Nokea
The nurse is triaging a client who arrives in the emergency department experiencing shock. Using the START system, which of the following colours should the nurse assign to this client?
- A. Red
- B. Black
- C. Green
- D. Yellow
Correct Answer: A
Rationale: Shock, airway obstruction, and unstable wounds would be assigned a colour category of red, indicating immediate need for treatment due to life-threatening conditions.
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Which of the following levels/agencies is accountability for emergency planning and response in Canada?
- A. Municipal government
- B. Provincial government
- C. Federal government
- D. Health Canada
Correct Answer: A
Rationale: Accountability for emergency planning and response in Canada is held by individual municipal governments, the underlying principle being that communities possess the greatest knowledge of their individual needs and thus are in a strategic position to most effectively plan for and manage local emergency events.
The nurse is triaging a client with an open fracture who arrives at the emergency department as one of several clients from a mass casualty incident. Using the START system, which of the following colours should the nurse use to code this client?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: B
Rationale: A client with an open fracture would be tagged yellow using the START system, indicating a serious but not immediately life-threatening condition.
These four clients arrive in the emergency department after a motor vehicle crash. In which order should they be assessed?
- A. A 72-year-old with palpitations and chest pain
- B. A 45-year-old complaining of 6/10 abdominal pain
- C. A 22-year-old with multiple fractures of the face and jaw
- D. A 30-year-old with a misaligned right leg with intact pulses
Correct Answer: C,A,B,D
Rationale: The highest priority is to assess the 22-year-old client for airway obstruction, which is the most life-threatening injury. The 72-year-old client may have chest pain from cardiac ischemia and should be assessed and have diagnostic testing for this pain. The 45-year-old client may have abdominal trauma or bleeding and should be seen next to assess circulatory status. The 30-year-old appears to have a possible fracture of the right leg and should be seen soon, but this client has the least life-threatening injury.
The nurse in the emergency department is involved in triaging clients during a mass casualty incident. During this situation, which of the following is the triage time frame?
- A. 15 seconds
- B. 30 seconds
- C. 1 minute
- D. 2 minutes
Correct Answer: A
Rationale: Disaster triage in the hospital setting must be rapid and conducted in less than 15 seconds. After this rapid assessment, clients with higher levels of acuity are directed to a treatment location in the emergency department.
A client arrives in the emergency department after exposure to radioactive dust. Which of the following actions should the nurse take first?
- A. Place the client in a shower.
- B. Obtain the client's vital signs
- C. Determine the type of radioactive agent.
- D. Obtain a baseline complete blood count.
Correct Answer: A
Rationale: The initial action should be to protect staff members and decrease the client's exposure to the radioactive agent by decontamination. The other actions can be done after the decontamination is completed.