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Emergency & Disaster Preparedness NCLEX
Questions with Detailed Verified Answers
A hospital responds to a local mass casualty event. Which action should the nurse
supervisor take to prevent staff post-traumatic stress disorder during a mass casualty
event?
a. Provide water and healthy snacks for energy throughout the event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency response plan.
d. Assign staff to different roles and units within the medical facility.
Ans: A ~ To prevent staff post-traumatic stress disorder during a mass casualty event,
the nurses should use available counseling, encourage and support co-workers,
monitor each others stress level and performance, take breaks when needed, talk
about feelings with staff and managers, and drink plenty of water and eat healthy
snacks for energy. Nurses should also keep in touch with family, friends, and significant
others, and not work for more than 12 hours per day. Encouraging counseling upon
deactivation of the plan, or after the emergency response is over, does not prevent
stress during the casualty event. Assigning staff to unfamiliar roles or units may
increase situational stress and is not an approach to prevent post-traumatic stress
disorder.
A client who is hospitalized with burns after losing the family home in a fire becomes
angry and screams at a nurse when dinner is served late. How should the nurse
respond?
a. Do you need something for pain right now?
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b. Please stop yelling. I brought dinner as soon as I could.
c. I suggest that you get control of yourself.
d. You seem upset. I have time to talk if you'd like.
Ans: D ~ Clients should be allowed to ventilate their feelings of anger and despair after
a catastrophic event. The nurse establishes rapport through active listening and honest
communication and by recognizing cues that the client wishes to talk. Asking whether
the client is in pain as the first response closes the door to open communication and
limits the clients options. Simply telling the client to stop yelling and to gain control
does nothing to promote therapeutic communication.
A nurse is field-triaging clients after an industrial accident. Which client condition
should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness
d. Multiple fractured ribs and shortness of breath
Ans: D ~ Clients who have an immediate threat to life are given the highest priority, are
placed in the emergent or class I category, and are given a red triage tag. The client
with multiple rib fractures and shortness of breath most likely has developed a
pneumothorax, which may be fatal if not treated immediately. The client with the hip
and leg problem and the client with the clavicle fracture would be classified as class II;
these major but stable injuries can wait 30 minutes to 2 hours for definitive care. The
client with facial wounds would be considered the walking wounded and classified as
nonurgent.
© Get it right 2025 Getaway - Stuvia US All rights reserved
Emergency & Disaster Preparedness NCLEX
Questions with Detailed Verified Answers
A hospital responds to a local mass casualty event. Which action should the nurse
supervisor take to prevent staff post-traumatic stress disorder during a mass casualty
event?
a. Provide water and healthy snacks for energy throughout the event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency response plan.
d. Assign staff to different roles and units within the medical facility.
Ans: A ~ To prevent staff post-traumatic stress disorder during a mass casualty event,
the nurses should use available counseling, encourage and support co-workers,
monitor each others stress level and performance, take breaks when needed, talk
about feelings with staff and managers, and drink plenty of water and eat healthy
snacks for energy. Nurses should also keep in touch with family, friends, and significant
others, and not work for more than 12 hours per day. Encouraging counseling upon
deactivation of the plan, or after the emergency response is over, does not prevent
stress during the casualty event. Assigning staff to unfamiliar roles or units may
increase situational stress and is not an approach to prevent post-traumatic stress
disorder.
A client who is hospitalized with burns after losing the family home in a fire becomes
angry and screams at a nurse when dinner is served late. How should the nurse
respond?
a. Do you need something for pain right now?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
b. Please stop yelling. I brought dinner as soon as I could.
c. I suggest that you get control of yourself.
d. You seem upset. I have time to talk if you'd like.
Ans: D ~ Clients should be allowed to ventilate their feelings of anger and despair after
a catastrophic event. The nurse establishes rapport through active listening and honest
communication and by recognizing cues that the client wishes to talk. Asking whether
the client is in pain as the first response closes the door to open communication and
limits the clients options. Simply telling the client to stop yelling and to gain control
does nothing to promote therapeutic communication.
A nurse is field-triaging clients after an industrial accident. Which client condition
should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness
d. Multiple fractured ribs and shortness of breath
Ans: D ~ Clients who have an immediate threat to life are given the highest priority, are
placed in the emergent or class I category, and are given a red triage tag. The client
with multiple rib fractures and shortness of breath most likely has developed a
pneumothorax, which may be fatal if not treated immediately. The client with the hip
and leg problem and the client with the clavicle fracture would be classified as class II;
these major but stable injuries can wait 30 minutes to 2 hours for definitive care. The
client with facial wounds would be considered the walking wounded and classified as
nonurgent.
© Get it right 2025 Getaway - Stuvia US All rights reserved
