NSG 444 Actual Exam Questions with Correct
solutions
In the work setting, what is the nurse's primary responsibility in preparing for the
management of disasters, including natural disasters and bioterrorism incidents?
a) knowing the agency's emergency response plan
b) being aware of the signs and symptoms of potential agents of bioterrorism
c) knowing how and what to report to the Centers for Disease Control and Prevention
d) making ethical decisions about exposing self to potentially lethal substances
A.
In preparing for disasters, the RN should be aware of the emergency response plan. The plan
gives guidance that includes the roles of team members, responsibilities of reporting. Signs and
symptoms of exposure to many agents will mimic common complaints such as flulike symptoms.
Discussions with colleagues and supervisors may help the individual nurse to sort through ethical
dilemma related to potential danger to self.
A group of people arrive at the emergency department by private car. The all have
periorbital swelling, coughing and tightness in the throat. There is a strong odor emanating
from their clothes. They report exposure to a "gas bomb" that was set off in their house.
Which action is the priority?
a) measure vital signs and listen to lung sounds
b) direct patient to the decontamination area
c) alert security about possible terrorism activity
d) direct patient to cold or clean zones for immediate treatment
,B.
Decontamination in a specified area is the priority. Performing assessments delay
decontamination and does not protect the total environment. Personnel should do personal
protective equipment before assisting with decontamination or assessing the patients. The
patients must undergo decontamination before entering cold or clean areas. The nurse should
notify the charge nurse or nurse manager about communicating with security regarding potential
terrorist activities.
The nurse is working in the triage area of an emergency department, and the following
four patients approach the triage desk at the same time. List the order in which the nurse
will assess these patients.
1. An ambulatory, dazed 25 year old with a bandaged head wound
2. An irritable newborn with fever, petechiae, and nuchal ridgity
3. A 35 year old jogger with a tqisted ankle who has a pedal pulse and no deformity
4. A 50 year old woman with moderate abdominal pain and occasional vomiting
a. 2, 1, 4, 3
b. 3, 4, 2, 1
c. 2, 4, 1, 3
d. 4, 2, 1, 3
A.
The charge nurse in an emergency department (ED) must assign two staff members to
cover the triage area. Which team is best for this assignment?
a. an advanced practice nurse and an experienced RN
, b. an experienced LPN/LVN and an inexperienced RN
c. an experienced RN and inexperienced RN
d. an experienced RN and an experienced assistive personnel (AP)
A.
Triage requires at least one experienced RN. Advanced practice nurses can perform medical
screening exams, and this expedites treatment and decreases overall time spent in the ED. Pairing
an experienced RN with an inexperienced RN provides opportunities for mentoring. This would
be the second-best choice. Pairing an experienced RN with an experienced AP is an option if
licensed staff is unavailable because the AP can measure vital signs and assist in transporting. An
LPN/LVN should not perform the initial patient assessment or decision making, the expertise of
the LPN/LVN could be used elsewhere in a busy ED.
Which statement below is incorrect about the yellow triage tag color regarding a disaster
situation?
a. a survivor with this tag color is seen after patients with the green tag color
b. a survivor with this tag color can have treatment delayed for an hour or less
c. a survivor with this tag color has serious injuries that could eventually lead to the
compromise of breathing, circulation, or mental status, especially if treatment is delayed
more than an hour or so
d. a survivor with this tag color has second priority for treatment of injuries
A.
This statement is INCORRECT. It should say: A survivor with this tag color is seen after
patients with the RED (not green) tag color
solutions
In the work setting, what is the nurse's primary responsibility in preparing for the
management of disasters, including natural disasters and bioterrorism incidents?
a) knowing the agency's emergency response plan
b) being aware of the signs and symptoms of potential agents of bioterrorism
c) knowing how and what to report to the Centers for Disease Control and Prevention
d) making ethical decisions about exposing self to potentially lethal substances
A.
In preparing for disasters, the RN should be aware of the emergency response plan. The plan
gives guidance that includes the roles of team members, responsibilities of reporting. Signs and
symptoms of exposure to many agents will mimic common complaints such as flulike symptoms.
Discussions with colleagues and supervisors may help the individual nurse to sort through ethical
dilemma related to potential danger to self.
A group of people arrive at the emergency department by private car. The all have
periorbital swelling, coughing and tightness in the throat. There is a strong odor emanating
from their clothes. They report exposure to a "gas bomb" that was set off in their house.
Which action is the priority?
a) measure vital signs and listen to lung sounds
b) direct patient to the decontamination area
c) alert security about possible terrorism activity
d) direct patient to cold or clean zones for immediate treatment
,B.
Decontamination in a specified area is the priority. Performing assessments delay
decontamination and does not protect the total environment. Personnel should do personal
protective equipment before assisting with decontamination or assessing the patients. The
patients must undergo decontamination before entering cold or clean areas. The nurse should
notify the charge nurse or nurse manager about communicating with security regarding potential
terrorist activities.
The nurse is working in the triage area of an emergency department, and the following
four patients approach the triage desk at the same time. List the order in which the nurse
will assess these patients.
1. An ambulatory, dazed 25 year old with a bandaged head wound
2. An irritable newborn with fever, petechiae, and nuchal ridgity
3. A 35 year old jogger with a tqisted ankle who has a pedal pulse and no deformity
4. A 50 year old woman with moderate abdominal pain and occasional vomiting
a. 2, 1, 4, 3
b. 3, 4, 2, 1
c. 2, 4, 1, 3
d. 4, 2, 1, 3
A.
The charge nurse in an emergency department (ED) must assign two staff members to
cover the triage area. Which team is best for this assignment?
a. an advanced practice nurse and an experienced RN
, b. an experienced LPN/LVN and an inexperienced RN
c. an experienced RN and inexperienced RN
d. an experienced RN and an experienced assistive personnel (AP)
A.
Triage requires at least one experienced RN. Advanced practice nurses can perform medical
screening exams, and this expedites treatment and decreases overall time spent in the ED. Pairing
an experienced RN with an inexperienced RN provides opportunities for mentoring. This would
be the second-best choice. Pairing an experienced RN with an experienced AP is an option if
licensed staff is unavailable because the AP can measure vital signs and assist in transporting. An
LPN/LVN should not perform the initial patient assessment or decision making, the expertise of
the LPN/LVN could be used elsewhere in a busy ED.
Which statement below is incorrect about the yellow triage tag color regarding a disaster
situation?
a. a survivor with this tag color is seen after patients with the green tag color
b. a survivor with this tag color can have treatment delayed for an hour or less
c. a survivor with this tag color has serious injuries that could eventually lead to the
compromise of breathing, circulation, or mental status, especially if treatment is delayed
more than an hour or so
d. a survivor with this tag color has second priority for treatment of injuries
A.
This statement is INCORRECT. It should say: A survivor with this tag color is seen after
patients with the RED (not green) tag color
