NRSG 3420: EXAM 3 Questions And Corre
ER cMCI cDISASTER c- cCORRECT cANS✔✔ER cMCI cDISASTER
The cnurse chas cbeen cnotified cthat cthe cED cis cexpecting cterrorist cattack cvictims cand cthat clevel cD
cequipment c(PPE) cis cappropriate. cWhat cdoes clevel cD cPPE cinclude?
A cchemical-resistant ccoverall cwith csplash chood, cchemical-resistant cgloves, cand cboots c
A cself-contained cbreathing capparatus c(SCBA) cand ca cfully cencapsulating, cvapor-tight, cchemical-
resistant cgloves cand cboots. c
The cSCBA cand ca cchemical-resistant csuit, cbut cthe csuit cis cnot cvapor ctight c
The cnurse's ctypical cwork cuniform c- cCORRECT cANS✔✔Correct cresponse:
The cnurse's ctypical cwork cuniform
Explanation:
The ctypical cwork cuniform cis cappropriate cfor cLevel cD cprotection
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cPersonal cProtec
There chas cbeen ca cradiation-based cterrorist cattack cand ca cclient cis cexperiencing cvomiting, cdiarr
cattack. cHow cwill cthe cclient's clikelihood cof csurvival cbe ccharacterized?
Extended c
Improbable c
Possible c
Probable c- cCORRECT cANS✔✔Correct cresponse:
Improbable
,Practice coutside cof cher cnormal carea cof cclinical cexpertise.
Explanation:
During ca cdisaster, cnurses cmay cbe casked cto cperform cduties coutside ctheir careas cof cexpertise ca
cresponsibilities cnormally cheld cby cphysicians cor cadvanced cpractice cnurses.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cThe cNurse's cRo
cPlans, cp. c2198.
A cclient cis cbrought cto cthe cER cin can cunconscious cstate. cThe chealth ccare cprovider cnotes cthat c
cemergency csurgery. cNo cfamily cmembers care cpresent, cand cthe cclient cdoes cnot chave cidentifica
cnurse cis cmost cimportant cregarding cconsent cfor ctreatment?
Clearly cdocument cLOC cand chealth cstatus con cthe cclient's cchart.
Obtain ca ccourt corder cto ctreat cthe cclient.
Ask cthe csocial cworker cto ccome cand csign cthe cconsent.
Contact cthe cpolice cto cobtain cthe cclient's cidentity. c- cCORRECT cANS✔✔Correct cresponse:
Clearly cdocument cLOC cand chealth cstatus con cthe cclient's cchart.
Explanation:
When cclients care cunconscious cand cin ccritical ccondition, cthe ccondition cand csituation cshould cbe
ctreatment cquickly cand ctimely cwhen cno cconsent ccan cbe cobtained cby cusual croutes. cA csocial cw
cconsent. cFinding cthe cclient's cidentity cis cnot ca cpriority. cObtaining ca ccourt corder cwould ctake ctoo
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cDocumentation cof cConsent cand cPrivacy, cp. c2
The cnurse cmanager cin cthe cED creceives cinformation cthat ca clocal cchemical cplant chas chad ca cch
cassigned ca cstatus cof clevel cII. cWhat cshould cthis cclassification cindicate cto cthe cnurse?
Regional cefforts cand caid cfrom csurrounding ccommunities ccan cmanage cthe csituation.
The carea cmust cbe cevacuated cimmediately.
Statewide cor cfederal cassistance cis crequired.
First cresponders ccan cmanage cthe csituation. c- cCORRECT cANS✔✔Correct cresponse:
Regional cefforts cand caid cfrom csurrounding ccommunities ccan cmanage cthe csituation.
Explanation:
Level cII cdisasters cindicate cthat cregional cefforts cand caid cfrom cthe csurrounding ccommunities cwil
csituation. cLocal cefforts care clikely cto cbe coverwhelmed, cwhile cstate cand cfederal cassistance care
cdisaster clevel cdoes cnot cindicate cthe cnecessity cof cevacuation.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cChart c73-2, cp. c
, Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cAcute cAlcohol cIntoxication, cp. c2185.
A cnurse cis cparticipating cin cthe cplanning cof ca chospital's cemergency coperations cplan. cThe cnurse
cethical cdilemmas cduring ca cdisaster cor cother cemergency. cEthical cdilemmas cin cthese ccontexts c
cof cthe cfollowing cactions?
Having can cethical cframework cin cplace cprior cto can cemergency c
Teaching cstaff cthat cprinciples cof cethics cdo cnot capply cin can cemergency csituation c
Allowing cstaff cto cprovide ccare canonymously cduring can cemergency c
Assuring cstaff cthat cthey care cnot clegally caccountable cfor ccare cprovided cduring can cemergency c-
cresponse:
Having can cethical cframework cin cplace cprior cto can cemergency
Explanation:
Nurses ccan cplan cfor cthe cethical cdilemmas cthey cmay cface cduring cdisasters cby cestablishing ca cf
cethical cquestions cbefore cthey carise cand cby cidentifying cand cexploring cpossible cresponses cto cd
cEthical cprinciples cdo cnot cbecome cwholly cirrelevant cin cemergencies. cCare ccannot cbe cgiven can
cfor cpractice calways cexists, ceven cin can cemergency.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cConsidering cEth
A chomeless cperson cis cadmitted cthe cED cduring ca cblizzard, cand cis cunable cto cfeel chis cfeet cand
cis cnoted cat c33.2°C c(91.8ºF). cThe cclient cis cintoxicated cwith calcohol cat cthe ctime cof cadmission c
cWhat cis cthe ctriage cnurse's cpriority cin cthe ccare cof cthis cclient?
Addressing cthe cclient's cfrostbite cin chis clower cextremities
Addressing cthe cclient's chypothermia
Addressing cthe cclient's cmalnutrition
Addressing cthe cclient's calcohol cintoxication c- cCORRECT cANS✔✔Correct cresponse:
Addressing cthe cclient's chypothermia
Explanation:
The cclient cmay calso chave cfrostbite, cbut chypothermia ctakes cprecedence cin ctreatment cbecause c
clocalized. cThe calcohol cabuse cand cthe calteration cin cnutrition cdo cnot ctake cprecedence cover cthe
cbecause cboth cproblems care ca cless cacute cthreat cto cthe cclient's csurvival.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cHypothermia, cp. c2173.
Level cC cpersonal cprotective cequipment chas cbeen cdeemed cnecessary cin cthe cresponse cto can cu
cis caware cthat cthe cequipment cwill cinclude cwhat?
ER cMCI cDISASTER c- cCORRECT cANS✔✔ER cMCI cDISASTER
The cnurse chas cbeen cnotified cthat cthe cED cis cexpecting cterrorist cattack cvictims cand cthat clevel cD
cequipment c(PPE) cis cappropriate. cWhat cdoes clevel cD cPPE cinclude?
A cchemical-resistant ccoverall cwith csplash chood, cchemical-resistant cgloves, cand cboots c
A cself-contained cbreathing capparatus c(SCBA) cand ca cfully cencapsulating, cvapor-tight, cchemical-
resistant cgloves cand cboots. c
The cSCBA cand ca cchemical-resistant csuit, cbut cthe csuit cis cnot cvapor ctight c
The cnurse's ctypical cwork cuniform c- cCORRECT cANS✔✔Correct cresponse:
The cnurse's ctypical cwork cuniform
Explanation:
The ctypical cwork cuniform cis cappropriate cfor cLevel cD cprotection
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cPersonal cProtec
There chas cbeen ca cradiation-based cterrorist cattack cand ca cclient cis cexperiencing cvomiting, cdiarr
cattack. cHow cwill cthe cclient's clikelihood cof csurvival cbe ccharacterized?
Extended c
Improbable c
Possible c
Probable c- cCORRECT cANS✔✔Correct cresponse:
Improbable
,Practice coutside cof cher cnormal carea cof cclinical cexpertise.
Explanation:
During ca cdisaster, cnurses cmay cbe casked cto cperform cduties coutside ctheir careas cof cexpertise ca
cresponsibilities cnormally cheld cby cphysicians cor cadvanced cpractice cnurses.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cThe cNurse's cRo
cPlans, cp. c2198.
A cclient cis cbrought cto cthe cER cin can cunconscious cstate. cThe chealth ccare cprovider cnotes cthat c
cemergency csurgery. cNo cfamily cmembers care cpresent, cand cthe cclient cdoes cnot chave cidentifica
cnurse cis cmost cimportant cregarding cconsent cfor ctreatment?
Clearly cdocument cLOC cand chealth cstatus con cthe cclient's cchart.
Obtain ca ccourt corder cto ctreat cthe cclient.
Ask cthe csocial cworker cto ccome cand csign cthe cconsent.
Contact cthe cpolice cto cobtain cthe cclient's cidentity. c- cCORRECT cANS✔✔Correct cresponse:
Clearly cdocument cLOC cand chealth cstatus con cthe cclient's cchart.
Explanation:
When cclients care cunconscious cand cin ccritical ccondition, cthe ccondition cand csituation cshould cbe
ctreatment cquickly cand ctimely cwhen cno cconsent ccan cbe cobtained cby cusual croutes. cA csocial cw
cconsent. cFinding cthe cclient's cidentity cis cnot ca cpriority. cObtaining ca ccourt corder cwould ctake ctoo
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cDocumentation cof cConsent cand cPrivacy, cp. c2
The cnurse cmanager cin cthe cED creceives cinformation cthat ca clocal cchemical cplant chas chad ca cch
cassigned ca cstatus cof clevel cII. cWhat cshould cthis cclassification cindicate cto cthe cnurse?
Regional cefforts cand caid cfrom csurrounding ccommunities ccan cmanage cthe csituation.
The carea cmust cbe cevacuated cimmediately.
Statewide cor cfederal cassistance cis crequired.
First cresponders ccan cmanage cthe csituation. c- cCORRECT cANS✔✔Correct cresponse:
Regional cefforts cand caid cfrom csurrounding ccommunities ccan cmanage cthe csituation.
Explanation:
Level cII cdisasters cindicate cthat cregional cefforts cand caid cfrom cthe csurrounding ccommunities cwil
csituation. cLocal cefforts care clikely cto cbe coverwhelmed, cwhile cstate cand cfederal cassistance care
cdisaster clevel cdoes cnot cindicate cthe cnecessity cof cevacuation.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cChart c73-2, cp. c
, Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cAcute cAlcohol cIntoxication, cp. c2185.
A cnurse cis cparticipating cin cthe cplanning cof ca chospital's cemergency coperations cplan. cThe cnurse
cethical cdilemmas cduring ca cdisaster cor cother cemergency. cEthical cdilemmas cin cthese ccontexts c
cof cthe cfollowing cactions?
Having can cethical cframework cin cplace cprior cto can cemergency c
Teaching cstaff cthat cprinciples cof cethics cdo cnot capply cin can cemergency csituation c
Allowing cstaff cto cprovide ccare canonymously cduring can cemergency c
Assuring cstaff cthat cthey care cnot clegally caccountable cfor ccare cprovided cduring can cemergency c-
cresponse:
Having can cethical cframework cin cplace cprior cto can cemergency
Explanation:
Nurses ccan cplan cfor cthe cethical cdilemmas cthey cmay cface cduring cdisasters cby cestablishing ca cf
cethical cquestions cbefore cthey carise cand cby cidentifying cand cexploring cpossible cresponses cto cd
cEthical cprinciples cdo cnot cbecome cwholly cirrelevant cin cemergencies. cCare ccannot cbe cgiven can
cfor cpractice calways cexists, ceven cin can cemergency.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c73: cTerrorism, cMass cCasualty, cand cDisaster cNursing, cConsidering cEth
A chomeless cperson cis cadmitted cthe cED cduring ca cblizzard, cand cis cunable cto cfeel chis cfeet cand
cis cnoted cat c33.2°C c(91.8ºF). cThe cclient cis cintoxicated cwith calcohol cat cthe ctime cof cadmission c
cWhat cis cthe ctriage cnurse's cpriority cin cthe ccare cof cthis cclient?
Addressing cthe cclient's cfrostbite cin chis clower cextremities
Addressing cthe cclient's chypothermia
Addressing cthe cclient's cmalnutrition
Addressing cthe cclient's calcohol cintoxication c- cCORRECT cANS✔✔Correct cresponse:
Addressing cthe cclient's chypothermia
Explanation:
The cclient cmay calso chave cfrostbite, cbut chypothermia ctakes cprecedence cin ctreatment cbecause c
clocalized. cThe calcohol cabuse cand cthe calteration cin cnutrition cdo cnot ctake cprecedence cover cthe
cbecause cboth cproblems care ca cless cacute cthreat cto cthe cclient's csurvival.
Reference:
Hinkle, cJ.L., c& cCheever, cK.H., cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c1
cKluwer, c2018, cChapter c72: cEmergency cNursing, cHypothermia, cp. c2173.
Level cC cpersonal cprotective cequipment chas cbeen cdeemed cnecessary cin cthe cresponse cto can cu
cis caware cthat cthe cequipment cwill cinclude cwhat?
