Nokea
A major earthquake has occurred within the vicinity of the local hospital. The nursing supervisor working the night shift at the hospital receives information that the hospital disaster plan will be activated. The supervisor will need to work with what organization responsible for coordinating interagency relief assistance?
- A. Office of Emergency Management
- B. Incident Command System
- C. Centers for Disease Control and Prevention (CDC)
- D. American Red Cross
Correct Answer: A
Rationale: The Office of Emergency Management coordinates state and local disaster relief efforts, ensuring effective interagency collaboration.
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Level C personal protective equipment has been deemed necessary in the response to an unknown substance. The nurse is aware that the equipment will include what?
- A. A self-contained breathing apparatus
- B. A vapor-tight, chemical-resistant suit
- C. A uniform only
- D. An air-purified respirator
Correct Answer: D
Rationale: Level C PPE includes an air-purified respirator, chemical-resistant coverall, gloves, and boots, balancing respiratory and skin protection for less hazardous substances.
After a radiation exposure, a patient has been assessed and determined to be a possible survivor. Following the resolution of the patients initial symptoms, the care team should anticipate what event?
- A. A return to full health
- B. Internal bleeding
- C. A latent phase
- D. Massive tissue necrosis
Correct Answer: C
Rationale: A latent phase follows initial radiation symptoms in possible survivors, preceding potential recovery or worsening. Full health or severe outcomes are less likely.
The emergency response team is dealing with a radiation leak at the hospital. What action should be performed to prevent the spread of the contaminants?
- A. Floors must be scrubbed with undiluted bleach.
- B. Waste must be promptly incinerated.
- C. The ventilation system should be deactivated.
- D. Air ducts and vents should be sealed.
Correct Answer: D
Rationale: Sealing air ducts and vents prevents radiation spread through ventilation. Bleach, incineration, or ventilation deactivation are less effective.
A nurse takes a shift report and finds he is caring for a patient who has been exposed to anthrax by inhalation. What precautions does the nurse know must be put in place when providing care for this patient?
- A. Standard precautions
- B. Airborne precautions
- C. Droplet precautions
- D. Contact precautions
Correct Answer: A
Rationale: Anthrax is not transmissible person-to-person, so standard precautions suffice. Additional precautions like airborne or contact are unnecessary.
A nurse is participating in the planning of a hospitals emergency operations plan. The nurse is aware of the potential for ethical dilemmas during a disaster or other emergency. Ethical dilemmas in these contexts are best addressed by which of the following actions?
- A. Having an ethical framework in place prior to an emergency
- B. Allowing staff to provide care anonymously during an emergency
- C. Assuring staff that they are not legally accountable for care provided during an emergency
- D. Teaching staff that principles of ethics do not apply in an emergency situation
Correct Answer: A
Rationale: Pre-established ethical frameworks guide decision-making in disasters, ensuring consistent ethical care. Anonymity, non-accountability, or dismissing ethics are inappropriate.