NUR.213 NCLEX Questions - Triage &
Emergency Preparedness Exam
/. The nurse is the first responder after a tornado has destroyed many homes in the
community. Which victim should the nurse attend to first?
1.
A pregnant woman who exclaims, "My baby is not moving."
2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!"
3.
A young child standing next to an adult family member who is screaming, "I want my
mommy!"
4.
An older victim who is sitting next to her husband sobbing, "My husband is dead. My
husband is dead." - Answer-2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!"
Priority nursing care in disaster situations needs to be delivered to the living and not the
dead. The child who is bleeding badly is the priority. The bleeding could be from an
arterial vessel; if the bleeding is not stopped, the child is at risk for shock and death.
The pregnant client is the next priority, but the absence of fetal movement may or may
not be indicative of fetal demise. The young child is with a family member and is safe at
this time. The older victim will need comfort measures; there is no information indicating
she is physically hurt.
/.The community health nurse is working with disaster relief after a tornado. The nurse
assists in finding safe housing for survivors, providing support to families, organizing
counseling, and securing physical care when needed. Which level of prevention does
the nurse exercise?
1.
Primary level of prevention
2.
Secondary level of prevention
3.
, Tertiary level of prevention
4.
Quaternary level of prevention - Answer-3.
Tertiary level of prevention
Tertiary prevention involves reduction of the amount and degree of disability, injury, and
damage after a crisis. Primary prevention means keeping the crisis from occurring, and
secondary prevention focuses on reducing the intensity and duration of a crisis. There is
no known quaternary prevention level.
/.The nurse in the hospital emergency department is notified by emergency medical
services that several victims who survived a plane crash will be transported to the
hospital. Victims are suffering from cold exposure because the plane plummeted and
was submerged in a local river. What is the initial action of the nurse?
1.
Call the nursing supervisor to activate the agency disaster plan.
2.
Supply the triage rooms with bottles of sterile water and normal saline.
3.
Call the intensive care unit to request that nurses be sent to the emergency department.
4.
Call the laundry department, and ask the department to send as many warm blankets
as possible to the emergency department. - Answer-1.
Call the nursing supervisor to activate the agency disaster plan.
In an external disaster, many people may be brought to the emergency department for
treatment. The initial nursing action must be to activate the disaster plan. Although
options 2, 3, and 4 may be additional measures that the nurse would take, the initial
action would be to activate the disaster plan.
/.The nurse is reviewing the manual of disaster preparedness and response for the
annual hospital disaster drill. The nurse reads that which are functions of the American
Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA)
in the United States? Select all that apply.
1.
Provide monetary relief.
2.
Provide crisis counseling.
Emergency Preparedness Exam
/. The nurse is the first responder after a tornado has destroyed many homes in the
community. Which victim should the nurse attend to first?
1.
A pregnant woman who exclaims, "My baby is not moving."
2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!"
3.
A young child standing next to an adult family member who is screaming, "I want my
mommy!"
4.
An older victim who is sitting next to her husband sobbing, "My husband is dead. My
husband is dead." - Answer-2.
A child who is complaining, "My leg is bleeding so bad, I am afraid it is going to fall off!"
Priority nursing care in disaster situations needs to be delivered to the living and not the
dead. The child who is bleeding badly is the priority. The bleeding could be from an
arterial vessel; if the bleeding is not stopped, the child is at risk for shock and death.
The pregnant client is the next priority, but the absence of fetal movement may or may
not be indicative of fetal demise. The young child is with a family member and is safe at
this time. The older victim will need comfort measures; there is no information indicating
she is physically hurt.
/.The community health nurse is working with disaster relief after a tornado. The nurse
assists in finding safe housing for survivors, providing support to families, organizing
counseling, and securing physical care when needed. Which level of prevention does
the nurse exercise?
1.
Primary level of prevention
2.
Secondary level of prevention
3.
, Tertiary level of prevention
4.
Quaternary level of prevention - Answer-3.
Tertiary level of prevention
Tertiary prevention involves reduction of the amount and degree of disability, injury, and
damage after a crisis. Primary prevention means keeping the crisis from occurring, and
secondary prevention focuses on reducing the intensity and duration of a crisis. There is
no known quaternary prevention level.
/.The nurse in the hospital emergency department is notified by emergency medical
services that several victims who survived a plane crash will be transported to the
hospital. Victims are suffering from cold exposure because the plane plummeted and
was submerged in a local river. What is the initial action of the nurse?
1.
Call the nursing supervisor to activate the agency disaster plan.
2.
Supply the triage rooms with bottles of sterile water and normal saline.
3.
Call the intensive care unit to request that nurses be sent to the emergency department.
4.
Call the laundry department, and ask the department to send as many warm blankets
as possible to the emergency department. - Answer-1.
Call the nursing supervisor to activate the agency disaster plan.
In an external disaster, many people may be brought to the emergency department for
treatment. The initial nursing action must be to activate the disaster plan. Although
options 2, 3, and 4 may be additional measures that the nurse would take, the initial
action would be to activate the disaster plan.
/.The nurse is reviewing the manual of disaster preparedness and response for the
annual hospital disaster drill. The nurse reads that which are functions of the American
Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA)
in the United States? Select all that apply.
1.
Provide monetary relief.
2.
Provide crisis counseling.
