MS3 Final MSS- Emergency & Disaster
Nursing Exam Questions With Correct
Answers
Which situation warrants the nurse obtaining information from a material safety
| | | | | | | | | | |
data sheet (MSDS)?
| |
1. The custodian spilled a chemical solvent in the hallway.
| | | | | | | | |
2. A visitor slipped and fell on the floor that had just been mopped.
| | | | | | | | | | | | |
3. A bottle of antineoplastic agent broke on the client's floor.
| | | | | | | | | |
4. The nurse was stuck with a contaminated needle in the client's room.
| | | | | | | | | | | |
1. The custodian spilled a chemical solvent in the hallway.
| | | | | | | | |
The MSDS provides chemical information regarding specific agents, health
| | | | | | | | |
information, and spill information for a variety of chemicals. It is required for
| | | | | | | | | | | | |
every chemical found in the hospital. This situation requires an occurrence or
| | | | | | | | | | | |
accident report. Any facility administering antineoplastic agents (medications
| | | | | | | |
used to treat cancer) is required to have specific chemotherapy spill kits available
| | | | | | | | | | | | |
and a policy and procedure included; in this situation the nurse already knows
| | | | | | | | | | | | |
the chemical involved. This requires a hospital variance report and notifying the
| | | | | | | | | | | |
employee health or infection-control nurse.
| | | |
The triage nurse is working in the emergency department. Which client should be
| | | | | | | | | | | |
assessed first?
| |
1. The 10-year-old child whose dad thinks the child’s leg is broken.
| | | | | | | | | | |
2. The 45-year-old male who is diaphoretic and clutching his chest.
| | | | | | | | | |
3. The 58-year-old female complaining of a headache and seeing spots.
| | | | | | | | | |
,4. The 25-year-old male who cut his hand with a hunting knife.
| | | | | | | | | | |
2. The 45-year-old male who is diaphoretic and clutching his chest.
| | | | | | | | | |
The triage nurse should see this client first because these are symptoms of a
| | | | | | | | | | | | | |
myocardial infarction, which is potentially life threatening. The child needs an x-
| | | | | | | | | | |
ray to confirm the fracture, but the client is stable and does not have a life-
| | | | | | | | | | | | | | |
threatening problem. These are symptoms of a migraine headache and are not
| | | | | | | | | | | |
life threatening. A laceration on the hand is priority, but not over a client having a
| | | | | | | | | | | | | | |
|myocardial infarction. |
The nurse is teaching a class on disaster preparedness. Which are components of
| | | | | | | | | | | | |
an emergency operations plan (EOP)? Select all that apply.
| | | | | | | |
1. A plan for practice drills.
| | | | |
2. A deactivation response.
| | |
3. A plan for internal communication only.
| | | | | |
4. A preincident response.
| | |
5. A security plan.
| | |
1, 2, 5
| |
1. Practice drills allow for troubleshooting any issues before a real-life incident
| | | | | | | | | | | |
occurs.
2. A deactivation response is important so resources are not overused, and the
| | | | | | | | | | | | |
facility can then get back to daily activities and routine care.
| | | | | | | | | |
3. Communication between the facility and external resources and an internal
| | | | | | | | | | |
communication plan are critical. | | |
4. A postincident response is important to include a critique and debriefing for all
| | | | | | | | | | | | | |
parties involved; a preincident response is the plan itself. Be sure to read
| | | | | | | | | | | | |
adjectives closely. |
5. A coordinated security plan involving facility and community agencies is the
| | | | | | | | | | | |
key to controlling an otherwise chaotic situation.
| | | | | |
,According to the North Atlantic Treaty Organization (NATO) triage system, which
| | | | | | | | | | |
situation is considered a level red (Priority 1)?
| | | | | | |
1. Injuries are extensive and chances of survival are unlikely.
| | | | | | | | |
2. Injuries are minor and treatment can be delayed hours to days.
| | | | | | | | | | |
3. Injuries are significant but can wait hours without threat to life or limb.
| | | | | | | | | | | | |
4. Injuries are life threatening but survivable with minimal interventions.
| | | | | | | | |
4. Injuries are life threatening but survivable with minimal interventions.
| | | | | | | | |
This is called the Immediate Category. Individuals in this group can progress
| | | | | | | | | | | |
rapidly to Expectant if treatment is delayed. This describes injuries color-coded
| | | | | | | | | | |
black or Priority 4 and is called the Expectant Category. This is a description of
| | | | | | | | | | | | | | |
injuries color-coded green or Priority 3 and is called the Minimal Category. These
| | | | | | | | | | | | |
are injuries color-coded yellow or Priority 2 and is called the Delayed Category.
| | | | | | | | | | | |
Which statement best describes the role of the medical-surgical nurse during a
| | | | | | | | | | | |
disaster?
1. The nurse may be assigned to ride in the ambulance.
| | | | | | | | | |
2. The nurse may be assigned as a first assistant in the operating room.
| | | | | | | | | | | | |
3. The nurse may be assigned to crowd control.
| | | | | | | |
4. The nurse may be assigned to the emergency department.
| | | | | | | | |
4. The nurse may be assigned to the emergency department.
| | | | | | | | |
New settings and atypical roles for nurses may be required during disasters;
| | | | | | | | | | | |
medical-surgical nurses can provide first aid and may be required to work in| | | | | | | | | | | | |
unfamiliar settings. The nurse should not leave the hospital area; the nurse must
| | | | | | | | | | | | |
wait for the casualties to come to the facility. This is a position requiring
| | | | | | | | | | | | | |
knowledge of instruments and procedures not common to the medical-surgical
| | | | | | | | | |
floor. The people in this area are usually chaplains or social workers, not direct
| | | | | | | | | | | | | |
client care personnel. In a disaster, direct care personnel cannot be spared for this
| | | | | | | | | | | | |
|duty.
, The nurse in a disaster is triaging the following clients. Which client should be
| | | | | | | | | | | | | |
triaged as an Expectant Category, Priority 4, and color black?
| | | | | | | | |
1. The client with a sucking chest wound who is alert.
| | | | | | | | | |
2. The client with a head injury who is unresponsive.
| | | | | | | | |
3. The client with an abdominal wound and stable vital signs.
| | | | | | | | | |
4. The client with a sprained ankle which may be fractured.
| | | | | | | | | |
2. The client with a head injury who is unresponsive.
| | | | | | | | |
This client has a very poor prognosis, and even with treatment, survival is
| | | | | | | | | | | | |
unlikely. This client should be classified as an Immediate Category, Priority 1, and
| | | | | | | | | | | | |
color red. If not treated STAT, a tension pneumothorax will occur. This client
| | | | | | | | | | | | |
should be classified as a Delayed Category, Priority 2, and color yellow. This client
| | | | | | | | | | | | | |
receives treatment after the casualties requiring immediate treatment are
| | | | | | | | |
treated. This client is a Minimal Category, Priority 3, and color green. This client
| | | | | | | | | | | | | |
can wait days for treatment.
| | | |
Which federal agency is a resource for the nurse volunteering at the American
| | | | | | | | | | | | |
Red Cross who is on a committee to prepare the community for any type of
| | | | | | | | | | | | | | |
disaster?
1. The Joint Commission (JC).
| | | |
2. Office of Emergency Management (OEM).
| | | | |
3. Department of Health and Human Services (DHHS).
| | | | | | |
4. Metro Medical Response Systems (MMRS).
| | | | |
3. Department of Health and Human Services (DHHS).
| | | | | | |
Federal resources include organizations such as DHHS and the Department of
| | | | | | | | | | |
Justice. Each of these federal departments oversees hundreds of agencies,
| | | | | | | | | |
including the American Red Cross, which respond to disasters. This organization
| | | | | | | | | | |
mandates all health-care facilities to have an emergency operations plan, but it is
| | | | | | | | | | | | |
a national agency, not a federal agency. Most cities and all states have an OEM,
| | | | | | | | | | | | | | |
which coordinates the disaster relief efforts at the state and local levels. MMRS
| | | | | | | | | | | | |
teams are local teams located in cities deemed to be possible terrorist targets.
| | | | | | | | | | | |
Nursing Exam Questions With Correct
Answers
Which situation warrants the nurse obtaining information from a material safety
| | | | | | | | | | |
data sheet (MSDS)?
| |
1. The custodian spilled a chemical solvent in the hallway.
| | | | | | | | |
2. A visitor slipped and fell on the floor that had just been mopped.
| | | | | | | | | | | | |
3. A bottle of antineoplastic agent broke on the client's floor.
| | | | | | | | | |
4. The nurse was stuck with a contaminated needle in the client's room.
| | | | | | | | | | | |
1. The custodian spilled a chemical solvent in the hallway.
| | | | | | | | |
The MSDS provides chemical information regarding specific agents, health
| | | | | | | | |
information, and spill information for a variety of chemicals. It is required for
| | | | | | | | | | | | |
every chemical found in the hospital. This situation requires an occurrence or
| | | | | | | | | | | |
accident report. Any facility administering antineoplastic agents (medications
| | | | | | | |
used to treat cancer) is required to have specific chemotherapy spill kits available
| | | | | | | | | | | | |
and a policy and procedure included; in this situation the nurse already knows
| | | | | | | | | | | | |
the chemical involved. This requires a hospital variance report and notifying the
| | | | | | | | | | | |
employee health or infection-control nurse.
| | | |
The triage nurse is working in the emergency department. Which client should be
| | | | | | | | | | | |
assessed first?
| |
1. The 10-year-old child whose dad thinks the child’s leg is broken.
| | | | | | | | | | |
2. The 45-year-old male who is diaphoretic and clutching his chest.
| | | | | | | | | |
3. The 58-year-old female complaining of a headache and seeing spots.
| | | | | | | | | |
,4. The 25-year-old male who cut his hand with a hunting knife.
| | | | | | | | | | |
2. The 45-year-old male who is diaphoretic and clutching his chest.
| | | | | | | | | |
The triage nurse should see this client first because these are symptoms of a
| | | | | | | | | | | | | |
myocardial infarction, which is potentially life threatening. The child needs an x-
| | | | | | | | | | |
ray to confirm the fracture, but the client is stable and does not have a life-
| | | | | | | | | | | | | | |
threatening problem. These are symptoms of a migraine headache and are not
| | | | | | | | | | | |
life threatening. A laceration on the hand is priority, but not over a client having a
| | | | | | | | | | | | | | |
|myocardial infarction. |
The nurse is teaching a class on disaster preparedness. Which are components of
| | | | | | | | | | | | |
an emergency operations plan (EOP)? Select all that apply.
| | | | | | | |
1. A plan for practice drills.
| | | | |
2. A deactivation response.
| | |
3. A plan for internal communication only.
| | | | | |
4. A preincident response.
| | |
5. A security plan.
| | |
1, 2, 5
| |
1. Practice drills allow for troubleshooting any issues before a real-life incident
| | | | | | | | | | | |
occurs.
2. A deactivation response is important so resources are not overused, and the
| | | | | | | | | | | | |
facility can then get back to daily activities and routine care.
| | | | | | | | | |
3. Communication between the facility and external resources and an internal
| | | | | | | | | | |
communication plan are critical. | | |
4. A postincident response is important to include a critique and debriefing for all
| | | | | | | | | | | | | |
parties involved; a preincident response is the plan itself. Be sure to read
| | | | | | | | | | | | |
adjectives closely. |
5. A coordinated security plan involving facility and community agencies is the
| | | | | | | | | | | |
key to controlling an otherwise chaotic situation.
| | | | | |
,According to the North Atlantic Treaty Organization (NATO) triage system, which
| | | | | | | | | | |
situation is considered a level red (Priority 1)?
| | | | | | |
1. Injuries are extensive and chances of survival are unlikely.
| | | | | | | | |
2. Injuries are minor and treatment can be delayed hours to days.
| | | | | | | | | | |
3. Injuries are significant but can wait hours without threat to life or limb.
| | | | | | | | | | | | |
4. Injuries are life threatening but survivable with minimal interventions.
| | | | | | | | |
4. Injuries are life threatening but survivable with minimal interventions.
| | | | | | | | |
This is called the Immediate Category. Individuals in this group can progress
| | | | | | | | | | | |
rapidly to Expectant if treatment is delayed. This describes injuries color-coded
| | | | | | | | | | |
black or Priority 4 and is called the Expectant Category. This is a description of
| | | | | | | | | | | | | | |
injuries color-coded green or Priority 3 and is called the Minimal Category. These
| | | | | | | | | | | | |
are injuries color-coded yellow or Priority 2 and is called the Delayed Category.
| | | | | | | | | | | |
Which statement best describes the role of the medical-surgical nurse during a
| | | | | | | | | | | |
disaster?
1. The nurse may be assigned to ride in the ambulance.
| | | | | | | | | |
2. The nurse may be assigned as a first assistant in the operating room.
| | | | | | | | | | | | |
3. The nurse may be assigned to crowd control.
| | | | | | | |
4. The nurse may be assigned to the emergency department.
| | | | | | | | |
4. The nurse may be assigned to the emergency department.
| | | | | | | | |
New settings and atypical roles for nurses may be required during disasters;
| | | | | | | | | | | |
medical-surgical nurses can provide first aid and may be required to work in| | | | | | | | | | | | |
unfamiliar settings. The nurse should not leave the hospital area; the nurse must
| | | | | | | | | | | | |
wait for the casualties to come to the facility. This is a position requiring
| | | | | | | | | | | | | |
knowledge of instruments and procedures not common to the medical-surgical
| | | | | | | | | |
floor. The people in this area are usually chaplains or social workers, not direct
| | | | | | | | | | | | | |
client care personnel. In a disaster, direct care personnel cannot be spared for this
| | | | | | | | | | | | |
|duty.
, The nurse in a disaster is triaging the following clients. Which client should be
| | | | | | | | | | | | | |
triaged as an Expectant Category, Priority 4, and color black?
| | | | | | | | |
1. The client with a sucking chest wound who is alert.
| | | | | | | | | |
2. The client with a head injury who is unresponsive.
| | | | | | | | |
3. The client with an abdominal wound and stable vital signs.
| | | | | | | | | |
4. The client with a sprained ankle which may be fractured.
| | | | | | | | | |
2. The client with a head injury who is unresponsive.
| | | | | | | | |
This client has a very poor prognosis, and even with treatment, survival is
| | | | | | | | | | | | |
unlikely. This client should be classified as an Immediate Category, Priority 1, and
| | | | | | | | | | | | |
color red. If not treated STAT, a tension pneumothorax will occur. This client
| | | | | | | | | | | | |
should be classified as a Delayed Category, Priority 2, and color yellow. This client
| | | | | | | | | | | | | |
receives treatment after the casualties requiring immediate treatment are
| | | | | | | | |
treated. This client is a Minimal Category, Priority 3, and color green. This client
| | | | | | | | | | | | | |
can wait days for treatment.
| | | |
Which federal agency is a resource for the nurse volunteering at the American
| | | | | | | | | | | | |
Red Cross who is on a committee to prepare the community for any type of
| | | | | | | | | | | | | | |
disaster?
1. The Joint Commission (JC).
| | | |
2. Office of Emergency Management (OEM).
| | | | |
3. Department of Health and Human Services (DHHS).
| | | | | | |
4. Metro Medical Response Systems (MMRS).
| | | | |
3. Department of Health and Human Services (DHHS).
| | | | | | |
Federal resources include organizations such as DHHS and the Department of
| | | | | | | | | | |
Justice. Each of these federal departments oversees hundreds of agencies,
| | | | | | | | | |
including the American Red Cross, which respond to disasters. This organization
| | | | | | | | | | |
mandates all health-care facilities to have an emergency operations plan, but it is
| | | | | | | | | | | | |
a national agency, not a federal agency. Most cities and all states have an OEM,
| | | | | | | | | | | | | | |
which coordinates the disaster relief efforts at the state and local levels. MMRS
| | | | | | | | | | | | |
teams are local teams located in cities deemed to be possible terrorist targets.
| | | | | | | | | | | |
