Deck 26: Emergency Preparedness

Question 1

Which unit's responsibilities include triage of victims at a disaster site,medical care at the site,and staging locations outside the disaster site for transportation of patients to alternative health care facilities?

A) Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
B) Medical Reserve Corps (MRC)
C) Disaster Medical Assistance Teams (DMAT)
D) NIMS National Incident Management System (NIMS)

Answer 1

Disaster Medical Assistance Teams (DMAT)

Question 2

An emergency department nurse should suspect a possible bioterrorist agent if,during the Fourth of July weekend,the nurse notices which of the following?

A) Three patients arrive complaining of abrupt onset of severe myalgia,fever,sore throat,and headache.
B) Four patients,all from the same family picnic,arrive complaining of abdominal pain and nausea,vomiting,and diarrhea.
C) Two patients arrive from the local lake complaining of tiredness,weakness,dizziness,muscle cramps,and headache.
D) Two patients arrive from a local concert with superficial burns on the faces,necks,arms,and legs and complaining of pain in these areas.They are tachycardic and appear dehydrated.

Answer 2

Three patients arrive complaining of abrupt onset of severe myalgia,fever,sore throat,and headache.

Question 3

A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states:

A) "Sarin gas is a chemical agent that is classified as a nerve agent."
B) "Mustard gas is a chemical agent that is classified as a nerve agent."
C) "Ricin is a chemical agent that is classified as a nerve agent."
D) "Chlorine gas is a chemical agent that is classified as a nerve agent."

Answer 3

"Sarin gas is a chemical agent that is classified as a nerve agent."

Question 4

An infection control nurse is educating a nurse about potential bioterrorism agents.The nurse knows the teaching has been effective when the nurse states:

A) "Smallpox has three routes of exposure to humans."
B) "Anthrax has three routes of exposure to humans."
C) "Botulism is caused by a bacterium found only in animals."
D) "Tularemia is transmitted via ingestion of toxin-contaminated food."

Question 5

The nurse has been studying endemic diseases and understands that they can occur in clusters of people from the same geographically distinct area.Which statement by the nurse indicates the understanding of the biological agents that can be disseminated by airborne release?

A) "Anthrax and plague can be disseminated 50% of the time."
B) "Botulism and anthrax can be disseminated."
C) "Plague and smallpox are airborne illnesses that can be disseminated."
D) "Botulism and smallpox can be disseminated 100% of the time."

Question 6

A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers.The teaching has been effective when one of the nurse managers states:

A) "The recovery stage deals with operations that occur after the disaster."
B) "The recovery stage deals with operations during a disaster."
C) "The recovery stage deals with operations before a disaster."
D) "The recovery stage involves the process of dealing with disasters."

Question 7

A nurse is one of the first responders on the scene of a disaster.What is initial priority?

A) Triage the patients.
B) Delegate care to additional personnel as they arrive.
C) Task assignment.
D) Prioritize care.

Question 8

A nurse manager is educating a new hire on which form of standardized structure is implemented in the hospital during an emergency response.The teaching has been effective when the new hire states:

A) "Emergency System for the Advance Registration of Volunteer Health Professionals (ESAR-VHP)is implemented to coordinate and standardize command and operations."
B) "START system of triage is implemented to coordinate and standardize command and operations."
C) "Hospital Incident Command System (HICS)is implemented to coordinate and standardize command and operations."
D) "Initiation of the Medical Reserve Corps (MRC)is implemented to coordinate and standardize command and operations."

Question 9

A nurse is caring for a group of sick patients.Which patient would the nurse be less likely to use isolation precautions with?

A) Tuberculosis (TB)
B) Plague
C) Botulism
D) Smallpox

Question 10

The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting.The charge nurse judges the education to be effective when the nurse states:

A) "Surveillance is primarily the responsibility of the safety officer."
B) "Surveillance is primarily the responsibility of the risk manager."
C) "Safety is primarily the responsibility of the infection control nurse."
D) "Safety is primarily the responsibility of the hospital surveillance officer."

Question 11

A patient is tagged as "Minor" during a mass casualty event.An example of a "Minor" triage is a patient with

A) a strained right shoulder.
B) a large laceration to the right leg.
C) an obstructed airway.
D) who is unconscious.

Question 12

Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane?

A) "Rescue the victims."
B) "Plan to prevent such disasters."
C) "Give immediate first aid and medical care to the victims."
D) "Evacuate the injured to medical facilities."

Question 13

The nurse has an adequate understanding of smallpox when the nurse states which of the following?

A) "Smallpox does not exist because of vaccines."
B) "Smallpox can easily be spread from person to person."
C) "Smallpox must be ingested for a person to become sick."
D) "Smallpox is resistant to vaccines."

Question 14

Which of the following represents a Level II disaster?

A) A building collapse that fills the local emergency room with patients.
B) A freeway accident that involves multiple vehicles.
C) Flooding of a three-state area affecting food and water resources.
D) Earthquake that destroys homes and transportation facilities.

Question 15

In understanding terrorist threats as they relate to public health and medical preparedness,the nurse understands the current acronym that categorizes the scope of threats is

A) BOMB.
B) THREAT.
C) CBRNE.
D) ESAR-VHP.

Question 16

A nurse manager is educating a group of nurses on biological agents that do not have a chemoprophylaxis therapy and only allows for the nurse to provide supportive care.The manager judges the teaching to be effective when the nurses can state:

A) "Anthrax is one of these biological agents."
B) "The plague is one of these biological agents."
C) "Smallpox is one of these biological agents."
D) "Botulism is one of these biological agents."

Question 17

After the September 11,2001,attack on the United States,President George W.Bush created what agency in response to the terrorist attacks?

A) The Incident Command System (ICS)
B) The Office of Emergency Response (OER)
C) The Federal Emergency Management Agency (FEMA)
D) The Department of Homeland Security (DHS)

Question 18

The nurse has an adequate understanding of phosgene gas when stating which of the following?

A) "Phosgene gas smells like bleach."
B) "Phosgene gas smells like fresh cut grass."
C) "Phosgene gas smells like almonds."
D) "Phosgene gas smells like rotting fruit."

Question 19

Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?

A) Expectant
B) Delayed
C) Minor
D) Immediate

Question 20

Which federal program provides a "push-pack" that,when requested,can be transported within 12 hours to an affected community and consists of medical assets such as medications,medical equipment and supplies,and personal protective equipment?

A) Strategic National Stockpile (SNS)
B) CHEMPACK federal program designed to supplement the medical response.
C) Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
D) National Incident Management System (NIMS)

Question 21

A patient has been exposed to chlorine gas.What symptoms can the nurse expect the patient to have? (Select all that apply.)

A) Nose and throat irritation
B) Eye redness
C) Ear pain
D) Cough
E) Suffocation

Question 22

A public health nurse is discussing disaster planning with family.What suggestions can be made to help them be prepared? (Select all that apply.)

A) Discuss probable disasters in the area.
B) Create a family disaster preparedness kit.
C) Establish family emergency communication.
D) Only prepare if there is a guarantee of a disaster in the area.
E) Create an evacuation plan.

Question 23

A nurse manager is educating a staff nurse on the four top agents for potential bioterrorism.The nurse manager judges that the teaching has been effective when the staff nurse states that the top agents include (Select all that apply.)

A) smallpox.
B) anthrax.
C) flu virus.
D) botulism.
E) plague.

Question 24

The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)

A) Car accident
B) Train derailment
C) Hurricane
D) Tsunami
E) House fire
F) Tornado

Question 25

A nurse is receiving education on disaster levels.The teaching has been sufficient when the nurse states that a Level III disaster includes (Select all that apply.)

A) earthquakes.
B) house fires.
C) tsunamis.
D) train derailment.
E) hurricanes.

Question 26

A nurse is caring for patients after a major disaster has occurred.What is the best action in caring for these patients? (Select all that apply.)

A) Avoid discussing the disaster that has occurred.
B) Encourage patients to talk about their experience.
C) Empathize with patients and their emotions and experiences.
D) Ask patients not to discuss the disaster until they are under the care of a psychologist.
E) Reinforce their emotions and reactions as normal.