NCLEX RN Disaster Nursing Practice
Exam 100 Questions Plus Correct
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Rationales 2026 Q & A Instant
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1. A nurse is working at the scene of a mass-casualty incident. Which client should
receive immediate attention under disaster triage principles?
A. A client with a minor laceration who is walking
B. A client with severe respiratory distress and a weak pulse
C. A client with a closed arm fracture and stable vital signs
D. A client who is deceased and has no respirations
Answer: A client with severe respiratory distress and a weak pulse
Rationale: Clients with life-threatening but potentially treatable conditions receive the
highest priority during disaster triage.
2. Which color tag is commonly used to identify a disaster victim who requires
immediate treatment?
A. Green
B. Yellow
C. Red
D. Black
Answer: Red
Rationale: Red indicates immediate priority for conditions that are life-threatening but
potentially survivable with rapid intervention.
3. A client is walking after a building collapse and has only superficial abrasions. Which
triage category is appropriate?
A. Red
B. Yellow
C. Green
,D. Black
Answer: Green
Rationale: Green identifies clients with minor injuries who can walk and usually can safely
wait for definitive treatment.
4. During disaster triage, a client has no respirations. After the airway is repositioned,
the client still does not breathe. What should the nurse do?
A. Begin prolonged CPR
B. Apply a red tag
C. Apply a black tag
D. Transport the client immediately
Answer: Apply a black tag
Rationale: In mass-casualty situations, a client who remains apneic after a quick
airwayopening maneuver is categorized as deceased/expectant according to disaster
triage protocols.
5. Which action is most important when preparing a hospital for an anticipated
hurricane?
A. Discharge all clients immediately
B. Review emergency plans and secure essential supplies
C. Turn off all electrical equipment
D. Cancel all emergency services
Answer: Review emergency plans and secure essential supplies
Rationale: Disaster preparedness includes reviewing plans, maintaining essential supplies,
securing equipment, and ensuring communication and staffing systems are ready.
6. Which client is considered the highest priority during an internal hospital disaster?
A. A client requesting pain medication
B. A client awaiting routine laboratory testing
C. A client dependent on a ventilator during a power failure
D. A client waiting for discharge instructions
Answer: A client dependent on a ventilator during a power failure
Rationale: Clients dependent on life-sustaining equipment are at immediate risk when
essential utilities fail.
7. Which statement by a nurse demonstrates correct understanding of disaster
preparedness?
A. “Only nurses assigned to the emergency department need disaster training.”
, B. “Disaster plans should be reviewed and practiced before an event occurs.”
C. “Disasters are unpredictable, so planning is unnecessary.”
D. “The hospital can develop procedures after the disaster begins.”
Answer: “Disaster plans should be reviewed and practiced before an event occurs.”
Rationale: Preparedness requires advance planning, education, drills, communication
systems, and clearly defined responsibilities.
8. During a mass-casualty event, which client should be classified as yellow?
A. A client with minor abrasions who is walking
B. A client with an airway obstruction requiring immediate intervention
C. A client with a closed femur fracture and stable vital signs
D. A client without respirations after airway repositioning
Answer: A client with a closed femur fracture and stable vital signs
Rationale: Yellow indicates delayed treatment for clients with serious injuries who are
currently physiologically stable.
9. A nurse receives a disaster alert for a possible chemical exposure. What should the
nurse do first?
A. Enter the contaminated area immediately
B. Follow the facility's hazardous-material response plan
C. Begin treating clients before decontamination
D. Remove personal protective equipment
Answer: Follow the facility's hazardous-material response plan
Rationale: Chemical incidents require established hazardous-material procedures,
including appropriate PPE, containment, decontamination, and protection of staff and
other clients.
10. Which action helps prevent secondary contamination after a chemical disaster?
A. Bringing contaminated clients directly into the emergency department
B. Performing decontamination before clients enter clean treatment areas
C. Removing all PPE before entering the contaminated area D. Allowing family members to
assist with clothing removal
Answer: Performing decontamination before clients enter clean treatment areas
Rationale: Decontamination reduces the risk of spreading hazardous substances to
healthcare workers, facilities, and other clients.
11. A nurse is assigned to a disaster shelter. Which client should receive priority
assessment?
Exam 100 Questions Plus Correct
Answers (Verified Answers) Plus
Rationales 2026 Q & A Instant
Download Pdf
1. A nurse is working at the scene of a mass-casualty incident. Which client should
receive immediate attention under disaster triage principles?
A. A client with a minor laceration who is walking
B. A client with severe respiratory distress and a weak pulse
C. A client with a closed arm fracture and stable vital signs
D. A client who is deceased and has no respirations
Answer: A client with severe respiratory distress and a weak pulse
Rationale: Clients with life-threatening but potentially treatable conditions receive the
highest priority during disaster triage.
2. Which color tag is commonly used to identify a disaster victim who requires
immediate treatment?
A. Green
B. Yellow
C. Red
D. Black
Answer: Red
Rationale: Red indicates immediate priority for conditions that are life-threatening but
potentially survivable with rapid intervention.
3. A client is walking after a building collapse and has only superficial abrasions. Which
triage category is appropriate?
A. Red
B. Yellow
C. Green
,D. Black
Answer: Green
Rationale: Green identifies clients with minor injuries who can walk and usually can safely
wait for definitive treatment.
4. During disaster triage, a client has no respirations. After the airway is repositioned,
the client still does not breathe. What should the nurse do?
A. Begin prolonged CPR
B. Apply a red tag
C. Apply a black tag
D. Transport the client immediately
Answer: Apply a black tag
Rationale: In mass-casualty situations, a client who remains apneic after a quick
airwayopening maneuver is categorized as deceased/expectant according to disaster
triage protocols.
5. Which action is most important when preparing a hospital for an anticipated
hurricane?
A. Discharge all clients immediately
B. Review emergency plans and secure essential supplies
C. Turn off all electrical equipment
D. Cancel all emergency services
Answer: Review emergency plans and secure essential supplies
Rationale: Disaster preparedness includes reviewing plans, maintaining essential supplies,
securing equipment, and ensuring communication and staffing systems are ready.
6. Which client is considered the highest priority during an internal hospital disaster?
A. A client requesting pain medication
B. A client awaiting routine laboratory testing
C. A client dependent on a ventilator during a power failure
D. A client waiting for discharge instructions
Answer: A client dependent on a ventilator during a power failure
Rationale: Clients dependent on life-sustaining equipment are at immediate risk when
essential utilities fail.
7. Which statement by a nurse demonstrates correct understanding of disaster
preparedness?
A. “Only nurses assigned to the emergency department need disaster training.”
, B. “Disaster plans should be reviewed and practiced before an event occurs.”
C. “Disasters are unpredictable, so planning is unnecessary.”
D. “The hospital can develop procedures after the disaster begins.”
Answer: “Disaster plans should be reviewed and practiced before an event occurs.”
Rationale: Preparedness requires advance planning, education, drills, communication
systems, and clearly defined responsibilities.
8. During a mass-casualty event, which client should be classified as yellow?
A. A client with minor abrasions who is walking
B. A client with an airway obstruction requiring immediate intervention
C. A client with a closed femur fracture and stable vital signs
D. A client without respirations after airway repositioning
Answer: A client with a closed femur fracture and stable vital signs
Rationale: Yellow indicates delayed treatment for clients with serious injuries who are
currently physiologically stable.
9. A nurse receives a disaster alert for a possible chemical exposure. What should the
nurse do first?
A. Enter the contaminated area immediately
B. Follow the facility's hazardous-material response plan
C. Begin treating clients before decontamination
D. Remove personal protective equipment
Answer: Follow the facility's hazardous-material response plan
Rationale: Chemical incidents require established hazardous-material procedures,
including appropriate PPE, containment, decontamination, and protection of staff and
other clients.
10. Which action helps prevent secondary contamination after a chemical disaster?
A. Bringing contaminated clients directly into the emergency department
B. Performing decontamination before clients enter clean treatment areas
C. Removing all PPE before entering the contaminated area D. Allowing family members to
assist with clothing removal
Answer: Performing decontamination before clients enter clean treatment areas
Rationale: Decontamination reduces the risk of spreading hazardous substances to
healthcare workers, facilities, and other clients.
11. A nurse is assigned to a disaster shelter. Which client should receive priority
assessment?
