2026 FULL STUDY GUIDE COMPLETE
RESPONSES
◉ Role of nurse in emergency/disaster response. Answer: -nurses
are taken from the floor to take care of emergency room patients
while the emergency room nurses are triaging the new patient
-Neuro nurses- give them someone with head trauma
◉ Priority during acute phase of burn injury. Answer: airway, fluid
resusiation, infection prevention, thermoregulation, and pain
AIRWAY is always priority
be prepared for intubation
◉ RN delegation for burn injury. Answer: monitor I&Os can be
delegated to a UAP
◉ Preventing infection. Answer: proper PPE, handwashing, correct
antibiotics
◉ Supporting a burn patient- psychosocial. Answer: self-esteem,
self-image, and depression
provide support groups
,◉ Inhalation injury. Answer: loud, brassy cough
-give O2 and be ready to intubate
◉ Common meds for burn patients. Answer: morphine or ketamine
for pain
-antibiotics
mannitol for electrical burns
benzos for anxiety
◉ Assessment for a burn patient. Answer: I&Os- should be voiding
at least 30mL an hour- if not, kidneys aren't functioning properly
s/s of infection
airway- make sure they are breathing
vitals
electrolytes
◉ Parkland formula. Answer: 4mL x BSA x Kg
◉ Expected labs for a burn patient. Answer: hyperkalemia and
hyponatremia levels
,◉ Deep full thickness burn. Answer: -Skin, muscle, bone, tendons
involved
-Absence of sensation
◉ EDs use a triage system. Answer: Method to rank or classify
patient's illnesses or severity of injury
◉ Objectives of triage process. Answer: -Rapid assessment
classification or priority for care****
-Identify patient requiring immediate care
-Use space and resources efficiently
-Facilitate patient flow into the ED
-Provide assessment and reassessment of patients
-Alleviate fear and anxiety of patients and visitors
-Improve guest relations
◉ Level 1- Critically ill: Emergent. Answer: -Loss of life or limb
-Unresponsive, anaphylaxsis, stroke like s/s
◉ Level II: Intermediate: Urgent. Answer: -fractures w/o N/V
compromise, abdominal pain, nose bleed
, ◉ Level III: Low risk: Stable. Answer: Not a risk of deterioration and
care can be delayed
-Dermatitis, medication refills, toothaches, sprains, strains
◉ -EMTALA-. Answer: can't turn anyone away despite no insurance
or inability to pay
◉ START method. Answer: Quick triage multiple patients:***
ventilation, pulses/perfusion, and neurological status <60
seconds***
◉ Internal Disaster. Answer: fire, gas leak, shooting, electrical fires
◉ External disaster. Answer: accident, hurricane, volcano
◉ Mass Casualty Incident (MCI). Answer: -influx of victims
overwhelms*** the hospital and affects institution's capability to are
for this influx victims
May require collaboration of multiple agencies and health care
facilities to handle crisis
◉ Goal of MCI. Answer: -Quickly ID stable, minor injuries and can
wait for care (green patients)- have them help out