EAQ EXAM QUESTIONS WITH COMPLETE
SOLUTIONS.
Which personnel of the institutional emergency response plan serves as a liaison
between hospital administration and the media during a mass casualty incident
such as an earthquake or a terrorist attack?
Community relations information officer
The community public information officer is a person who serves as a liaison between
the healthcare facility and the media releasing only appropriate or accurate information
about the incident. A triage officer is a physician or nurse who rapidly evaluates each
client to determine priorities for treatment. A medical command physician is the
personnel who decides the number, acuity, and resource needs of the clients. A hospital
incident commander is a physician or administrator who assumes overall leadership for
implementing the emergency plan.
Several emergency preparedness agencies are developing emergency response
plans in case of an earthquake alert. In which phase of the disaster management
continuum would the nurse state this activity is included?
Preparedness
The first phase of the disaster management continuum is preparedness. This is a
protective plan designed before the event to structure the response, assess the risk,
and evaluate the response. The response phase of the disaster continuum includes the
actual implementation of the disaster plan. The recovery phase is related to actions
focusing on stabilization of the community and returning it to the previous state. The
mitigation phase includes attempts to limit a disaster's impact on human health and
community function.
Who should the nurse contact to receive training as a Community Emergency
Response Team (CERT) member?
Federal Emergency Management Agency (FEMA)
The Federal Emergency Management Agency (FEMA) provides Community Emergency
Response Team (CERT) training. The National Disaster Life Support Foundation offers
Core, Basic, and Advanced Disaster Life Support training courses. The Centers for
Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid
Services (CMS) do not provide disaster preparedness training.
What type of trauma center would the nurse consider to be most appropriate for a
client who survived an accidental fire and has multiple injuries?
Level II trauma centers provide care to the most injured clients. Level III trauma centers
stabilize clients with multiple injuries. Level I trauma centers provide a full continuum of
trauma services for all clients. Level IV provides advanced life support and basic trauma
client stabilization.
Which treatment for anthrax should be included in the biologic agent portion of a
disaster plan for terrorist attacks?
, Antibiotics
Anthrax is treated effectively with antibiotics if sufficient supplies are available and the
organisms are not resistant. Antivirals would not be effective against anthrax, and there
is no established treatment for most viruses that cause hemorrhagic fever. Botulism is
treated with antitoxin, though several vaccines are being studied. Smallpox can be
prevented or the incidence reduced by vaccination, even when first given after
exposure.
Advanced Cardiac Life Support (ACLS) certification allows nurses to perform
electrical therapies, special resuscitation, and invasive airway management.
Basic Life Support(BLS) certification is granted when the nurse performs airway
maintenance or cardiopulmonary resuscitation. Certified Emergency Nurse (CEN)
certification indicates that a nurse has core emergency nursing skill and
knowledge. Pediatric Advanced Life Support (PALS) certification is needed to
perform neonatal and pediatric resuscitation.
An emergency nursing staff member is performing defibrillation/cardioversion and
special resuscitation for clients who sustained injuries in a tsunami. Which certification
does the emergency nursing staff member possess?
After an earthquake, there were a large number of deaths and casualties who
required acute care for several days in the field. Which teams activated by state
and federal government authorities would the nurse consider to be the most
suitable in managing the event? Select all that apply.
Medical Reserve Corps (MRC)
Disaster Mortuary Operational
Response Teams (DMORTs)
The emergency department (ED) charge nurse is preparing a group of medical-
surgical and critical care unit nurses for participation in emergency preparedness
and response for casualties due to an earthquake in the nearby area. Which
actions performed by these staff nurses are appropriate? Select all that apply.
Working with ED nurses in the resuscitation setting
Recommending which clients are stable for discharge
Identifying clients who can be transferred out of the critical care unit
What will influence the amount of stress community members might experience
after flooding and building damage caused by a Category 4 hurricane? Select all
that apply.
type of disaster
Age of the community members
Previous medical and psychologic histories
Preexisting mechanisms to cope with disasters
Which clients should the medical-surgical nurse identify as appropriate for
transfer or discharge to make room for admission of victims of a disaster? Select
all that apply.
SOLUTIONS.
Which personnel of the institutional emergency response plan serves as a liaison
between hospital administration and the media during a mass casualty incident
such as an earthquake or a terrorist attack?
Community relations information officer
The community public information officer is a person who serves as a liaison between
the healthcare facility and the media releasing only appropriate or accurate information
about the incident. A triage officer is a physician or nurse who rapidly evaluates each
client to determine priorities for treatment. A medical command physician is the
personnel who decides the number, acuity, and resource needs of the clients. A hospital
incident commander is a physician or administrator who assumes overall leadership for
implementing the emergency plan.
Several emergency preparedness agencies are developing emergency response
plans in case of an earthquake alert. In which phase of the disaster management
continuum would the nurse state this activity is included?
Preparedness
The first phase of the disaster management continuum is preparedness. This is a
protective plan designed before the event to structure the response, assess the risk,
and evaluate the response. The response phase of the disaster continuum includes the
actual implementation of the disaster plan. The recovery phase is related to actions
focusing on stabilization of the community and returning it to the previous state. The
mitigation phase includes attempts to limit a disaster's impact on human health and
community function.
Who should the nurse contact to receive training as a Community Emergency
Response Team (CERT) member?
Federal Emergency Management Agency (FEMA)
The Federal Emergency Management Agency (FEMA) provides Community Emergency
Response Team (CERT) training. The National Disaster Life Support Foundation offers
Core, Basic, and Advanced Disaster Life Support training courses. The Centers for
Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid
Services (CMS) do not provide disaster preparedness training.
What type of trauma center would the nurse consider to be most appropriate for a
client who survived an accidental fire and has multiple injuries?
Level II trauma centers provide care to the most injured clients. Level III trauma centers
stabilize clients with multiple injuries. Level I trauma centers provide a full continuum of
trauma services for all clients. Level IV provides advanced life support and basic trauma
client stabilization.
Which treatment for anthrax should be included in the biologic agent portion of a
disaster plan for terrorist attacks?
, Antibiotics
Anthrax is treated effectively with antibiotics if sufficient supplies are available and the
organisms are not resistant. Antivirals would not be effective against anthrax, and there
is no established treatment for most viruses that cause hemorrhagic fever. Botulism is
treated with antitoxin, though several vaccines are being studied. Smallpox can be
prevented or the incidence reduced by vaccination, even when first given after
exposure.
Advanced Cardiac Life Support (ACLS) certification allows nurses to perform
electrical therapies, special resuscitation, and invasive airway management.
Basic Life Support(BLS) certification is granted when the nurse performs airway
maintenance or cardiopulmonary resuscitation. Certified Emergency Nurse (CEN)
certification indicates that a nurse has core emergency nursing skill and
knowledge. Pediatric Advanced Life Support (PALS) certification is needed to
perform neonatal and pediatric resuscitation.
An emergency nursing staff member is performing defibrillation/cardioversion and
special resuscitation for clients who sustained injuries in a tsunami. Which certification
does the emergency nursing staff member possess?
After an earthquake, there were a large number of deaths and casualties who
required acute care for several days in the field. Which teams activated by state
and federal government authorities would the nurse consider to be the most
suitable in managing the event? Select all that apply.
Medical Reserve Corps (MRC)
Disaster Mortuary Operational
Response Teams (DMORTs)
The emergency department (ED) charge nurse is preparing a group of medical-
surgical and critical care unit nurses for participation in emergency preparedness
and response for casualties due to an earthquake in the nearby area. Which
actions performed by these staff nurses are appropriate? Select all that apply.
Working with ED nurses in the resuscitation setting
Recommending which clients are stable for discharge
Identifying clients who can be transferred out of the critical care unit
What will influence the amount of stress community members might experience
after flooding and building damage caused by a Category 4 hurricane? Select all
that apply.
type of disaster
Age of the community members
Previous medical and psychologic histories
Preexisting mechanisms to cope with disasters
Which clients should the medical-surgical nurse identify as appropriate for
transfer or discharge to make room for admission of victims of a disaster? Select
all that apply.
