NUR.213 NCLEX QUESTIONS - TRIAGE & EMERGENCY
PREPAREDNESS QUESTIONS AND ANSWERS LATEST
2022/2023
The nurse is the first responder after a tornado has
... [Show More] destroyed many homes in the
community. Which victim should the nurse attend to first?
1.
A pregnant woman who exclaims, "My baby is not moving."
2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall
off!"
3.
A young child standing next to an adult family member who is screaming, "I want my
mommy!"
4.
An older victim who is sitting next to her husband sobbing, "My husband is dead. My
husband is dead." - ANS-2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall
off!"
Priority nursing care in disaster situations needs to be delivered to the living and not
the dead. The child who is bleeding badly is the priority. The bleeding could be from
an arterial vessel; if the bleeding is not stopped, the child is at risk for shock and
death. The pregnant client is the next priority, but the absence of fetal movement
may or may not be indicative of fetal demise. The young child is with a family
member and is safe at this time. The older victim will need comfort measures; there
is no information indicating she is physically hurt.
The community health nurse is working with disaster relief after a tornado. The nurse
assists in finding safe housing for survivors, providing support to families, organizing
counseling, and securing physical care when needed. Which level of prevention
does the nurse exercise?
1.
Primary level of prevention
2.
Secondary level of prevention
3.
Tertiary level of prevention
4.
Quaternary level of prevention - ANS-3.
Tertiary level of prevention
Tertiary prevention involves reduction of the amount and degree of disability, injury,
and damage after a crisis. Primary prevention means keeping the crisis from
occurring, and secondary prevention focuses on reducing the intensity and duration
of a crisis. There is no known quaternary prevention level.
The nurse in the hospital emergency department is notified by emergency medical
services that several victims who survived a plane crash will be transported to the
hospital. Victims are suffering from cold exposure because the plane plummeted and
was submerged in a local river. What is the initial action of the nurse?
1.
Call the nursing supervisor to activate the agency disaster plan.
2.
Supply the triage rooms with bottles of sterile water and normal saline.
3.
Call the intensive care unit to request that nurses be sent to the emergency
department.
4.
Call the laundry department, and ask the department to send as many warm
blankets as possible to the emergency department. - ANS-1.
Call the nursing supervisor to activate the agency disaster plan.
In an external disaster, many people may be brought to the emergency department
for treatment. The initial nursing action must be to activate the disaster plan.
Although options 2, 3, and 4 may be additional measures that the nurse would take,
the initial action would be to activate the disaster plan.
The nurse is reviewing the manual of disaster preparedness and response for the
annual hospital disaster drill. The nurse reads that which are functions of the
American Red Cross (ARC) as opposed to the Federal Emergency Management
Agency (FEMA) in the United States? Select all that apply.
1.
Provide monetary relief.
2.
Provide crisis counseling.
3.
Identify and train personnel.
4.
Issue presidential declarations.
5.
Deploy National Guard troops.
6.
Handle inquiries from families. - ANS-2.
Provide crisis counseling.
3.
Identify and train personnel.
6.
Handle inquiries from families.
In general, the ARC provides support to individuals involved in a disaster, whereas
FEMA deals with regional responses to disasters, such as issuing presidential
declarations, providing monetary relief, and deploying National Guard troops. The
ARC has been given authority by the federal government to identify and train
personnel for a disaster and provide disaster relief, including crisis counseling,
operating shelters, and handling inquiries from families.
The community health nurse is preparing to teach personnel and family
preparedness for disasters to a group of parents of school-age children. Which items
should the nurse plan to include in disaster preparedness? Select all that apply.
1.
Flashlight
2.
Supply of batteries
3.
Battery-operated radio
4.
Extra pair of eyeglasses
5.
4-week supply of water
6.
4-week supply of nonperishable food - ANS-1.
Flashlight
2.
Supply of batteries
3.
Battery-operated radio
4.
Extra pair of eyeglasses
Options 1, 2, 3, and 4 should be identified as items to have on hand as part of
disaster preparedness. A 3-day supply of water is recommended (1 gallon per client
per day). Similarly, a 3-day supply of nonperishable food is recommended. A 4-week
supply of water and food is unnecessary and not recommended.
The nurse is the first responder at the scene of a 6-car crash on a highway. Which
victim should the nurse attend to first?
1.
A victim experiencing dyspnea
2.
A victim experiencing confusion
3.
A victim experiencing tachycardia
4.
A victim experiencing intense pain - ANS-1.
A victim experiencing dyspnea
The client experiencing dyspnea is the priority. Needs related to maintaining a patent
airway are always the priority. The victims experiencing confusion, tachycardia, and
intense pain would be assessed following stabilization of the client with an airway
problem.
The nurse in charge of a nursing unit is asked to select the hospitalized clients who
can be discharged so that hospital beds can be made available for victims of a
community disaster. Which clients can be safely discharged? Select all that apply.
1.
A client with chest pain
2.
A client with a Holter monitor
3.
A client receiving oral antibiotics
4.
A client experiencing sinus rhythm
5.
A client newly diagnosed with atrial fibrillation
6.
A client experiencing third-degree heart block who requires a pacemaker - ANS-2.
A client with a Holter monitor
3.
A client receiving oral antibiotics
4.
A client experiencing sinus rhythm
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