Nokea
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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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.
A nurse is developing policy related to emergency management and basis the set-up of the hospital incident command policy on the knowledge that the primary function of the incident command centre is which of the following functions?
- A. Complete a register with the names of all individuals involved
- B. Provide information to keep the media informed of the event
- C. Provide a central point for decision making.
- D. Organize the efforts of all of the first responders to avoid duplication.
Correct Answer: C
Rationale: The primary function of the hospital incident command centre is to provide a central point in which decision making can occur with the goal of supporting the needs of responders in the field.
The hospital resources are overwhelmed during a natural disaster. Although a Code Orange has been initiated, staff injuries are preventing adequate personnel from arriving to the hospital to assist. Which emergency response plan should the hospital follow?
- A. Internal
- B. External
- C. Regional
- D. Internal/external
Correct Answer: D
Rationale: Combined external-internal disasters occur as a result of external situations such as a natural disaster that trigger a subsequent response within the internal environment of a health care facility. Internal disasters refer to any situation that threatens or disrupts the daily routine services of a health care facility, while external disasters threaten a facility when the consequences of the disaster create a demand for service that exceeds what is routinely available.
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.
The incident management system (IMS) used in Canada is based upon the incident command system that was developed as a result of which of the following disasters?
- A. The tsunami off the coast of Tahiti
- B. Wildfires in California
- C. Floods in Saskatchewan
- D. Drought in Alberta
Correct Answer: B
Rationale: The IMS used in Canada is based on the incident command system that was developed as a result of mass wildfires that took place in California during the 1970s.