Which of the following types of disaster management approaches would be used when dealing with a hurricane in southern Alberta?
- A. All hazards
- B. Unique hazard
- C. Agent specific
- D. Caused event
Correct Answer: C
Rationale: In an agent-specific approach, planning efforts are directed at those threats most likely to take place within a single geographical location (e.g., earthquakes in California). Since hurricanes are rare in southern Alberta, an agent-specific approach would focus on this specific threat.
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When planning the response to the potential use of smallpox as an agent of terrorism, the emergency department (ED) nurse-manager will plan to obtain sufficient quantities of which of the following supplies?
- A. Blood
- B. Vaccine
- C. Atropine
- D. Antibiotics
Correct Answer: B
Rationale: Smallpox infection can be prevented or ameliorated by the administration of vaccine given rapidly after exposure. The other interventions would be helpful for other agents of terrorism but not for smallpox.
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.
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.
When using the START triage system, the nurse will assess a client who has a sprained wrist and ankle with which of the following colours?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: A
Rationale: A client with sprains would be tagged green using the START system, indicating minor injuries that do not require immediate treatment.
The nurse is triaging a client who arrives in the emergency department after a disaster with massive head trauma. Using the START system, which of the following colours should the nurse use to tag this client?
- A. Green
- B. Yellow
- C. Red
- D. Black
Correct Answer: D
Rationale: A client with massive head trauma would be tagged black using the START system, because the client is unlikely to survive due to the severity of the injury.
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