Nokea
A workplace explosion has left a 40-year-old man burned over 65% of his body. His burns are second- and third-degree burns, but he is conscious. How would this person be triaged?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: D
Rationale: Extensive burns over 65% of the body indicate a low survival likelihood, warranting a black triage tag to prioritize resources for those with better prognosis.
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The nurse has been notified that the ED is expecting terrorist attack victims and that level D personal protective equipment is appropriate. What does level D PPE include?
- A. A chemical-resistant coverall with splash hood, chemical-resistant gloves, and boots
- B. A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-tight coverall with chemical-resistant gloves and boots
- C. The SCBA and a chemical-resistant suit, but the suit is not vapor-tight
- D. The nurses typical work uniform
Correct Answer: D
Rationale: Level D PPE is equivalent to a standard work uniform, used when minimal protection is needed, indicating low hazard exposure.
A nurse is undergoing debriefing with the critical incident stress management team after participating in the response to a disaster. During this process, the nurse will do which of the following?
- A. Evaluate the care that he or she provided during the disaster.
- B. Discuss own emotional responses to the disaster.
- C. Explore the ethics of the care provided during the disaster.
- D. Provide suggestions for improving the emergency operations plan.
Correct Answer: B
Rationale: CISM debriefing focuses on processing emotional reactions and stress symptoms, not evaluating care, ethics, or operational plans.
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.
A nurse is triaging patients after a chemical leak at a nearby fertilizer factory. The guiding principle of this activity is what?
- A. Assigning a high priority to the most critical injuries
- B. Doing the greatest good for the greatest number of people
- C. Allocating resources to the youngest and most critical
- D. Allocating resources on a first come, first served basis
Correct Answer: B
Rationale: Disaster triage aims to maximize overall survival by prioritizing resources for those most likely to benefit, unlike standard care focusing on the most critical.
When assessing patients who are victims of a chemical agent attack, the nurse is aware that assessment findings vary based on the type of chemical agent. The chemical sulfur mustard is an example of what type of chemical warfare agent?
- A. Nerve agent
- B. Blood agent
- C. Pulmonary agent
- D. Vesicant
Correct Answer: D
Rationale: Sulfur mustard, a vesicant, causes blistering and burns. Nerve agents affect neurotransmitters, blood agents disrupt cellular metabolism, and pulmonary agents damage lung tissue.