Leadership/Management EAQ (Disaster Planning) Exam Questions With Correct Answers VERIFIED 100% Correct!!

Leadership/Management EAQ (Disaster Planning) Exam Questions With Correct Answers VERIFIED 100% Correct!! A diabetic client survives a fire. The client has a head injury, tachycardia, and pale and ashen-colored skin. Which primary interventions should the nurse perform? Select all that apply. Administering cool intravenous fluids Placing the client in a cool environment Managing and maintaining airway, breathing, and circulation While caring for different clients who were injured in a hurricane, the nurse finds that a client is confused. What are the most appropriate nursing interventions to prevent injury in the client? Select all that apply. Keeping the side rails up on the stretcher Maintaining adequate lightening in the room Asking a family member to remain with the client Reminding the client to use the call light for assistance 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? Red A disaster management team is planning measures to prevent the spread of pandemic influenza. Which interventions would the nurse consider to be most appropriate to be included in the plan? Distribute antiviral agents to clients Which system would the nurse expect to determine the number of casualties of a particular acuity level a hospital can safely accept from the incident scene in a disaster situation? Automated tracking system A hospital located near a major earthquake fault line has set an organizational goal to participate in emergency management of disasters. What do the employees of this hospital need to do before being recognized by the National Incident Management System (NIMS)? Attend training on the incident command system The nurse manager is designated as a unit Chief during the formulation of a Hospital Incident Command System (HICS) for disaster preparedness. Which responsibility does the nurse manager assume in this role? Logistics and operation After assessing a victim of a bomb blast that has caused mass casualties, the emergency department nurse applies a black band to the hand. What is the rationale behind this nursing action? The victim has severe head injury and requires artificial ventilation What would help facilitate communication and coordination during a mass casualty event in a hospital using the hospital incident command system? Select all that apply. Activate communication equipment Establish a command center in a designated location Provide key personnel with distinctive clothing identifying their role Distribute job action sheets identifying reporting relationships, tasks, and responsibilities Why would the nurse claim class III clients are of major concern in the hospital environment after a nuclear accident? Because they often come to the hospital on their own In a health care system, the nurse is planning management of a disaster that involves second order change. Which type of change would characterize this disaster? Select all that apply. Revolutionary and episodic change Change requiring radical adjustments in a person or in the structure of the system While caring for victims of a hurricane, a nurse is teaching hygiene practices and symptoms of various infections. Which phase of disaster management is the nurse executing? Mitigation Which biologic agents of terrorism can be treated effectively with antibiotics? Select all that apply. Plague Anthrax Tularemia An avalanche caused mass casualties. When taken to the nearby hospital, the health care provider provides basic trauma client stabilization and advanced life support before referring them to other trauma centers. Which level trauma center were the victims initially taken into? Level IV Which aspect of client tracking using radiofrequency technology (RFT) does the nurse recognize as a major safety strategy of the emergency department (ED) to prevent potentially disastrous consequences in the hospital? Interactions between client and caregiver A hospital in an urban setting is located on two rivers which are spanned by several bridges. Resources arrive to this community via commercial trains or airplanes. Which credible threats should this hospital prepare for when constructing the emergency preparedness plan? Select all that apply. Floods Bridge collapses Boating accidents Train derailments The nurse is planning a protocol for providing care to earthquake victims found with severe injuries. Which order of care should the nurse include in the protocol? To maintain the cervical spine alignment To assess the breath sounds To stop bleeding by applying external pressure To infuse intravenous fluids Which groups may be activated by state and federal government authorities to assist during a flooding situation that results from a hurricane? Select all that apply. National Guard American Red Cross Medical Reserve Corps Public health departments Which internal disaster may create a need for evacuation or relocation of clients? Gas explosion What are the effects of long-term exposure to mustard gas? Select all that apply. Skin burns Skin blisters Irritation of eyes The nurse is caring for a client with injuries from a bomb blast. Which emergency assessments are performed by the nurse in a primary survey? Select all that apply. Airway Breathing Circulation Identify deformities At which body temperature does the blood pressure of a victim of hypothermia become obtainable only by Doppler? 91.4° F (33°C) When writing a disaster plan for implementation during a mass casualty incident (MCI), which percentage of victims often require admission to the hospital for further treatment? 30% What does the registered nurse consider to be the roles and functions of a medical command physician during implementation of an emergency preparedness and response plan? Select all that apply. Identifying the need for and calling in specialty trained providers Determining the clients who require a higher level of care and relocating them Which factors affect the stress that first responders feel after a mass casualty incident (MCI)? Select all that apply. Age Nature of event Coping mechanisms Psychologic history The nurse is administering vaccines following an episode of pandemic influenza. Which entity should the nurse consult as being ultimately responsible for the implementation of the plan? State officials The nurse is caring for clients who have been admitted to the emergency department after a bomb blast. On observing one client's legs, the nurse gives the client a yellow tag. What is the likely condition of the client? Compound fracture One component of a hospital disaster plan would include a workplace violence protection plan. Which unit in the hospital would be the priority for implementation and evaluation of this plan? Emergency department What are the functions of the Hospital Incident Command System (HICS) in disaster management? Select all that apply. To standardize disaster operations To establish an emergency operations center (EOC) The nurse is performing peritoneal lavage on a client who is hypothermic, as a surface rewarming measure. What is the highest temperature up to which the fluid can be heated? 113° F (45°C) Following a massive explosion, victims are brought to a nearby hospital where a physician assesses the number of clients admitted and determines the resources needed to provide effective treatment. What is the role of this physician? Medical command physician In a mass casualty situation, which healthcare professional can direct departments such as physical therapy or a surgical clinic to cancel their usual operations to convert the space into a minor treatment area? Hospital incident commander A client is admitted to an emergency unit after a factory explosion. The nurse is obtaining the client's family history and checking for a medical alert bracelet. Which safety consideration is the nurse following? Risk for errors and adverse events The survivors of an explosion develop heat stroke. Which intervention should be performed by the nurse on the disaster management team? Apply ice packs on the client's scalp The nurse administrator for a long-term care facility is implementing a disaster response plan for staff and residents. Which staff member statements indicate correct understanding of the plan? Select all that apply. "We have to implement annual drills." "The plan must include an evacuation plan." What are the potential life-threatening conditions that should be considered during the primary survey for a client admitted after a fire accident? Select all that apply.