MULTIPLE CHOICE
1. Which federal program provides a “push-pack” that, when requested, can be
transported within 12 hours to an affected community and consists of medical
assets such as medications, medical equipment and supplies, and personal
protective equipment?
a. Strategic National Stockpile (SNS) .
b. CHEMPACK federal program designed to supplement the medical
response.
c. Emergency System for Advance Registration of Volunteer Health
Professionals (ESAR-VHP)
d. National Incident Management System (NIMS) .
ANS: A
This federally funded program under the auspices of the Centers for Disease Control
and Prevention can aid any stricken community within the United States or its
territories within 12 hours by delivering critical medical assets to assist the emergency
medical and public health response. The SNS is primarily stored for biological acts of
terrorism or large-scale natural disasters. CHEMPACK is a similar program but is
specifically targeted for chemical agents or chemical exposures on a large scale.
ESAR-VHP is a registry of health professionals that can be accessed and executed to
recruit medical and clinical professionals e. g., retired, nonlicensed) during an
emergency response. The National Incident Management System (NIMS) provides a
consistent nationwide template to establish federal, state, tribal, and local
governments and private sector and nongovernmental organizations to work together
effectively and efficiently to prepare for, prevent, respond to, and recover from
domestic incidents, regardless of cause, size, or complexity, including acts of
catastrophic terrorism.
, PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 612
OBJ: Identify regulatory initiatives undertaken to prevent and respond to
future emergencies. TOP: Emergency response
MSC: NCLEX®: Safe and effective care environment—safety and infection
control.
2. Which unit’s responsibilities include triage of victims at a disaster site, medical
care at the site, and staging locations outside the disaster site for transportation of
patients to alternative health care facilities?
a. Emergency System for Advance Registration of Volunteer Health
Professionals (ESAR-VHP)
b. Medical Reserve Corps (MRC)
c. Disaster Medical Assistance Teams (DMAT) .
d. NIMS National Incident Management System (NIMS)
ANS: C.
DMAT units are composed of teams of various clinical health specialties that include,
but may not be limited to, communications, logistics, maintenance, and security.
These teams are locally based but can be deployed federally on request. ESAR-VHP
is a registry of health professionals that can be accessed and executed to recruit
medical and clinical professionals (e.g., retired, nonlicensed) during an emergency
response. START is a form of triage care used during a mass casualty event. MRC is
a registry of medical reserve corps persons who can be recruited for overall assistance
with a health or hospital facility during an emergency response. NIMS is the national
framework developed by the Department of Homeland Security and FEMA to
standardize emergency response from a local through federal level.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 613
OBJ: Identify regulatory initiatives undertaken to prevent and respond to
future emergencies. TOP: Emergency response
, MSC: NCLEX®: Safe and effective care environment—safety and infection
control
3. The charge nurse is educating a nurse on the process of surveillance for the
outbreak of disease in the hospital setting. The charge nurse judges the education
to be effective when the nurse states
a. “Surveillance is primarily the responsibility of the safety officer.” .
b. “Surveillance is primarily the responsibility of the risk manager.”
c. “Surveillance is primarily the responsibility of the infection control
nurse.”
d. “Surveillance is primarily the responsibility of the hospital radiation
safety officer.”
ANS: C
In the hospital, the infection control nurse is responsible for both passive and active
hospital surveillance monitoring. Epidemiologists are involved in the community. The
safety officer, risk manager, and hospital radiation safety officers do not have primary
responsibility for surveillance of disease outbreak.
PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating REF: p. 611
OBJ: Identify various public health threats to which the medical community is
susceptible. TOP: Disease surveillance
MSC: NCLEX®: Safe and effective care environment—safety and infection
control
4. An infection control nurse is educating a nurse about potential bioterrorism
agents. The nurse knows the teaching has been effective when the nurse states
a. “Smallpox has three routes of exposure to humans.”
b. “Anthrax has three routes of exposure to humans.”
c. “Botulism is caused by a bacterium found only in animals.”.
d. “Tularemia is transmitted via ingestion of toxin-contaminated food.”