Nokea
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.
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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 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.
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.
A nurse is conducting emergency preparedness education in the community. Which of the following amounts of drinking water should the nurse indicate to the group is required per day for a family of 4?
- A. 8 L
- B. 12 L
- C. 24 L
- D. 32 L
Correct Answer: C
Rationale: At least 2 L/day per person of drinking water is required, so for 72 hours, a family of four should have 24 L (2 L x 4 people x 3 days = 24 L).
The nurse is assessing a client in the emergency department and identifies the following: hemoptysis, cough, temperature of 40°C (104°F), and a history of recent travel to an area with a high risk for tuberculosis. Which of the following actions should the nurse take first?
- A. Administer supplemental oxygen.
- B. Place the client in an airborne isolation room.
- C. Obtain a sputum culture.
- D. Administer antipyretic medication.
Correct Answer: B
Rationale: The symptoms and travel history suggest possible tuberculosis, which is highly infectious. Placing the client in an airborne isolation room is the priority to prevent transmission to others. Administering oxygen, obtaining a sputum culture, and giving antipyretics are important but secondary to infection control.