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NRSG 3420: EXAM 3 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
The nurse has been notified that the ED is expecting terrorist attack victims and
that level D personal protective equipment (PPE) is appropriate. What does level D
PPE include?
A chemical-resistant coverall with splash hood, chemical-resistant gloves, and
boots
A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-
tight, chemical-resistant suit with chemical-resistant gloves and boots.
The SCBA and a chemical-resistant suit, but the suit is not vapor tight
The nurse's typical work uniform - ANSWER- Correct response:
The nurse's typical work uniform
Explanation:
The typical work uniform is appropriate for Level D protection
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Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, Personal Protective Equipment,
p. 2201.
There has been a radiation-based terrorist attack and a client is experiencing
vomiting, diarrhea, and shock after the attack. How will the client's likelihood of
survival be characterized?
Extended
Improbable
Possible
Probable - ANSWER- Correct response:
Improbable
Explanation:
Clients who experience vomiting, diarrhea, and shock after radiation
exposure are categorized as improbable survival, because they are
demonstrating symptoms of exposure levels of more than 800 rads of total
body-penetrating irradiation.
Reference:
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Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, Survival, p. 2211.
A nurse has been called for duty during a response to a natural disaster. In this
context of care, the nurse should expect to do which of the following?
Practice outside of her normal area of clinical expertise.
Prioritize psychosocial needs over physiologic needs.
Prioritize the interests of older adults over younger clients.
Perform interventions that are not based on assessment data. - ANSWER- Correct
response:
Practice outside of her normal area of clinical expertise.
Explanation:
During a disaster, nurses may be asked to perform duties outside their areas
of expertise and may take on responsibilities normally held by physicians or
advanced practice nurses.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, The Nurse's Role in Disaster
Response Plans, p. 2198.
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, 4|Page
A client is brought to the ER in an unconscious state. The health care provider
notes that the client is in need of emergency surgery. No family members are
present, and the client does not have identification. What action by the nurse is
most important regarding consent for treatment?
Clearly document LOC and health status on the client's chart.
Obtain a court order to treat the client.
Ask the social worker to come and sign the consent.
Contact the police to obtain the client's identity. - ANSWER- Correct response:
Clearly document LOC and health status on the client's chart.
Explanation:
When clients are unconscious and in critical condition, the condition and
situation should be documented to administer treatment quickly and timely
when no consent can be obtained by usual routes. A social worker is not asked
to sign the consent. Finding the client's identity is not a priority. Obtaining a
court order would take too long.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 72:
Emergency Nursing, Documentation of Consent and Privacy, p. 2157.
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NRSG 3420: EXAM 3 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
The nurse has been notified that the ED is expecting terrorist attack victims and
that level D personal protective equipment (PPE) is appropriate. What does level D
PPE include?
A chemical-resistant coverall with splash hood, chemical-resistant gloves, and
boots
A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-
tight, chemical-resistant suit with chemical-resistant gloves and boots.
The SCBA and a chemical-resistant suit, but the suit is not vapor tight
The nurse's typical work uniform - ANSWER- Correct response:
The nurse's typical work uniform
Explanation:
The typical work uniform is appropriate for Level D protection
1|Page
,2|Page
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, Personal Protective Equipment,
p. 2201.
There has been a radiation-based terrorist attack and a client is experiencing
vomiting, diarrhea, and shock after the attack. How will the client's likelihood of
survival be characterized?
Extended
Improbable
Possible
Probable - ANSWER- Correct response:
Improbable
Explanation:
Clients who experience vomiting, diarrhea, and shock after radiation
exposure are categorized as improbable survival, because they are
demonstrating symptoms of exposure levels of more than 800 rads of total
body-penetrating irradiation.
Reference:
2|Page
,3|Page
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, Survival, p. 2211.
A nurse has been called for duty during a response to a natural disaster. In this
context of care, the nurse should expect to do which of the following?
Practice outside of her normal area of clinical expertise.
Prioritize psychosocial needs over physiologic needs.
Prioritize the interests of older adults over younger clients.
Perform interventions that are not based on assessment data. - ANSWER- Correct
response:
Practice outside of her normal area of clinical expertise.
Explanation:
During a disaster, nurses may be asked to perform duties outside their areas
of expertise and may take on responsibilities normally held by physicians or
advanced practice nurses.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 73:
Terrorism, Mass Casualty, and Disaster Nursing, The Nurse's Role in Disaster
Response Plans, p. 2198.
3|Page
, 4|Page
A client is brought to the ER in an unconscious state. The health care provider
notes that the client is in need of emergency surgery. No family members are
present, and the client does not have identification. What action by the nurse is
most important regarding consent for treatment?
Clearly document LOC and health status on the client's chart.
Obtain a court order to treat the client.
Ask the social worker to come and sign the consent.
Contact the police to obtain the client's identity. - ANSWER- Correct response:
Clearly document LOC and health status on the client's chart.
Explanation:
When clients are unconscious and in critical condition, the condition and
situation should be documented to administer treatment quickly and timely
when no consent can be obtained by usual routes. A social worker is not asked
to sign the consent. Finding the client's identity is not a priority. Obtaining a
court order would take too long.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-
Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 72:
Emergency Nursing, Documentation of Consent and Privacy, p. 2157.
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