Nokea
The nurse is coordinating the care of victims who arrive at the ED after a radiation leak at a nearby nuclear plant. What would be the first intervention initiated when victims arrive at the hospital?
- A. Administer prophylactic antibiotics.
- B. Survey the victims using a radiation survey meter.
- C. Irrigate victims open wounds.
- D. Perform soap and water decontamination.
Correct Answer: B
Rationale: Initial radiation survey with a meter identifies contamination levels, guiding subsequent decontamination efforts. Other interventions follow this step.
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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.
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.
The nurse is preparing to admit patients who have been the victim of a blast injury. The nurse should expect to treat a large number of patients who have experienced what type of symptom?
- A. Chemical burns
- B. Spinal cord injury
- C. Meningeal tears
- D. Tympanic membrane rupture
Correct Answer: D
Rationale: Blast injuries commonly cause tympanic membrane rupture due to pressure wave sensitivity. Other injuries are less frequent.
The ED staff has been notified of the imminent arrival of a patient who has been exposed to chlorine. The nurse should anticipate the need to address what nursing diagnosis?
- A. Impaired gas exchange
- B. Decreased cardiac output
- C. Chronic pain
- D. Excess fluid volume
Correct Answer: A
Rationale: Chlorine, a pulmonary agent, disrupts alveolar-capillary oxygen transport, causing impaired gas exchange. Other diagnoses are secondary or unlikely.
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.