During the primary assessment of a patient with multiple trauma, the nurse observes that the patient’s right pedal pulses are absent, and the leg is
... [Show More] swollen. The nurse’s first action should be to
A. Initiate isotonic fluid infusion through two large-bore IV lines
B. Send blood to the lab for a complete blood count (CBC)
C. Finish the airway, breathing, circulation, disability survey
D. Assess further for a cause of the decreased circulation
When caring for a patient with head and neck trauma after a motorcycle accident, the emergency department nurse’s first action should be to
A. Suction the mouth and oropharynx
B. Immobilize the cervical spine
C. Administer supplemental oxygen
D. Obtain venous access
A patient has been brought to the emergency department with a gunshot wound to the abdomen. In obtaining a history of the incident to determine possible injuries, the nurse asks
A. “Where did the incident occur?”
B. “What direction did the bullet enter the body?”
C. “How long ago did the incident happen?”
D. “What emergency care was started at the scene?”
A 67-year-old patient who has fallen from a ladder is transported to the emergency department by ambulance. The patient is unconscious on arrival and accompanies by family members.
During the primary survey of the patient, the nurse should
A. Assess a full set of vital signs
B. Obtain a Glascow Coma Scale score
C. Attach a cardiac ECG monitor
D. Ask about chronic medical conditions
A nurse in community health in California has been working with a 6-year-old child that was rescued from a mudslide. The nurse will observe the child for which of the following stress effects? (Select all that apply.)
A. Bed-wetting episodes
B. Desire to return to school
C. Fantasies of denial
D. Increased playfulness with peers
E. Thumb sucking
Which of the following statements accurately describe the stress reaction phases a community may experience during a disaster response? (Select all that apply.)
A. Disillusionment and reconstruction is most associated with response efforts.
B. During the Heroic phase, there is overwhelming need for people to do whatever they can to help others survive the disaster.
C. In the Honeymoon phase, survivors may be rejoicing in that their lives and the lives of loved ones have been spared.
D. Disillusionment is the longest phase in the stress reaction process.
E. The Disillusionment phase occurs after time elapses and people begin to notice that additional help and reinforcement may not be immediately forthcoming.
The recovery phase of a disaster can take a very long time. Nurses need to be aware that despite effective disaster preparedness and response efforts:
A. environmental hazards are minimal.
B. individuals must ultimately recover on their own.
C. the government provides economic support.
D. religious organizations must bear the burden of the community.
Four months after the disaster of 9/11 at the Pentagon, a local EMS worker complained of extreme exhaustion. The veteran EMS worker also stated that the pace of work at the squad was too slow. The occupational health nurse that is assessing the EMS worker recognizes the symptoms of:
A. anger.
B. delayed stress reaction.
C. inability to concentrate.
D. insomnia.
Nurses often participate on field assessment teams (surveillance) during a disaster response. These assessments are crucial to best help:
A. encourage good intentions of those giving aid.
B. match available resources to the population's emergency needs.
C. separate casualties and allocate treatment.
D. provide compassion and dignity.
The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority
A. Changing the linens on the client’s beds.
B. restocking the bedside supplies needed for a dressing change on the upcoming shift.
C. Documenting the care she provided during her shift
D. emptying the trash cans in the assigned client room.
A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated?
A. Immediately.
B. Within 24 hours.
C. In 48 to 72 hours.
D. After 5 days.
When is post exposure prophylaxis (PPE) most effective ?
A. Within an hour.
B. After 24 hours.
C. Within 72 hours.
D. Before having sexual encounter.
What is the order procedure steps when donning PPE?
A. Wash hands, put on gown, eye covers, mask, hair net, gloves, and wash hands.
B. Wash hands, gown, mask, eye covers ,hair net, gloves and wash hands.
C. Gown, eye covers, mask, hair net, gloves, and wash hands.
D. Wash hands, put on mask, gown, eye covers, mask, hair net, gloves, and wash hands.
There should be a limit to the number of staff entering a neutropenic isolation patient.
True or False?
True or False: A first receiver is defined by OSHA as a health care worker in a hospital distant from the site of contamination, which is sent contaminated victims in order to provide care
Which individuals are considered first responders? (Select all that apply) A. Firefighters
B. Law Enforcement C. HAZMAT Teams
D. News Anchor
In a mass chemical contamination, it is the nurse’s duty to make decisions on? (Select all that apply)
A. Patients that are in need of care B. The order of the care
C. Who should not be given care
D. Ensuring that the patient is decontaminated entirely
True or False: It is not essential to provide emotional and psychological support to the child or infant during a chemical decontamination process, because they are too young, and will not remember.
True or False: Hospitals are required to have an evidence-based system in order to implement “special conditions triage” and decontaminate the individuals arriving to the hospital.
During a mass blackout caused by an earthquake, what can emergency responders use to locate trapped victims?
A. Newspaper
B. Family members C. Social Media
D. Canine dogs
A nurse asked a reporter what are the effects of media during a disaster?
A. Early warnings from media lowers the populations response of panic and leading to chaos. B. Media coverage of actual disasters reveals a great deal about the strengths and weakness of public sector preparedness.
C. Media prevents natural disasters from occurring.
D. Warnings from media increases the cause of panic to the public and leads to chaos.
A reporter asks an emergency responder for an interview during a bioterrorism attack. The emergency responder needs further education when she tells the reporter?
A. Casualty numbers, condition, treatment.
B. Property damage
C. Response and relief activities
D. Resulting effects
E. The name of a suspect
An emergency responder was confronted by a reporter. The emergency responder best response is.
A. “I’m busy go find someone else to help you”
B. “Will you stop recording me and help someone”
C. “I am willing to provide you information, but will you help me carry this person “
D. “There is no time for an interview right now she is dying”
Media plays key role in providing society warnings, education, and preparation for disasters. A. True
B. False
Having any kind of large crowding in a space at the same time whether public or private can have potential health and hazard safety concerns. True or false
How would a nurse document a small incident that do not involve a hospital visit?
A. They would document on paper charting and hand off to EMT/ first responder
B. They would document on a smart phone/ or tablet
C. They would give a verbal handoff to first responder D. They do not need to document
What are some considerations to think about when planning an event for mass gatherings? Select all that apply.
A. Type of event
B. Duration of event
C. Controlling the crowd
D. Characteristics of the crowd
E. Making sure the crowd keeps the noise to a minimum
While at an outdoors concert a patient feels symptoms of heat exhaustion. What signs and symptoms would you as the nurse be looking for?
A. Headache, nausea, vomiting
B. Irritation, excessive thirst, decreased body temperature
C. Decreased LOC, hunger, blisters
Nursing care at a mass gathering should be based which American Red cross competencies?
A. Giving care to the first person a nurse comes across
B. Sending every patient to the hospital
C. Assessing and triaging patients who are most critical
What causes secondary blast injury from an explosion?
A. Direct exposure to the over-pressurization wave of the explosion
B. Inhalation of gases or other toxic substances
C. The body is displaced and impacts another object
D. Energized debris or explosive fragments impact the head
"Blast lung" is a direct consequence of which of the following? A. High-order explosives (HE) over-pressurization wave
B. Low-order explosives (LE) over-pressurization wave
C. The individual being thrown by the blast wind
D. Inhalation of gases or other toxic substances
Explosives can be categorized into what two categories?
A. Low order, low class B. High order, low order
C. Low class, high class
D. Low weight, high weight
The nurse is caring for a client with a blast injury. Which of the following nursing assessments would be most appropriate for this client?
A. Assess for vasovagal hypotension
B. Assess the client for confusion
C. Assess for asphyxia
D. Assess for hypervolemia
In an earthquake, the roads and underground pipes were all destroyed. Fires and explosions began to occur from the broken leaking gas lines. Which of the following would be used to describe the fire?
a. A man-made disaster
b. The cause of the earthquake
c. The primary agent d. The secondary agent [Show Less]