NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
ER MCI DISASTER - (ANSWER)ER MCI DISASTER
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
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
,NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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:
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.
,NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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.
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:
, NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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.
The nurse manager in the ED receives information that a local chemical plant has had a chemical leak.
This disaster is assigned a status of level II. What should this classification indicate to the nurse?
Regional efforts and aid from surrounding communities can manage the situation.
The area must be evacuated immediately.
Statewide or federal assistance is required.
First responders can manage the situation. - (ANSWER)Correct response:
Regional efforts and aid from surrounding communities can manage the situation.
Explanation:
Level II disasters indicate that regional efforts and aid from the surrounding communities will be able to
manage the situation. Local efforts are likely to be overwhelmed, while state and federal assistance are
not likely necessary. The disaster level does not indicate the necessity of evacuation.
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, Chart
73-2, p. 2194.
A client is admitted to the ED with suspected alcohol intoxication. The ED nurse is aware of the need to
assess for conditions that can mimic acute alcohol intoxication. In light of this need, the nurse should
perform what action?
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
ER MCI DISASTER - (ANSWER)ER MCI DISASTER
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
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
,NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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:
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.
,NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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.
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:
, NRSG 3420: EXAM 3 (Renal; Shock MODS; ER MCI Disaster; Hinkle: Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, Fourteenth Edition) Questions With Complete Solutions
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.
The nurse manager in the ED receives information that a local chemical plant has had a chemical leak.
This disaster is assigned a status of level II. What should this classification indicate to the nurse?
Regional efforts and aid from surrounding communities can manage the situation.
The area must be evacuated immediately.
Statewide or federal assistance is required.
First responders can manage the situation. - (ANSWER)Correct response:
Regional efforts and aid from surrounding communities can manage the situation.
Explanation:
Level II disasters indicate that regional efforts and aid from the surrounding communities will be able to
manage the situation. Local efforts are likely to be overwhelmed, while state and federal assistance are
not likely necessary. The disaster level does not indicate the necessity of evacuation.
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, Chart
73-2, p. 2194.
A client is admitted to the ED with suspected alcohol intoxication. The ED nurse is aware of the need to
assess for conditions that can mimic acute alcohol intoxication. In light of this need, the nurse should
perform what action?
