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An industrial site has experienced a radiation leak and workers who have been potentially affected are en route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action?
- A. Place all potential victims on reverse isolation.
- B. Establish a triage outside the hospital.
- C. Have hospital staff put on personal protective equipment.
- D. Place hospital staff on abbreviated shifts of no more than 4 hours.
Correct Answer: B
Rationale: External triage prevents hospital contamination by assessing and decontaminating victims outside. Other measures are less effective for this purpose.
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A hospitals emergency operations plan has been enacted following an industrial accident. While one nurse performs the initial triage, what should other emergency medical services personnel do?
- A. Perform life-saving measures.
- B. Classify patients according to acuity.
- C. Provide health promotion education.
- D. Modify the emergency operations plan.
Correct Answer: A
Rationale: EMS personnel focus on life-saving interventions and transport post-triage, prioritizing immediate care over classification, education, or plan modification.
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.
A nurse is caring for patients exposed to a terrorist attack involving chemicals. The nurse has been advised that personal protective equipment must be worn in order to give the highest level of respiratory protection with a lesser level of skin and eye protection. What level protection is this considered?
- A. Level A
- B. Level B
- C. Level C
- D. Level D
Correct Answer: B
Rationale: Level B PPE provides maximal respiratory protection but less skin and eye coverage, suitable for chemical exposures where inhalation is the primary risk.
A patient was exposed to a dose of more than 5,000 rads of radiation during a terrorist attack. The patients skin will eventually show what manifestation?
- A. Erythema
- B. Ecchymosis
- C. Desquamation
- D. Necrosis
Correct Answer: D
Rationale: High radiation doses (>5,000 rads) cause skin necrosis within days to months. Lower doses cause erythema or desquamation, and ecchymosis is unrelated.
The announcement is made that the facility may return to normal functioning after a local disaster. In the emergency operations plan, what is this referred to as?
- A. Demobilization response
- B. Post-incident response
- C. Crisis diffusion
- D. Reversion
Correct Answer: A
Rationale: Demobilization response marks the transition back to normal operations after a disaster, signaling resource reallocation.