EAQ EXAM QUESTIONS WITH COMPLETE SOLUTIONS.

EAQ EXAM QUESTIONS WITH COMPLETE SOLUTIONS. Which personnel of the institutional emergency response plan serves as a liaison between hospital administration and the media during a mass casualty incident such as an earthquake or a terrorist attack? Community relations information officer The community public information officer is a person who serves as a liaison between the healthcare facility and the media releasing only appropriate or accurate information about the incident. A triage officer is a physician or nurse who rapidly evaluates each client to determine priorities for treatment. A medical command physician is the personnel who decides the number, acuity, and resource needs of the clients. A hospital incident commander is a physician or administrator who assumes overall leadership for implementing the emergency plan. Several emergency preparedness agencies are developing emergency response plans in case of an earthquake alert. In which phase of the disaster management continuum would the nurse state this activity is included? Preparedness The first phase of the disaster management continuum is preparedness. This is a protective plan designed before the event to structure the response, assess the risk, and evaluate the response. The response phase of the disaster continuum includes the actual implementation of the disaster plan. The recovery phase is related to actions focusing on stabilization of the community and returning it to the previous state. The mitigation phase includes attempts to limit a disaster's impact on human health and community function. Who should the nurse contact to receive training as a Community Emergency Response Team (CERT) member? Federal Emergency Management Agency (FEMA) The Federal Emergency Management Agency (FEMA) provides Community Emergency Response Team (CERT) training. The National Disaster Life Support Foundation offers Core, Basic, and Advanced Disaster Life Support training courses. The Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) do not provide disaster preparedness training. What type of trauma center would the nurse consider to be most appropriate for a client who survived an accidental fire and has multiple injuries? Level II trauma centers provide care to the most injured clients. Level III trauma centers stabilize clients with multiple injuries. Level I trauma centers provide a full continuum of trauma services for all clients. Level IV provides advanced life support and basic trauma client stabilization. Which treatment for anthrax should be included in the biologic agent portion of a disaster plan for terrorist attacks? Antibiotics Anthrax is treated effectively with antibiotics if sufficient supplies are available and the organisms are not resistant. Antivirals would not be effective against anthrax, and there is no established treatment for most viruses that cause hemorrhagic fever. Botulism is treated with antitoxin, though several vaccines are being studied. Smallpox can be prevented or the incidence reduced by vaccination, even when first given after exposure. Advanced Cardiac Life Support (ACLS) certification allows nurses to perform electrical therapies, special resuscitation, and invasive airway management. Basic Life Support(BLS) certification is granted when the nurse performs airway maintenance or cardiopulmonary resuscitation. Certified Emergency Nurse (CEN) certification indicates that a nurse has core emergency nursing skill and knowledge. Pediatric Advanced Life Support (PALS) certification is needed to perform neonatal and pediatric resuscitation. An emergency nursing staff member is performing defibrillation/cardioversion and special resuscitation for clients who sustained injuries in a tsunami. Which certification does the emergency nursing staff member possess? After an earthquake, there were a large number of deaths and casualties who required acute care for several days in the field. Which teams activated by state and federal government authorities would the nurse consider to be the most suitable in managing the event? Select all that apply. Medical Reserve Corps (MRC) Disaster Mortuary Operational Response Teams (DMORTs) The emergency department (ED) charge nurse is preparing a group of medical-surgical and critical care unit nurses for participation in emergency preparedness and response for casualties due to an earthquake in the nearby area. Which actions performed by these staff nurses are appropriate? Select all that apply. Working with ED nurses in the resuscitation setting Recommending which clients are stable for discharge Identifying clients who can be transferred out of the critical care unit What will influence the amount of stress community members might experience after flooding and building damage caused by a Category 4 hurricane? Select all that apply. type of disaster Age of the community members Previous medical and psychologic histories Preexisting mechanisms to cope with disasters Which clients should the medical-surgical nurse identify as appropriate for transfer or discharge to make room for admission of victims of a disaster? Select all that apply. 68-year-old client third post-operative day total knee replacement 80-year-old client being regulated on medication for transient ischemic attacks 72-year-old client beginning oral anticoagulant therapy for a deep vein thrombus Which nurses should be reassigned to assist with acute care of trauma victims coming through the emergency department? Select all that apply Nurse who works in intensive care Nurse who works in the post-anesthesia care unit A nurse working in a disaster management team is caring for clients who suffered severe injuries in a train accident requiring cardiopulmonary resuscitation. Which statements by the nurse are correct? Select all that apply. "A 16-gauge needle should be used to obtain intravenous (IV) access in the antecubital region." Presence of radial pulse indicates a minimum systolic blood pressure of 80 mm Hg." "Hypotension occurs after the body's compensatory mechanism to maintain vital signs is exhausted." Management at a hospital receives information that members of the community have been exposed to sarin gas in a terrorist attack. Which medications should the hospital staff keep on hand in anticipation of the victims' arrival at the emergency department? Atropine and pralidoxime chloride he head nurse of the emergency department (ED) is assigning duties to volunteer nurses to care for a group of clients injured in a mass casualty situation. Which assignments are appropriate in this situation? Select all that apply. he trauma nurse manager should organize ancillary services. The medical-surgical nurse should recommend clients for discharge. The ED nurse leader should direct the ancillary departments to deliver supplies. After an earthquake, why would the federal government send a Disaster Medical Assistance Team (DMAT) to the site? To provide medical equipment sufficient for 72 hours The registered nurse is teaching a nursing student about the Hospital Incident Command Systems (HICS). Which statements should the nurse include in the teaching? Select all that apply. Specific job action sheets are distributed to all HICS personnel The emergency operations center or command center is established by HICS personnel All internal requests and communication with field teams should be coordinated through the emergency operations center After a hurricane, the nurse is assessing the response of a client to stimuli on the Glasgow Coma Scale (GCS) as a part of the primary survey. The nurse observes that the client opens his eyes when his name is stated, uses disorganized words,