NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
Which treatment for anthrax would be included in the biological agent portion of a disaster
plan for terrorist attacks?
o Antivirals
o Antitoxins
o Antibiotics
o Vaccinations - correct answer o 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.
Which is the minimum length of time victims of a large scale near-drowning incident brought to
the emergency department would be kept under observation in the hospital?
o 12 hours
o 18 hours
o 23 hours
o 48 hours - correct answer o 23 hours
· Complications can develop in victims who are essentially free of symptoms immediately after
a near-drowning episode. This secondary drowning refers to delayed death from drowning due
to pulmonary complications. Consequently, all victims of near-drowning should be observed in
a hospital for a minimum of 23 hours, and longer if they have comorbidities. Twelve hours and
18 hours are too soon to rule out secondary drowning. The clients need not be kept under
observation for 48 hours if they do not have comorbidities.
Which emergency medical service agency offers service for a group of clients admitted to the
emergency unit with mass fatalities?
o Medical Reserve Corps (MRC)
o Hospital Incident Command System (HICS)
o International Medical-Surgical Response Teams (IMSRT)
,o Disaster Mortuary Operational Response Teams (DMORT) - correct answer o Disaster
Mortuary Operational Response Teams (DMORT)
· The National Disaster Medical System (NDMS) is responsible for managing the Federal
Government's medical response to medical emergencies and disasters. One of their additional
services is the DMORT. DMORTs manage mass fatalities. The MRC offers its services to health
care facilities or the community in a supportive to supplemental capacity during times of need,
such as a disaster or pandemic disease outbreak. HICS is a part of National Incident
Management System (NIMS) that standardizes disaster operations. IMSRT establishes fully
functional field surgical facilities.
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?
o Triage officer
o Medical command physician
o Hospital incident commander
o Community public information officer - correct answer o Community public information
officer
· The community public information officer is a person who serves as a liaison between the
health care facility and the media releasing only appropriate or accurate information about the
incident. A triage officer is a primary health care provider 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 primary health care provider or administrator who assumes overall leadership for
implementing the emergency plan.
Which personnel would the nurse state are responsible for deciding the number, acuity, and
resources needed for clients during a disaster?
o Triage officer
o Community relations officer
o Medical command physician
o Hospital incident commander - correct answer o Hospital incident commander
· Medical command physicians have the authority to decide the number, acuity, and resources
needed for clients during a disaster. Triage officers are the primary health care providers or
nurses who are responsible for evaluating the clients rapidly and determining the priority of
treatment. The community relations officer serves as a liaison between the health care facility
,and the media. Hospital incident commanders act as leaders and are responsible for
implementing the emergency plan.
Which agent of terrorism can cause death within a few minutes?
o Sarin gas
o Uranium
o Iodine-131
o Mustard gas - correct answer o Sarin gas
· Sarin gas is an agent for bioterrorism that can cause death within minutes of exposure by
paralyzing respiratory muscles. Uranium and iodine-131 can be dangerous in close proximities
but are not as harmful as sarin gas. Mustard gas causes blisters on the skin but does not cause
death within a few minutes.
Which would the nurse consider to be an example of a potential internal disaster?
o Hospital fire
o Fertilizer plant explosion
o Nuclear reactor explosion
o Terrorist device explosion - correct answer o Hospital fire
· An internal disaster is any kind of event inside a health care facility or campus that could
endanger the safety of clients or health care staff. A fire in a hospital is an example of an
internal disaster that can cause harm to the clients and the staff. A fertilizer plant explosion is
an external disaster. A nuclear reactor explosion may cause radiation exposure to the external
environment. Terrorism with explosive devices is an external disaster.
Which training measure is most effective to adequately familiarize health care providers with
emergency response procedures?
o Drills
o Tabletop exercises
o Access to the policy
o Computer simulations - correct answer o Drills
· Hospital disaster drills are priority training measures to familiarize health care providers with
emergency response procedure. Other methods that can also be used include tabletop
exercises and computer simulations; however, these methods will not provide immersive
, practice comparable to well-planned drills. Access to the policy is important but will not provide
real world experience for emergency response procedures.
Which team would be mobilized to manage the deceased at the earthquake zone where many
people lost their lives?
o Medical Reserve Corps (MRC)
o National Veterinary Response Teams (NVRTs)
o International Medical-Surgical Response Teams (IMSRTs)
o Disaster Mortuary Operational Response Teams (DMORTs) - correct answer o Disaster
Mortuary Operational Response Teams (DMORTs)
· DMORTs are a part of the DMAT. This team is specialized in managing mass fatalities during a
disaster. The MRC helps staff hospitals or community health care settings that face shortages of
nurses. They establish first aid stations and special-needs shelters in disasters. NVRTs provide
emergency care to animals. IMSRTs provide fully functional field surgical facilities all over the
world, wherever it is required.
Which is the function of the medical command physician according to the Emergency
Preparedness and Response Plan?
o Deciding the number, acuity, and resource needs of clients
o Serving as a liaison between the health care facility and the media
o Assuming overall leadership for implementing the emergency plan
o Evaluating each client rapidly to determine priorities for treatment - correct answer o
Deciding the number, acuity, and resource needs of clients
· The function of the medical command physician, according to the Emergency Preparedness
and Preparedness Plan, is deciding the number, acuity, and resource needs of clients. The
function of the community relations or public information officer is serving as a liaison between
the health care facility and the media. The function of the hospital incident commander is
assuming overall leadership for implementing the emergency plan. The function of the triage
officer is evaluating each client rapidly to determine priorities for treatment.
Which scenario is an internal disaster that might delay a specialist from providing on-time
treatment to a client?
o A tornado near the hospital
o An earthquake near the hospital premises
o Severe flooding
Mastery Level Target: Level 3
Which treatment for anthrax would be included in the biological agent portion of a disaster
plan for terrorist attacks?
o Antivirals
o Antitoxins
o Antibiotics
o Vaccinations - correct answer o 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.
Which is the minimum length of time victims of a large scale near-drowning incident brought to
the emergency department would be kept under observation in the hospital?
o 12 hours
o 18 hours
o 23 hours
o 48 hours - correct answer o 23 hours
· Complications can develop in victims who are essentially free of symptoms immediately after
a near-drowning episode. This secondary drowning refers to delayed death from drowning due
to pulmonary complications. Consequently, all victims of near-drowning should be observed in
a hospital for a minimum of 23 hours, and longer if they have comorbidities. Twelve hours and
18 hours are too soon to rule out secondary drowning. The clients need not be kept under
observation for 48 hours if they do not have comorbidities.
Which emergency medical service agency offers service for a group of clients admitted to the
emergency unit with mass fatalities?
o Medical Reserve Corps (MRC)
o Hospital Incident Command System (HICS)
o International Medical-Surgical Response Teams (IMSRT)
,o Disaster Mortuary Operational Response Teams (DMORT) - correct answer o Disaster
Mortuary Operational Response Teams (DMORT)
· The National Disaster Medical System (NDMS) is responsible for managing the Federal
Government's medical response to medical emergencies and disasters. One of their additional
services is the DMORT. DMORTs manage mass fatalities. The MRC offers its services to health
care facilities or the community in a supportive to supplemental capacity during times of need,
such as a disaster or pandemic disease outbreak. HICS is a part of National Incident
Management System (NIMS) that standardizes disaster operations. IMSRT establishes fully
functional field surgical facilities.
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?
o Triage officer
o Medical command physician
o Hospital incident commander
o Community public information officer - correct answer o Community public information
officer
· The community public information officer is a person who serves as a liaison between the
health care facility and the media releasing only appropriate or accurate information about the
incident. A triage officer is a primary health care provider 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 primary health care provider or administrator who assumes overall leadership for
implementing the emergency plan.
Which personnel would the nurse state are responsible for deciding the number, acuity, and
resources needed for clients during a disaster?
o Triage officer
o Community relations officer
o Medical command physician
o Hospital incident commander - correct answer o Hospital incident commander
· Medical command physicians have the authority to decide the number, acuity, and resources
needed for clients during a disaster. Triage officers are the primary health care providers or
nurses who are responsible for evaluating the clients rapidly and determining the priority of
treatment. The community relations officer serves as a liaison between the health care facility
,and the media. Hospital incident commanders act as leaders and are responsible for
implementing the emergency plan.
Which agent of terrorism can cause death within a few minutes?
o Sarin gas
o Uranium
o Iodine-131
o Mustard gas - correct answer o Sarin gas
· Sarin gas is an agent for bioterrorism that can cause death within minutes of exposure by
paralyzing respiratory muscles. Uranium and iodine-131 can be dangerous in close proximities
but are not as harmful as sarin gas. Mustard gas causes blisters on the skin but does not cause
death within a few minutes.
Which would the nurse consider to be an example of a potential internal disaster?
o Hospital fire
o Fertilizer plant explosion
o Nuclear reactor explosion
o Terrorist device explosion - correct answer o Hospital fire
· An internal disaster is any kind of event inside a health care facility or campus that could
endanger the safety of clients or health care staff. A fire in a hospital is an example of an
internal disaster that can cause harm to the clients and the staff. A fertilizer plant explosion is
an external disaster. A nuclear reactor explosion may cause radiation exposure to the external
environment. Terrorism with explosive devices is an external disaster.
Which training measure is most effective to adequately familiarize health care providers with
emergency response procedures?
o Drills
o Tabletop exercises
o Access to the policy
o Computer simulations - correct answer o Drills
· Hospital disaster drills are priority training measures to familiarize health care providers with
emergency response procedure. Other methods that can also be used include tabletop
exercises and computer simulations; however, these methods will not provide immersive
, practice comparable to well-planned drills. Access to the policy is important but will not provide
real world experience for emergency response procedures.
Which team would be mobilized to manage the deceased at the earthquake zone where many
people lost their lives?
o Medical Reserve Corps (MRC)
o National Veterinary Response Teams (NVRTs)
o International Medical-Surgical Response Teams (IMSRTs)
o Disaster Mortuary Operational Response Teams (DMORTs) - correct answer o Disaster
Mortuary Operational Response Teams (DMORTs)
· DMORTs are a part of the DMAT. This team is specialized in managing mass fatalities during a
disaster. The MRC helps staff hospitals or community health care settings that face shortages of
nurses. They establish first aid stations and special-needs shelters in disasters. NVRTs provide
emergency care to animals. IMSRTs provide fully functional field surgical facilities all over the
world, wherever it is required.
Which is the function of the medical command physician according to the Emergency
Preparedness and Response Plan?
o Deciding the number, acuity, and resource needs of clients
o Serving as a liaison between the health care facility and the media
o Assuming overall leadership for implementing the emergency plan
o Evaluating each client rapidly to determine priorities for treatment - correct answer o
Deciding the number, acuity, and resource needs of clients
· The function of the medical command physician, according to the Emergency Preparedness
and Preparedness Plan, is deciding the number, acuity, and resource needs of clients. The
function of the community relations or public information officer is serving as a liaison between
the health care facility and the media. The function of the hospital incident commander is
assuming overall leadership for implementing the emergency plan. The function of the triage
officer is evaluating each client rapidly to determine priorities for treatment.
Which scenario is an internal disaster that might delay a specialist from providing on-time
treatment to a client?
o A tornado near the hospital
o An earthquake near the hospital premises
o Severe flooding
