Nokea
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.
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A nurse has been called for duty during a response to a natural disaster. In this context of care, the nurse should expect to do which of the following?
- A. Practice outside of her normal area of clinical expertise.
- B. Perform interventions that are not based on assessment data.
- C. Prioritize psychosocial needs over physiologic needs.
- D. Prioritize the interests of older adults over younger patients.
Correct Answer: A
Rationale: Disaster response may require nurses to work beyond their usual expertise due to resource constraints. Interventions remain data-driven, and needs are not age-based.
A group of disaster survivors is working with the critical incident stress management (CISM) team. Members of this team should be guided by what goal?
- A. Determining whether the incident was managed effectively
- B. Educating survivors on potential coping strategies for future disasters
- C. Providing individuals with education about recognizing stress reactions
- D. Determining if individuals responded appropriately during the incident
Correct Answer: C
Rationale: CISM focuses on helping survivors recognize and manage stress reactions, promoting emotional recovery. Incident management or future preparedness are secondary.
A patient is being treated in the ED following a terrorist attack. The patient is experiencing visual disturbances, nausea, vomiting, and behavioral changes. The nurse suspects this patient has been exposed to what chemical agent?
- A. Nerve agent
- B. Pulmonary agent
- C. Vesicant
- D. Blood agent
Correct Answer: A
Rationale: Nerve agents cause neurological symptoms like visual disturbances, nausea, and behavioral changes due to acetylcholinesterase inhibition.
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.
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.