Disaster nursing- NCLEX 2022 Questions and Answers

Disaster nursing- NCLEX 2022 Questions and Answers Disaster nursing- NCLEX 2022 Questions and Answers 1. You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first? A. Green B. Yellow C. Red D. Black 2. A catastrophic disaster has occurred 5 miles from the hospital you are working in. The hospital's disaster plan is activated and the wounded are brought to the hospital. You're helping triage the survivors. One of the wounded is able to walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor? A. Red B. Yellow C. Green D. Black 3. Which statement below is INCORRECT about the yellow triage tag color in regards to 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. 4. or the next 7 questions, use the START method for adults to help triage the wounded that have been involved in a disaster situation. Each question will give you details on what you have assessed and you will need to use those details to help you assign a color tag to the individual: The wounded victim is unable to walk, has respiratory rate of 40, capillary refill is 6 seconds, and can't follow simple commands. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 5. While triaging the wounded from a disaster, you note that one of the wounded is not breathing, radial pulse is absent, capillary refill 2 seconds, and does not respond to your commands. What color tag is assigned? A. Green B. Red C. Yellow D. Black 6. The wounded victim is unable to walk, has respiratory rate of 12, capillary refill is 8 seconds, and is unresponsive. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 7. The wounded victim is unable to walk, has respiratory rate of 19, capillary refill of one second, and is able to obey your commands. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 8. The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 9. The wounded victim is unable to walk, respiratory rate is absent and when airway is repositioned breathing is still absent. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 10. The wounded victim is able to walk and obey commands. The wounded victim is assigned what tag color? A. Green B. Red C. Yellow D. Black 11. Michael works as a triage nurse, and four clients arrive at the emergency department at the same time. List the order in which he will assess these clients from first to last. A 50-year-old female with moderate abdominal pain and occasional vomiting. A 35-year-old jogger with a twisted ankle, having a pedal pulse and no deformity. An ambulatory dazed 25-year-old male with a bandaged head wound. An irritable infant with a fever, petechiae, and nuchal rigidity A 1, 2, 3, 4 B 2, 1, 3, 4 C 4, 3, 1, 2 D 3, 4, 2, 1 12. A brief neurologic assessment to determine the level of consciousness and pupil reaction is part of the primary survey. Vital signs, client's allergy, and initiation of pulse oximetry are considered part of the secondary survey. - n conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey? A Initiation of pulse oximetry. B Complete set of vital signs. C Client's allergy history. D Brief neurologic assessment. 13. A 65-year-old patient arrived at the triage area with complaints of diaphoresis, dizziness, and left-sided chest pain. This patient should be prioritized into which category? A Non-urgent. B Urgent. C Emergent. D High urgent. 14. You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform. Call for help and activate the code team. Instruct a nursing assistant to get the emergency cart. Initiate cardiopulmonary resuscitation (CPR). Perform the chin lift or jaw thrust maneuver. Establish unresponsiveness. A 5, 2, 4, 3, 1 B 1, 5, 2, 4, 3 C 1, 2, 5, 4, 3 D 5, 1, 4, 3, 2 15. You are caring for a client with a frostbite on the feet. Place the following interventions in the correct order. Immerse the feet in warm water 100° F to 105° F (40.6º C to 46.1° C). Remove the victim from the cold environment. Monitor for signs of compartment syndrome. Apply a loose, sterile, bulky dressing. Administer a pain medication. A 5, 2, 1, 3, 4 B 2, 5, 1, 4, 3 C 2, 1, 5, 3, 4 D 3, 2, 1, 4, 5 16. In relation to submersion injuries, which task is most appropriate to delegate to an LPN/LVN? A Talk to a community group about water safety issues. B Stabilize the cervical spine for an unconscious drowning victim. C Remove wet clothing and cover the victim with a warm blanket. D Monitor an asymptomatic near-drowning victim. 17. You are assessing a patient who has sustained a cat bite to the left hand. The cat is up-to-date immunizations. The date of the patient's last tetanus shot is unknown. Which of the following is the priority nursing diagnosis? A Risk for Impaired Mobility related to potential tendon damage. B Risk for Infection related to organisms specific to cat bites. C Ineffective Health Maintenance related to immunization status. D Impaired Skin Integrity related to puncture wounds. 18. A client in a one-car rollover presents with multiple injuries. Prioritize the interventions that must be initiated for this patient. Assess for spontaneous respirations. Give supplemental oxygen per mask. Insert a Foley catheter if not contraindicated. Obtain a full set of vital signs. Remove patient's clothing. Secure/start two large-bore IVs with normal saline. Use the chin lift or jaw thrust method to open the airway. A 1, 7, 2, 6, 4, 5, 3 B 7, 1, 4, 2, 3, 5, 6 C 4, 1, 5, 7, 6, 3, 2 D 5, 4, 1, 7, 2, 6, 3 19. A client arrived at the emergency department after suffering multiple physical injuries including a fractured pelvis from a vehicular accident. Upon assessment, the client is incoherent, pale, and diaphoretic. With vital signs as follows: temperature of 97°F (36.11° C), blood pressure of 60/40 mm Hg, heart rate of 143 beats/minute, and a respiratory rate of 30 breaths/minute. The client is mostly suffering from which of the following shock? A Cardiogenic. B Distributive. C Hypovolemic. D Obstructive 20. Which of these is not classified as a Category A biologic agent? A Staphylococcus enterotoxin B (SEB). B Clostridium botulinum toxin (botulism). C Bacillus anthracis (anthrax). D Francisella tularensis 21. A 15-year-old male client was sent to the emergency unit following a small laceration on the forehead. The client says that he can't move his legs. Upon assessment, respiratory rate of 20, strong pulses, and capillary refill time of less than 2 seconds. Which triage category would this client be assigned to? A Black. B Green. C Red. D Yellow. 22. An ER nurse is handling a 50-year-old woman complaining of dizziness and palpitations that occur from time to time. ECG confirms the diagnosis of paroxysmal supraventricular tachycardia. The client seems worried about it. Which of the following is an appropriate response of the nurse? A "You can be discharged now; this is a probable sign of anxiety." "You have to stay here for a few hours to undergo blood tests to rule out myocardial infarction." C "We'll need to keep you for further assessment; you may develop blood clots." D "The physician will prescribe you blood-thinning medications to lessen the episodes of palpitations." 23. A client was brought to the ED due to an abdominal trauma caused by a motorcycle accident. During the assessment, the client complains of epigastric pain and back pain. Which of the following is true regarding the diagnosis of pancreatic injury? A Redness and bruising may indicate the site of the injury in blunt trauma. B The client is symptom-free during the early post-injury period. C Signs of peritoneal irritation may indicate pancreatic injury. D. all of the above 24. When attending a client with a head and neck trauma following a vehicular accident, the nurse's initial action is to? A Do oral and nasal suctioning. B. Provide oxygen therapy. C Initiate intravenous access. D Immobilize the cervical area.