NUR 2212 Bioterrorism; Exam: Questions and Answers

NUR 2212 Bioterrorism; Exam: Questions and AnswersNUR 2212Bioterrorism; Exam: Questions and Answers Bioterrorism A client is admitted with dysphasia, dry mouth, drooping eyelids, blurred vision, vomiting, and diarrhea, and within 24 hours develops bilateral cranial nerve impairment and descending weakness. Which bioterrorism agent results in these clinical manifestations? 1 Plague 2 Anthrax 3 Botulism 4 Smallpox Issue with this question? 4. The nurse is planning to triage clients after a disaster. Which client does the nurse categorize into the green-tagged category? 1 Client A 2 Client B 3 Client C 4 Client D 6. 0 Confidence: Pretty sure Stats Issue with this question? 6. Which tag color according to the disaster triage tag system is assigned to a client who has an immediate threat to life? 1 Red tag 2 Black tag 3 Green tag 4 Yellow tag 7. 1 Confidence: Pretty sure Stats Issue with this question? 7. Chart/Exhibit 1 The nurse is assessing four clients in the hospital. Which client should the nurse categorize in an emergent level according to the three-tiered triage system? 1 Client A 2 Client B 3 Client C 4 Client D Stats Issue with this question? 9. Which factor is known to threaten the nurse’s ability to triage and prioritize client care accurately? 1 A caring ethic 2 A biased approach to care 3 The shift that is being worked 4 12. The nurse is providing care to several clients in the emergency department (ED). Which client is the priority when using the three-tiered triage system? 1 A client with a simple fracture 2 A client experiencing renal colic 3 A client with severe abdominal pain 4 Stats Issue with this question? 13. The registered nurse is teaching the student nurse about care provided for clients according to the five level triage system of the Emergency Severity Index (ESI). Which statement made by the student nurse indicates effective learning? Select all that apply. 1 "Clients in the ESI-2 category do not have life-threatening injuries." 2 "Clients who are in the ESI-4 category present with stable vital signs." 3 "The ESI-1 clients should be seen by the physician within 10 minutes." 4 "Clients with severe respiratory distress fall within the ESI-1 category." 5 15. The nurse is caring for clients with disaster triage tags after a natural disaster. Which client should be treated immediately according to disaster triage tag system? 1 Client A 2 Client B 3 Client C 4 Client D 16. The nurse is caring for the victims of a hurricane. Which client should be triaged first? 1 A 2 B 3 C 4 D 18. After a train derailment disaster, five clients are admitted to the emergency department. Which order should the nurse triage based on the clients’ conditions, from the most to the least urgent? 1. Client with overdose and bradypnea 2. Client with multiple trauma 3. Client with gynecologic disorder 4. Client with simple laceration 5. Client with minor burns Stats Issue with this question? 19. Which client should be treated first, according to the disaster triage tagging system? 1 Client with red tag 2 Client with black tag 3 Client with green tag 4 Client with yellow tag 20. 8 Confidence: Pretty sure Stats Issue with this question? 20. Which client would the nurse treat first according to a three-tiered triage system? 1 Client with respiratory distress 2 Client with multiple soft tissue injuries 3 Client with new onset of respiratory tract infection 4 Client with skin rash and a simple lower limb fracture 21. 5 Confidence: Just a guess Stats Issue with this question? 21. o Chart/Exhibit 1 The nurse is caring for four clients in an emergency department. Which client is treated first according to a three-tiered triage system? 1 A 2 B 3 C 4 D 22. 7 Confidence: Pretty sure Stats Issue with this question? 22. The triage nurse is caring for four different clients according to the five-level triage system. Arrange the clients according to priority of receiving care. 1. Client with severe respiratory distress 2. Client with gynecologic disorder 3. Client with closed extremity trauma 4. Client with minor burns 25. 4 Confidence: Pretty sure Stats Issue with this question? 25. A 60-year-old client is admitted with a head injury following a disaster. Which triage level should the nurse assign to the client? 1 Urgent 2 Emergent 3 Expectant 4 Nonurgent 26. 1 Confidence: Just a guess Stats Issue with this question? 26. The registered nurse is appointed as a triage officer of the disaster management team. What would be the responsibility of the nurse as a triage officer? 1 To decide the resources needed for the clients 2 To determine the priority of treatment for clients 3 To act as leader in implementing the emergency plan 4 To serve as a liaison between the hospital and the media View Topics 27. 8 Confidence: Pretty sure Stats Issue with this question? 27. The registered nurse is teaching a student nurse about the disaster triage tag system. Which statement made by the student nurse indicates ineffective learning? 1 "I will use a yellow tag for clients with shock." 2 "I will use a green tag for clients with closed fractures." 3 "I will use a red tag for clients with airway obstruction." 4 30. 1 Confidence: Pretty sure Stats Issue with this question? 30. The nurse is caring for clients who were brought to the hospital following a large-scale disaster. Which client would be suitable for the nurse to triage with a "green" tag? 1 Client who is injured but is able to ambulate 2 Client who is severely injured and has no chances for survival 3 Client requiring immediate treatment and has chance of survival 4 Client who is stable at present and whose vital signs are under observation Issue with this question Which colored tag has the nurse ly identified while classifying triage care in mass casualty conditions? 1 Urgent-red tag 2 Expectant-white tag 3 Nonurgent-green tag 4 Emergent-yellow tag 33. 9 Confidence: Pretty sure Stats Issue with this question? 33. According to the disaster triage tag system, which color tag would the nurse feel is most suitable for a client who died in an earthquake? 1 Red 2 Black 3 Green 4 Yellow 36. Five victims of a shooting are identified as needing urgent care. What should the triage officer do first when these victims arrive in the emergency department? 1 Triage the victims 2 Send the victims to the operating room 3 Type and cross match for blood transfusions 4 Notify next of kin that the victims are in the emergency room View Topics 37. 0 Confidence: Pretty sure Stats Issue with this question? 37. The emergency room nurse is training to be a member of a direct response team to respond to community emergencies. Which new triage level would this nurse be required to learn? 1 Urgent 2 Emergent 3 Expectant 4 Nonurgent 40. 2 Confidence: Pretty sure Stats Issue with this question? 40. What criteria should a nurse manager use to determine the feasibility of altering an emergency department triage process? Select all that apply. 1 Research findings 2 Remote capability 3 Need for resources 4 Readiness of others 5 Evaluation of risk factors 17%of students nationwide answered this question ly. View Topics 41. 5 Confidence: Pretty sure Stats Issue with this question? 41. The nurse is helping a triage officer evaluate the victims of a large scale disaster. Which client does the nurse anticipate will be given a black tag? 1 A client with a contusion 2 A client with airway obstruction 3 A client with open fractures and a distal pulse 4 A client with extensive full-thickness body burns 42. 9 Confidence: Pretty sure Stats Issue with this question? 42. The triage nurse assigns a red tag to a client who has been brought in following a massive earthquake in the region. Which statement best describes the client’s condition? 1 The client is expected and allowed to die. 2 The client has an immediate threat to life. 3 The client has major injuries that require treatment. 4 The client has minor injuries that do not require immediate treatment. 86%of students nationwide answered this question ly. View Topics 45. 3 Confidence: Pretty sure Stats Issue with this question? 45. The victims of a major chemical incident are being treated in the emergency department. Which is the most likely concern that the nurse will have regarding clients who have been triaged with a green tag? 1 They are not expected to survive. 2 Their injuries require immediate treatment. 3 They may have unknowingly carried contaminants into the hospital environment. 4 Their numbers help the hospital determine how many actual casualties will arrive. 46. A triage nurse assigns a green tag to a client during triage after a mass casualty event. Which statement is true about the client’s injuries? 1 The client is expected and allowed to die. 2 The client has an immediate threat to life. 3 The client has major injuries that require treatment. 4 The client has minor injuries that do not require immediate treatment. 48. 8 Confidence: Pretty sure Stats Issue with this question? 48. Which medical relief team would the nurse explain provides relief services ranging from primary healthcare and triage to evacuation and staffing to assist healthcare facilities in a massive disaster? 1 Medical Reserve Corps (MRC) 2 Disaster Medical Assistance Team (DMAT) 3 Hospital Incident Command System (HICS) 4 International Medical Surgical Response Teams (IMSuRTs) Confidence: Pretty sure Stats Issue with this question? 49. o Chart/Exhibit 1 The nurse is tagging different groups according to the disaster triage tag system. Which client tag is accurate? 1 Group 1 2 Group 2 3 Group 3 4 Group 4 50. 6 Confidence: Just a guess Stats Issue with this question? 50. After a large-scale natural disaster, the emergency medical service (EMS) team reached the location to provide triage services. Which group of clients will the EMS team consider should have the highest priority in receiving care? 1 Group 1 2 Group 2 3 Group 3 4 Group 4 51. A registered nurse is teaching a group of student nurses about concepts of triage in a mass casualty incident. Which statement of the student nurse indicates effective learning? 1 "I will issue a black tag to class II, urgent clients." 2 "I will issue a yellow tag to class I, emergent clients." 3 "I will issue a green tag to class III, nonurgent clients." 4 "I will issue a red tag to class IV, expected-to-die clients." 53. 7 Confidence: Pretty sure Stats Issue with this question? 53. The nurse is assessing four clients who were injured in a mass casualty event. Which client does the nurse plan to treat first according to the disaster triage tag system? 1 Client belonging to class I 2 Client belonging to class II 3 Client belonging to class III 4 Client belonging to class IV 54. Which statement by the nurse is true regarding the disaster triage tag system? 1 Class IV clients are issued a red tag. 2 Class III clients are given a black tag. 3 Class II clients are marked with a yellow tag. 4 Class I clients are identified with a green tag. 55. Clients in which class are given a yellow tag according to the disaster triage tag system? 1 Class I 2 Class II 3 Class III 4 Class IV 57. The nurse is triaging clients who have arrived at the hospital after an explosion in a fertilizer plant. Which client conditions are categorized under class III according to the disaster triage tag system? Select all that apply. 1 Sprained hand 2 Mild head injury 3 Contusions on legs 4 Compound fracture 5 High cervical spinal cord injury The nurse is triaging clients who have arrived at the hospital after a large-scale disaster. Based on the data in the table, which client is appropriately tagged according to the disaster triage tag system? 1 Client A 2 Client B 3 Client C 4 Client D 59. Which color tag should be given to "walking wounded" clients according to the disaster triage tag system? 1 Red 2 Black 3 Green 4 Yellow Which client is most likely in need of a red tag according to the disaster triage tag system, based on the given data? 1 Client A 2 Client B 3 Client C 4 Client D 63. Which action is appropriate for a nurse who is the triage officer after a high-speed commuter train derailment? 1 Evaluating each client to determine priorities for treatment 2 Being a liaison between the health care facility and the media 3 Deciding the number, acuity, and resource needs for client care 4 Assuming leadership for the implementation of the emergency plan 65. Which client injury would receive a black tag by the triage nurse during a mass casualty incident? 1 Concussion 2 Ankle sprain 3 Open femur fracture 4 Full-thickness body burns 80% total body surface area (TBSA) The nurse is conducting triage under mass casualty conditions. Which tag should the nurse use for a client who is experiencing hypovolemic shock due to a penetrating wound? 1 Red 2 Black 3 Green 4 Yellow 69. The nurse is a first responder for a healthcare organization for a mass casualty incident. Which injury would the nurse tag as yellow during the triage process? 1 Ankle sprain 2 Hypovolemic shock 3 Open femur fracture 4 Massive head trauma 70. Which colors are often included in an organizational disaster plan for use during triage? Select all that apply. 1 Red 2 Black 3 Green 4 White 5 Yellow 71. After an earthquake, four groups of clients are given different tags in accordance with the disaster triage tag system. What is the order of treatment priority for each group? 1. Group given red tags 2. Group given yellow tags 3. Group given green tags 4. Group given black tags 72. Which statement is true about the disaster triage tag system? 1 Yellow tags are given to "walking wounded clients." 2 Clients who are in shock are given a black tag. 3 Clients with airway obstruction, who require immediate attention, are given a red tag. 4 Green tags are given to clients who require treatment within 30 minutes to 2 hours of admission. 73. Which conditions are given a green tag according to triage disaster tag system? Select all that apply. 1 Strains 2 Abrasions 3 Open fractures 4 Airway obstruction 5 High cervical spinal cord injury 75. The nurse is triaging a group of clients injured in a tornado using the three-tier system. Which conditions are triaged as life-threatening conditions? Select all that apply. 1 Stroke 2 Skin rash 3 Active hemorrhage 4 Respiratory distress 5 Chest pain with diaphoresis 6 Displaced or multiple fractures The nurse is assigning emergency severity index (ESI) levels to clients who survived with traumatic injuries after a train derailment. Which client should be triaged under ESI-1 based on stability in vital function and life threat? 1 A 2 B 3 C 4 D 78. Which clients belong to class I according to the disaster triage tag system? A Clients who can wait a short time for treatment B Clients who are dead or expected to die C Clients who need emergency treatment D Clients who have no urgent need for treatment Triage officers are tagging clients with disaster triage tags at the site of an earthquake. Which client’s tag requires replacement? A A B B C C D D After a mass causality scene, the nurse finds that a group of victims with minor injuries arrived to a hospital in a private vehicle. Which disaster triage tag does the nurse finds on victims? A Red B Black C Green D Yellow 81. The nurse finds that some clients have extensive full-thickness body burns and severe head trauma after an apartment building fire. The nurse also finds that these clients require mechanical ventilator for survival. Which disaster triage tag does the nurse applies to this group of clients? A Red B Black C Green D Yellow The nurse is applying tags to earthquake victims according to the disaster triage tag system. Which client has been ly tagged? A A B B C C D D 83. The nurse finds a green triage tag on a client. What does the nurse infer from this finding? A The client belongs to class I. B The client belongs to class II. C The client belongs to class III. D The client belongs to class IV. The nurse is assigning disaster triage tags to clients after a bomb explosion. Which client requires immediate treatment in the emergency department according to disaster triage tag system? A A B B C C D D 87. A serious train accident occurs in the community. At the scene of the accident, a triage nurse is identifying and labeling victims according to triage acuity principles. With what color tag should the nurse label a client who is experiencing respiratory distress? 1 Red 2 Black 3 Green 4 Yellow 88. When planning a citywide national homeland security disaster preparedness drill, a nurse is assigned to the triage committee. Place the following criteria in an order that reflects the most efficient triage plan for an actual mass casualty incident (MCI). 1. Tension pneumothorax 2. Compound fracture of femur 3. Laceration of thigh muscle 4. Severe wrist sprain 5. Crushing head injury 1. Which agents of bioterrorism can be treated effectively with antibiotics? Select all that apply. A Plague B Anthrax InC Botulism D Tularemia InE Hemorrhagic fever People who are involved in a bioterrorism attack exhibit immediate reactions to the traumatic event. Which responses can a nurse expect in survivors during the period immediately following a traumatic event? Select all that apply. In1 Guilt 2 Denial 3 Altruism 4 Confusion 5 Helplessness 5. The client’s blood test results show a ferritin level of 3 ng/mL and a hemoglobin level of 5 mg/dL. Which triage priority tag would the nurse state is appropriate for the client? 1 Red tag In2 Black tag 3 Green tag 4 Yellow tag ? 8. According to the three-tiered triage system, which client requires urgent treatment? Select all that apply. 1 A client with renal colic 2 A client with strains and sprains In3 A client with respiratory distress 4 A client with severe abdominal pain 5 A client with multiple displaced fractures 10. What must triage nurses employ when prioritizing care with any model? Select all that apply. 1 A caring ethic In2 Intensive care experience 3 A systematic approach to care 4 A baccalaureate degree in nursing 5 Solid clinical decision-making skills 11. Which factor is known to hinder the ability of the triage nurse to adequately prioritize care? In1 Lack of clinical experience 2 Lack of baccalaureate degree 3 Compassion fatigue 4 A team-based approach to care 14. After an earthquake in the city, four clients were admitted to the emergency department. Based on this data, which clients should the nurse have triaged into emergency severity index level 1 (ESI-1)? In1 Client A 2 Client B 3 Client C 4 Client D 17. After a natural disaster, four clients are admitted to the emergency department. Which order should the nurse triage the clients based on the threat to organs? In 1. Client with chest pain resulting from ischemia In 2. Client with hip fracture In 3. Client with cystitis In 4. Client with intubated trauma 5. Client with minor burns 23. The nurse is performing triage based on tier levels for a group of clients who were impacted by a tornado. Which client conditions should receive higher priority? Select all that apply. 1 Stroke 2 Skin rash 3 Active hemorrhage 4 Respiratory distress 5 Chest pain with diaphoresis 6 Displaced or multiple fractures 24. The triage nurse is providing tags to different clients in an emergency department. Which client should the nurse give a red tag based on priority? In1 Client with arrhythmia 2 Client with pressure ulcers 3 Client with abdominal trauma 4 Client with second degree burns 28. Which client conditions require the nurse to tag with red according to the disaster triage tag system? Select all that apply. 1 Sprains 2 Abrasions 3 Hemorrhage 4 Airway obstruction In5 Compound fracture After a bomb blast, the victims were brought to the emergency department and the nurses initiated triage for the clients. Which client is classified as class IV? 1 Client A In2 Client B 3 Client C 4 Client D The registered nurse is teaching a student nurse about the disaster triage tag system. The nurse provides details of four clients along with their conditions for identification. Which statement made by the student nurse indicates effective learning? 1 "I would issue a red tag to client A." In2 "I would issue a black tag to client B." 3 "I would issue a green tag to client C." 4 "I would issue a yellow tag to client D." 34. After an earthquake, the emergency medical service (EMS) providers’ team is performing triage functions in the field. How would the nurse describe how the EMS teams categorize the triage of clients? Select all that apply. 1 Clients are brought by the facility staff 2 Clients are assigned with specific numbers 3 Clients are brought in an unconscious state In4 Clients with severe hemorrhage are seen first 5 Clients are provided with specific colored tags What would the nurse say is the difference between triage under usual conditions and triage under mass casualty conditions? In1 Urgent care 2 Expectant care 3 Emergent care 4 Nonurgent care 38. If the military system of triage is being used to triage victims of a manufacturing plant explosion, which client would be identified as class IV? 1 Victim with obvious fractured arm and leg 2 Victim bleeding from facial wounds and coughing sputum containing soot In3 Victim walking across the parking lot to increase distance from the explosion site 4 Victim bleeding from a jugular vein wound with a respiratory rate of 6 per minute 39. Which color should the nurse use to triage a victim of a train derailment who is able to walk independently to the first aid station? 1 Red 2 Black 3 Green In4 Yellow 43. The nursing student is learning about triage during mass casualty incidents (MCIs). Which statement made by the nursing student indicates effective knowledge regarding MCIs? 1 "Two-thirds of victims are generally tagged red or black." 2 "The triage of victims of an MCI must be conducted in one minute." In3 "Victims who arrive at the hospital on their own are not considered during triage." 4 "The total number of victims can be estimated by doubling the number of victims who arrive in the first hour." 44. Which color tagged clients usually make up the greatest number in most large-scale multicasualty situations, based on the disaster triage tag system? In1 Red 2 Black 3 Green 4 Yellow The ER nurse expects death in a client critically injured in a bomb blast . What is the appropriate triage categorization for the client? 1 Urgent 2 Emergent 3 Expectant In4 Nonurgent 56. The federal government established the Medical Reserve Corps (MRC) to collaborate with other disaster management teams to triage clients after a terrorist attack. Which client care would not be handled by the MRC? 1 Client with head injury 2 Client with leg fracture In3 Client with skin abrasions 4 Client with multiple fractures 61. A critically injured client was brought to the hospital following a car accident and the client should be immediately triaged for determining the nature and acuity of the injuries. Who is delegated to perform the task? In1 Nurse manager 2 Registered nurse 3 Licensed practical nurse 4 Primary healthcare provider 62. The health care triage team is caring for a group of different clients who were injured due to a large industrial accident. For which client should the nurse provide care immediately? In1 Client A 2 Client B 3 Client C 4 Client D 64. A local emergency department (ED) recently implemented an automated tracking system for triage during mass casualty incidents (MCIs). Which items can the nurse track using this system? Select all that apply. 1 Priority upon arrival In2 Clinical manifestations 3 Interaction with caregivers 4 Priority per process of care 5 Priority according to location 66. Which emergency medical system (EMS) first responders can perform triage during mass casualty incidents? Select all that apply. 1 Paramedics 2 Unlicensed assistive personnel 3 Nurses appointed to a field team 4 A physician who survives the incident In5 Community response team members 68. Which nursing actions during a mass casualty incident should be included in the triage portion of an organizational disaster plan? Select all that apply. 1 Treatment 2 Stabilization In3 Evaluation of interventions 4 Formulation of nursing diagnosis 5 Decontamination for suspected contamination 74. A group of clients who were in a bus accident is admitted to the emergency department with injuries. Which group is considered urgent according to the three-tier triage system? 1 Sprains 2 Simple fractures 3 Severe abdominal pain In4 Chest pain with diaphoresis 77. A client is admitted with multiple trauma after a bus crash. The nurse finds that the stability of the client’s vital function is threatened. Under which emergency severity index (ESI) level should the nurse triage this client’s condition? In1 ESI-1 2 ESI-2 3 ESI-3 4 ESI-4 85. The nurse on a community terrorism response team is reviewing triage protocols. In contrast to triage policies used during local emergency situations occurring in the hospital, triage practices during mass casualty events do not prescribe treatment for clients who have which type of injury? 1 Multiple fractures 2 Closed head injuries 3 Internal abdominal trauma In4 Radiation/chemical exposures A nurse manager is informed that a community disaster drill will take place. The disaster scenario will include a bombing in a shopping mall with hundreds of casualties. What location should the nurse consider for triage of casualties when planning for this exercise? 1 In the hospital parking lot 2 At the scene of the disaster 3 In the emergency department In4 At the closest school gymnasium