the nurse do first?

Disaster nursing differs from general nursing because when caring for patients during a disaster:

The patient is admitted to the emergency department with possible smallpox exposure.The patient has never had a smallpox immunization.The nurse prepares to administer a smallpox vaccination, realizing that vaccination:

Dispersal of biological agents is a real and psychological terrorist threat.Which of the following organisms has the potential to cause the greatest harm?

After a suspected radiological exposure, the initial scan of the patient's extremities is positive.What will be the next step in this patient's care?

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety and Quality Improvement

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

Filters