Following an earthquake, clients are triaged by emergency medical personnel and are transported to the hospital. Which of the following clients should the nurse assess first?
- A. A client with a red tag
- B. A client with a blue tag
- C. A client with a yellow tag
- D. A client with a green tag
Correct Answer: A
Rationale: The red tag indicates a client with a life-threatening injury requiring rapid treatment. The other tags indicate clients with less urgent injuries or those who are likely to die.
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A health care team is testing its acute care centre emergency plan. This test occurs during which of the following phases of emergency management?
- A. Response
- B. Recovery
- C. Mitigation
- D. Preparedness
Correct Answer: D
Rationale: Emergency exercises are conducted in the preparedness phase, to promote staff preparation, evaluate the organization's level of preparedness, and assist in training staff in emergency management roles.
Which of the following routes is the least lethal route for the spread of anthrax (Bacillus anthracis)?
- A. Inhalation
- B. Ingestion
- C. Cutaneous
- D. Injection
Correct Answer: C
Rationale: Cutaneous anthrax is the least lethal route for spreading the bacteria, as it typically results in localized infection that is treatable with antibiotics, unlike inhalation or injection routes which are more systemic and severe.
The nurse is developing guidelines for emergency management. Which of the following steps is the critical first step in emergency management?
- A. Response
- B. Recovery
- C. Mitigation
- D. Preparedness
Correct Answer: C
Rationale: Mitigation is a critical first step in emergency management and is done before an emergency or disaster occurs through the anticipation of potential risks.
Which of the following types of disaster management approaches would be used when dealing with a hurricane in southern Alberta?
- A. All hazards
- B. Unique hazard
- C. Agent specific
- D. Caused event
Correct Answer: C
Rationale: In an agent-specific approach, planning efforts are directed at those threats most likely to take place within a single geographical location (e.g., earthquakes in California). Since hurricanes are rare in southern Alberta, an agent-specific approach would focus on this specific threat.
When using the Simple Triage and Rapid Treatment (START) system, which of the parameters should the nurse assess?
- A. Mental status
- B. Perfusion or blood circulation
- C. Ability to respond verbally and ambulate
- D. Provision of 72-hour self-sufficient supplies
- E. Breathing
Correct Answer: A,B,C,E
Rationale: The START system is based on three clinical indicators: (1) the person's ability to respond verbally and ambulate, and respirations; (2) the client's perfusion or blood circulation (i.e., capillary refill); and (3) the client's mental status (i.e., ability to obey commands). Provision of 72-hour self-sufficient supplies is not part of the START triage assessment.
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