NRSG 3420: EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
ER MCI DISASTER
ER MCI DISASTER
The nurse has been notified that the ED is expecting terrorist attack victims and
that level D personal protective equipment (PPE) is appropriate. What does level
D PPE include?
A chemical-resistant coverall with splash hood, chemical-resistant gloves, and
boots
A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-
tight, chemical-resistant suit with chemical-resistant gloves and boots.
The SCBA and a chemical-resistant suit, but the suit is not vapor tight
The nurse's typical work uniform
Correct response:
The nurse's typical work uniform
,Explanation:
The typical work uniform is appropriate for Level D protection
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, Personal Protective Equipment, p. 2201.
There has been a radiation-based terrorist attack and a client is experiencing
vomiting, diarrhea, and shock after the attack. How will the client's likelihood of
survival be characterized?
Extended
Improbable
Possible
Probable
Correct response:
Improbable
Explanation:
,Clients who experience vomiting, diarrhea, and shock after radiation exposure are
categorized as improbable survival, because they are demonstrating symptoms of
exposure levels of more than 800 rads of total body-penetrating irradiation.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, Survival, p. 2211.
A nurse has been called for duty during a response to a natural disaster. In this
context of care, the nurse should expect to do which of the following?
Practice outside of her normal area of clinical expertise.
Prioritize psychosocial needs over physiologic needs.
Prioritize the interests of older adults over younger clients.
Perform interventions that are not based on assessment data.
Correct response:
Practice outside of her normal area of clinical expertise.
Explanation:
, During a disaster, nurses may be asked to perform duties outside their areas of
expertise and may take on responsibilities normally held by physicians or advanced
practice nurses.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, The Nurse's Role in Disaster Response Plans, p. 2198.
A client is brought to the ER in an unconscious state. The health care provider
notes that the client is in need of emergency surgery. No family members are
present, and the client does not have identification. What action by the nurse is
most important regarding consent for treatment?
Clearly document LOC and health status on the client's chart.
Obtain a court order to treat the client.
Ask the social worker to come and sign the consent.
Contact the police to obtain the client's identity.
Correct response:
Clearly document LOC and health status on the client's chart.
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
ER MCI DISASTER
ER MCI DISASTER
The nurse has been notified that the ED is expecting terrorist attack victims and
that level D personal protective equipment (PPE) is appropriate. What does level
D PPE include?
A chemical-resistant coverall with splash hood, chemical-resistant gloves, and
boots
A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-
tight, chemical-resistant suit with chemical-resistant gloves and boots.
The SCBA and a chemical-resistant suit, but the suit is not vapor tight
The nurse's typical work uniform
Correct response:
The nurse's typical work uniform
,Explanation:
The typical work uniform is appropriate for Level D protection
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, Personal Protective Equipment, p. 2201.
There has been a radiation-based terrorist attack and a client is experiencing
vomiting, diarrhea, and shock after the attack. How will the client's likelihood of
survival be characterized?
Extended
Improbable
Possible
Probable
Correct response:
Improbable
Explanation:
,Clients who experience vomiting, diarrhea, and shock after radiation exposure are
categorized as improbable survival, because they are demonstrating symptoms of
exposure levels of more than 800 rads of total body-penetrating irradiation.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, Survival, p. 2211.
A nurse has been called for duty during a response to a natural disaster. In this
context of care, the nurse should expect to do which of the following?
Practice outside of her normal area of clinical expertise.
Prioritize psychosocial needs over physiologic needs.
Prioritize the interests of older adults over younger clients.
Perform interventions that are not based on assessment data.
Correct response:
Practice outside of her normal area of clinical expertise.
Explanation:
, During a disaster, nurses may be asked to perform duties outside their areas of
expertise and may take on responsibilities normally held by physicians or advanced
practice nurses.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73: Terrorism, Mass
Casualty, and Disaster Nursing, The Nurse's Role in Disaster Response Plans, p. 2198.
A client is brought to the ER in an unconscious state. The health care provider
notes that the client is in need of emergency surgery. No family members are
present, and the client does not have identification. What action by the nurse is
most important regarding consent for treatment?
Clearly document LOC and health status on the client's chart.
Obtain a court order to treat the client.
Ask the social worker to come and sign the consent.
Contact the police to obtain the client's identity.
Correct response:
Clearly document LOC and health status on the client's chart.
