1

NUR 114 P1 EXAMINATION (FINAL) The nurse finds the client unresponsive on the floor of the
Questions 1 to 10 bathroom. Which action should the nurse implement first? *
This status is used for any patient who can wait more than 2 1 point
hours to be seen without the likelihood of deterioration in the a. Check the client for breathing.
ED. * b. Assess the carotid artery for a pulse.
1 point c. Shake the client and shout.
a. Emergent d. Call a code via the bathroom call light.
b. Urgent
c. Nonurgent It is a serious disruption of the functioning of a community or
d. Elective a society at any scale due to hazardous events interacting with
conditions of exposure, vulnerability and capacity, leading to
It is a catastrophic event that results in casualties that one or more of the following: human,material, economic and
overwhelm the healthcare resources in that community and environmental losses and impacts *
may result in a sudden unanticipated surge of patients, a 1 point
change in standards of care, and a need to allocate scarce a. Disaster
resources? * b. Health Disaster
1 point c. Pandemic
a. Disaster d. Natural disaster
b. Health Disaster
c. Pandemic You are a nurse in the emergency department and it is during
d. Natural disaster the shift that Mr. CT is admitted in the area due to a fractured
skull from a motor accident. You scheduled him for surgery
The nurse is triaging four clients injured in a train derailment. under which classification? *
Which client should receive priority treatment? * 1 point
1 point a. Urgent
a. A 42-year-old with dyspnea and chest asymmetry. b. Emergent
b. A 17-year-oldwith fractured arm. c. Required
c. A 4-year-old with facial lacerations. d. Elective
d. A 30-year-old with blunt abdominal trauma
This is a potential threat to humans and their welfare *
A 56-year-old patient presents in triage with left-sided chest 1 point
pain, diaphoresis, and dizziness. This patient should be a. Risk
prioritized into which category? * b. Disaster
1 point c. Hazard
a. High urgent d. Warning
b. Urgent Questions 11 to 20
c. Non-urgent It is a purposeful exchange of information about the
d. Emergent existence, nature and severity or acceptability of health risk
between policymakers, health care providers AND THE
It is used to determine which events are most likely to affect a MEDIA. *
community and to make decisions about whom or what to 1 point
protect as the basis of establishing measures for prevention, a. Emergency response
mitigation, and response. * b. Incident Action Plan
1 point c. Incident management system
a. Hazard Identification d. Risk Communication
b. Vulnerability analysis
c. Risk Assessment This is the lead government instrumentality for response: *
d. Disaster Planning 1 point
a. DPWH
Which of the following is not a category in determining b. DILG
disasters? * c. DSWD
1 point d. DND
a. Man-made
b. Natural It is the Government of the Philippines’ “multi-hazard”
c. Anthropogenic response plan. *
d. Supernannuated 1 point
a. Philippine Disaster Plan
 2
b. National Disaster Response Plan c. Disaster prevention
c. Philippine National Red Cross d. Nursing process
d. National Disaster Risk Reduction Management Council
Plan A male client is admitted to the hospital with blunt chest
trauma after a motor vehicle accident. The first nursing
During the nursing assessment, which data represent priority for this client would be to: *
information concerning health beliefs? * 1 point
1 point a. Assess the client’ s airway
a. Family role and relationship patterns b. Provide pain relief
b. Educational level and financial status c. Encourage deep breathing and coughing
c. Promotive, preventive, and restorative health practices d. Splint the chest wall with a pillow
d. Use of prescribed and over-the-counter medications Questions 21 to 25
This is usually considered to be the restriction of the activities
Which assessment data should the nurse include when of a healthy person who has been exposed to a communicable
obtaining a review of body systems * disease? *
1 point 1 point
a. Brief statement about what brought the client to the a. Isolation
health care provider b. Quarantine
b. Client complaints of chest pain, dyspnea, or abdominal c. Screening
pain d. Vaccination
c. Information about the client’s sexual performance and
preference It is an act of human malice intended to injure and kill civilians
d. The client’s name, address, age, and phone number and is associated with higher rate of psychiatric morbidity
than are ‘Acts of God’” *
The primary government office for disaster prevention and 1 point
mitigation: * a. Disaster
1 point b. Bioterrorism
a. DILG c. Calamity
b. DTI d. Natural disaster
c. DOST
d. DND A disaster survivor started to have trouble sleeping at night
days after the disaster. What could be the explanation for
An anxious 24-year-old college student complains of this? *
tingling sensations, palpitations, and chest tightness. 1 point
Deep,rapid breathing and carpal spasms are noted. What a. It is a normal reaction.
priority nursing action should you take? * b. It is not a normal reaction to the situation
1 point c. Her sleep deprivation is caused by overstimulation
a. Notify the physician immediately. d. She was just not tired.
b. Administer supplemental oxygen.
c. Have the student breathe into a paper bag. A nurse told the physician about the patient’s infidelity to his
d. Obtain an order for an anxiolytic medication. wife. The nurse violated the patient’s: *
1 point
Nurse Kelly is acquiring information from a client in the a. Civil liability
emergency department. Which is an example of biographic b. Nurse-patient contract
information that may be obtained during a health history? * c. Data Privacy
1 point d. Confidentiality
a. The chief complaint
b. Past health status They are considered to be more vulnerable and therefore
c. History immunizations require special consideration both in disaster planning and
d. Location of an advance response? *
1 point
It is a systematic approach to identifying, assessing and a. Special needs population
implementing strategies and plans that aims to reduce,the b. Older people
probability of a hazard event. * c. Children and youth
1 point d. Ethnic people
a. Disaster risk reduction management e. None of the above
b. Rehabilitation and recovery f. All of the above
 3
Questions 26 to 30 Get an annual shot and encourage their family, co-workers
This status is used for any patient who can wait more than 2 and patients to get the flu-vaccine annually.
hours to be seen without the likelihood of deterioration in the Not to go to work at all.
ED. Wear a surgical mask at all times at work.
2 points Stay at home if they have respiratory symptoms.
Emergent
Urgent On assessment, the nurse notes that the client has burns
Dead inside the mouth and is wheezing. Several hours later, the
Nonurgent wheezing is no longer heard. What is the nurse’s next action?
2 points
The nurse is caring for a client with a blast injury. Which of Preparing for intubation
the following nursing assessments would be most appropriate Documenting the findings
for this client? Raising the head of the bed
2 points Loosening any dressings on the chest
Assess for hypervolemia
Assess for asphyxia A client who is admitted after a thermal burn injury has the
Assess for vasovagal hypotension following vital signs: blood pressure, 70/40; heart rate, 140
Assess the client for confusion beats/min; respiratory rate, 25/min. He is pale in color and it
is difficult to find pedal pulses. Which action will the nurse
4. These are those who have difficulty in breathing, take first?
uncontrolled hemorrhage, absence of peripheral pulses, and 2 points
inability to follow commands. Start intravenous fluid line
2 points Check the pulses with a Doppler device
Minimal Obtain an electrocardiogram
Expectant Obtain a complete blood count
Delayed
Immediate When should ambulation be initiated in the client who has
sustained a major burn?
It is performed by nurses on a routine basis in the ED, often 2 points
utilizing a standardized approach, augmented by clinical When the client’s temperature has remained normal for 24
judgment. hours
2 points When all full-thickness areas have been closed with skin
Population-based Triage grafts
Incident Triage As soon as possible after resolution of the fluid shift
Daily Triage As soon as possible after wound debridement is complete
Disaster Triage
After a blast incident, the primary responsibility of the
The patient has a blasted lung and injury to his tympanic responders is to:
membrane. This classification of blast injury is: 2 points
2 points Raise an alarm
Secondary blast injury Provide medications
Quarternary blast injury Search and rescue
Primary blast injury Conduct survey
Tertiary blast injury
Questions 31 to 40 Which intervention is most important to use to prevent
How is Covid-19 passed on? infection by auto-contamination in the burned client during
2 points the acute phase of recovery?
b. By drinking unclean water 2 points
c. In sexual fluids, including semen, vaginal fluids an Avoiding sharing equipment such as blood pressure cuffs
Through droplets that come from the mouth and nose when between clients
sneezes, cough or breathes out. Changing gloves between wound care on different parts of
All of the above the client’s body.
Using the closed method of burn wound management.
The most effective way for healthcare providers to protect Using proper and consistent handwashing
themselves, their family and their patients from influenza is
to: During initial stabilization, the nurse should keep in mind that
2 points 2 points
 4
Find the patient’s belongings for identification Once health
Provide first aid in a safe place Nursing Care Plan
Ask questions to the patient during first aid Chain of infection
Alleviate the worries of patients who are panicking
After tsunami, the nurse should:
The patient has crushing injuries, fracture, traumatic 2 points
amputation, and open brain injury This classification of blast Ignore gas leaks.
injury is: When re-entering homes, caution is not needed.
2 points Stay inside of a building if water remains around it.
Quarternary blast injury Help injured or trapped people
Tertiary blast injury
Primary blast injury What should you do during an earthquake if you are staying
Secondary blast injury outdoors?
2 points
What is the priority nursing diagnosis during the first 24 hours Lie on the ground and stay their until the shaking stops
for a client with full-thickness chemical burns on the anterior Stay under Cable or power lines
neck, chest, and all surfaces of the left arm? Immediately enter a building
2 points Stay in a field around tress.
Disturbed body image
Risk for disuse syndrome What should you do during a hurricane evacuation?
Decreased tissue perfusion 2 points
Risk for ineffective breathing pattern All of the above
Walk through floodwaters
Questions 41 to 50 Unplug home appliances
Oil spill is a man-made disaster that may cause: Leave with all your valuables
2 points
Destruction of marine ecosystem Which of the following is a good sign of an approaching
Nourishment for the earth earthquake?
Nourishment for fishes 2 points
Wildfire Traffic
Strong winds
What should you do after an earthquake? Sunny day
2 points Volcanic eruption
Enter and stay inside damaged buildings
Check for injuries. Give first aid as necessary Which of the following is an indicator of a tsunami?
Never replace damaged gas, water, and electrical lines 2 points
Install smoke detectors on every level of your home peaceful waves in the shore
water receding from a great distance from the coast
Which is a possible cause of a flood? thunderstorms
2 points excessive rain clouds
Converging winds
Overflows from dams, rivers, and lakes DAY 4 QUIZ
All of the above On assessment, the nurse notes that the client has burns
Low tides inside the mouth and is wheezing. Several hours later,the
wheezing is no longer heard. What is the nurse’s next
What is the most important hygiene habit to teach young action? *
children? 1 point
2 points a. Documenting the findings
Use tissue to cover nose when sneezing b. Loosening any dressings on the chest
Don’t share glass or eating utensil c. Raising the head of the bed
Take a bath daily d. Preparing for intubation
Wash hands frequently
The emergency department nurse has just admitted a patient
It is a model for explaining the organism causing the disease with a burn. The nurse recognizes that the patient is likely to
and condition that allow it to reproduce and spread. experience a local and systemic response to the burn when
2 points the burn exceeds a total body surface area (TBSA) of *
Epidemiological Triangle 1 point
 5
a. 20% d. 12%
b. 10%
c. 15% When assessing a patient who spilled hot oil on the right leg
d. 25% and foot, the nurse notes that the skin is dry, pale, hard skin.
The patient states that the burn is not painful. What term
A patient has just been admitted to a burn intensive care unit would the nurse use to document the burn depth? *
with extensive full-thickness burns over 25% of the body. 1 point
What would be the nurse's priority concern about this a. First-degree skin destruction
patient? * b. Full-thickness skin destruction
1 point c. Deep partial-thickness skin destruction
a. Body Image d. Superficial partial-thickness skin destruction
b. Infection Risk
c. Fluid Shifting While the patient's full-thickness burn wounds to the face are
d. Pain exposed, what is the best nursing action to prevent cross
contamination? *
What is the priority nursing diagnosis during the first 24 hours 1 point
for a client with full-thickness chemical burns on the anterior a. Use sterile gloves when removing old dressings.
neck, chest, and all surfaces of the left arm? * b. Wear gowns, caps, masks, and gloves during all care of the
1 point patient.
a. Risk for ineffective breathing pattern c. Administer IV antibiotics to prevent bacterial colonization
b. Decreased tissue perfusion of wounds.
c. Risk for disuse syndrome d. Turn the room temperature up to at least 70° F (20° C)
d. Disturbed body image during dressing changes.

A patient with severe burns has crystalloid fluid replacement The nurse is administering fluids intravenously as prescribed
ordered using the Parkland formula. The initial volume of fluid to a client who sustained superficial partial-thickness burn
to be administered in the first 24 hours is 30,000 mL. The injuries of the back and legs. In evaluating the adequacy of
initial rate of administration is 1875 mL/hr. After the first 8 fluid resuscitation, the nurse understands that assessment
hours, what rate should the nurse infuse the IV fluids? * would provide the most reliable indicator for determining the
1 point adequacy? *
a. 350 mL/hour 1 point
b. 523 mL/hour a. Peripheral pulses
c. 938 mL/hour b. Mental status
d. 1250 mL/hour c.Vital signs
d. Urine output
The nurse is caring for a client who sustained superficial Questions 11 to 20
partial-thickness burns on the anterior lower legs and anterior The nurse is caring for a client with a blast injury. Which of the
thorax. Which finding does the nurse expect to note during following nursing assessments would be most appropriate for
the resuscitation/emergent phase of the burn injury? * this client? *
1 point 1 point
a. Increased BP a. Assess for vasovagal hypotension
b. Increased urinary output b. Assess the client for confusion
c. Decreased heart rate c. Assess for asphyxia
d. Elevated hematocrit levels d. Assess for hypervolemia

An adult client was burned in an explosion. The burn initially After a blast incident, the primary responsibility of the
affected the client’s entire face (anterior half of the head) and responders is to: *
the upper half of the anterior torso, and there were 1 point
circumferential burns to the lower half of both arms. The a. Search and rescue
client’s clothes caught on fire, and the client ran, causing b. Conduct survey
subsequent burn injuries to the posterior surface of the head c. Raise an alarm
and the upper half of the posterior torso. Using the rule of d. Provide medications
nines, what would be the extent of the burn injury? *
1 point In the past smallpox was often confused with which
a. 18% disease? *
b. 48% 1 point
c. 36% a. monkeypox
 6
b. herpes zoster The patient has a blasted lung and injury to his tympanic
c. measles membrane. This classification of blast injury is: *
d. chickenpox 1 point
a. Primary blast injury
It is a model for explaining the organism causing the disease b. Secondary blast injury
and condition that allow it to reproduce and spread. * c. Tertiary blast injury
1 point d. Quarternary blast injury
a. One health DISASTER NURSING CFU
b. Nursing care plan
c. Chain of infection
d. Epidemiological Triangle SAS # 1 Disaster Preparedness: Essentials of
Disaster Planning
The patient has crushing injuries, fracture, traumatic
amputation, and open brain injury This classification of blast 1. It is a catastrophic event that results in casualties that
overwhelm the healthcare resources in that community
injury is: *
and may result in a sudden unanticipated surge of
1 point
patients, a change in standards of care, and a need to
a. Primary blast injury allocate scarce resources?
b. Secondary blast injury a. Disaster
c. Tertiary blast injury b. Health Disaster
d. Quarternary blast injury c. Pandemic
d. Natural disaster
During initial stabilization, the nurse should keep in mind
that * 2. It is a serious disruption of the functioning of a
1 point community or a society at any scale due to hazardous
a. Provide first aid in a safe place events interacting with conditions of exposure,
b. Alleviate the worries of patients who are panicking vulnerability and capacity, leading to one or more of the
c. Find the patient’s belongings for identification following: human, material, economic and environmental
d. Ask questions to the patient during first aid losses and impacts
a. Disaster
What trace of smallpox often remains after a person recovers b. Health Disaster
from smallpox? * c. Pandemic
d. Natural disaster
1 point
a. pockmarked scars on the face and arms
3. Which of the following is not a category in determining
b. dark red hematoma in the face and arms disasters?
c. blindness and loss of hearing a. Man-made
d. paralysis of lower extremities b. Natural
c. Anthropogenic
The most effective way for healthcare providers to protect d. Supernatural
themselves, their family and their patients from influenza is
to: * 4. This is a potential threat to humans and their welfare
1 point a. Risk
a. Wear a surgical mask at all times at work. b. Disaster
b. Stay at home if they have respiratory symptoms. c. Hazard
c. Get an annual shot and encourage their family, co-workers d. Warning
and patients to get the flu-vaccine annually.
d. Not to go to work at all. 5. It is used to determine which events are most likely to
affect a community and to make decisions about whom or
what to protect as the basis of establishing measures for
How is Covid-19 passed on? *
prevention, mitigation, and response.
1 point
a. Hazard Identification
a. Through droplets that come from the mouth and nose b. Vulnerability analysis
when sneezes, cough or breathes out. c. Risk Assessment
b. By drinking unclean water d. Disaster Planning
c. In sexual fluids, including semen, vaginal fluids and
mucous.
d. All of the above
 7
SAS # 2 I. Disaster Preparedness: Leadership and 3. Who are considered to belong in those who have
Coordination in Disaster Healthcare System: DRRM in special needs population?
the Philippine Perspective a. Children and youth
b. Older people
1. It is a systematic approach to identifying, assessing c. Cultural and ethnic people
and implementing strategies and plans that aims to d. All of the above
reduce, the probability of a hazard event.
a. Disaster risk reduction management 4. A disaster survivor started to have trouble sleeping at
b. Rehabilitation and recovery night days after the disaster. What could be the
c. Disaster prevention explanation for this?
d. Nursing process a. It is a normal reaction.
b. It is not a normal reaction to the situation
2. The leading agency for Disaster Prevention and c. Her sleep deprivation is caused by overstimulation
Mitigation. d. She was just not tired.
a. DOST
b. DILG 5. Which of the following may facilitate the process of
c. DOH mourning for the bereaved?
d. DSWD a. Telling them to move on
b. Acting as if nothing happened
3. It is the Government of the Philippines’ “multi-hazard” c. Facilitate rituals, ceremonies, or memorials d. Give
response plan. them all the space they can have
a. National Disaster Response Plan (NDRP) b. National
Disaster Risk Reduction Management Council (NDRRMC) SAS # 4 : I. Disaster Preparedness: Legal and Ethical
c. Philippine National Red Cross Issue in Disaster Response
d. Philippine Disaster Plan (PDP)
1. This refers to the examination of what it means to live a
4. It is the lead agency of Response. moral life.
A. DILG a. Law
B. DSWD b. Morality
C. DOH c. Ethics
D. NEDA d. Confidentiality

5. It is a purposeful exchange of information about the 2. These are the rules and regulations under which nurses
existence, nature and severity or acceptability of health must carry out their professional duties
risk between policymakers, health care providers AND a. Law
THE MEDIA. b. Morality
a. Emergency response c. Ethics
b. Incident Action Plan d. Confidentiality
c. Incident management system
d. Risk Communication 3. It encompasses the norms people adopt to direct right
and wrong conduct?
SAS # 3 : I. Disaster Preparedness: a. Law
Understanding the Psychosocial Impact of Disasters b. Morality
c. Ethics
1. It is an act of human malice intended to injure and kill d. Confidentiality
civilians and is associated with higher rate of psychiatric
morbidity than are ‘Acts of God’” 4. This is usually considered to be the restriction of the
a. Disaster activities of a healthy person who has been exposed to a
b. Bioterrorism communicable disease?
c. Calamity a. Isolation
d. Natural disaster b. Quarantine
c. Screening
2. They are considered to be more vulnerable and d. Vaccination
therefore require special consideration both in disaster
planning and response? 5. A nurse told the physician about the patient’s infidelity
a. Special needs population to his wife. The nurse violated the patient’s
b. Older people a. Civil liability
c. Children and youth b. Nurse-patient contract
d. Ethnic people c. Privacy
d. Confidentiality
 8
SAS 5 Principles of Emergency Care
1. During the nursing assessment, which data represent
information concerning health beliefs?
a. Family role and relationship patterns
b. Educational level and financial status
c. Promotive, preventive, and restorative health practices
d. Use of prescribed and over-the-counter medications
2. Which assessment data should the nurse include when
obtaining a review of body systems
a. Brief statement about what brought the client to the
health care provider
b. Client complaints of chest pain, dyspnea, or abdominal
pain
c. Information about the client’s sexual performance and
preference
d. The client’s name, address, age, and phone number
a. Check the client for breathing.
b. Assess the carotid artery for a pulse.
c. Shake the client and shout.
d. Call a code via the bathroom call light.
3. The nurse is triaging four clients injured in a train
derailment. Which client should receive priority treatment?
a. A 42-year-old with dyspnea and chest asymmetry.
b. A 17-year-oldwith fractured arm.
c. A 4-year-old with facial lacerations.
d. A 30-year-old with blunt abdominal trauma
4. A 56-year-old patient presents in triage with left-sided
chest pain, diaphoresis, and dizziness. This patient should
be prioritized into which category?
a. High urgent
b. Urgent
c. Non-urgent
d. Emergent

3. A male client is admitted to the hospital with blunt chest 5. This status is used for any patient who can wait more
trauma after a motor vehicle accident. The first nursing than 2 hours to be seen without the likelihood of
priority for this client would be to: deterioration in the ED.
a. Assess the client’ s airway a. Emergent
b. Provide pain relief b. Urgent
c. Encourage deep breathing and coughing c. Nonurgent
d. Splint the chest wall with a pillow d. Dead

4. Nurse Kelly is acquiring information from a client in the SAS# 7 II. Emergency and Disaster Management: In
emergency department. Which is an example of Hospital Triage System and Disaster Triage
biographic information that may be obtained during a
health history? 1. It is a process which places the right patient in the right
a. The chief complaint place at the right time to receive the right level of care” (
b. Past health status a. Assessment
c. History immunizations b. Triage
d. Location of an advance c. History taking
d. Nursing process
5. An anxious 24-year-old college student complains of
tingling sensations, palpitations, and chest tightness. 2. It is performed by nurses on a routine basis in the ED,
Deep, rapid breathing and carpal spasms are noted. What often utilizing a standardized approach, augmented by
priority nursing action should you take? clinical judgment.
a. Notify the physician immediately. a. Daily Triage
b. Administer supplemental oxygen. b. Incident Triage
c. Have the student breathe into a paper bag. c. Disaster Triage
d. Obtain an order for an anxiolytic medication. d. Population-based Triage

SAS # 6 Scope and Practice of Emergency 3. It occurs when the ED is stressed by a large number of
patients due to an acute incident or an ongoing medical
1. You are a nurse in the emergency department and it is crisis such as pandemic influenza, but is still able to
during the shift that Mr. CT is admitted in the area due to a provide care to all patients utilizing existing agency
fractured skull from a motor accident. You scheduled him resources.
for surgery under which classification? a. Daily Triage
a. Urgent b. Incident Triage
b. Emergent c. Disaster Triage
c. Required d. Population-based Triage
d. Elective
4. These are those who have difficulty in breathing,
2. The nurse finds the client unresponsive on the floor of uncontrolled hemorrhage, absence of peripheral pulses,
the bathroom. Which action should the nurse implement and inability to follow commands.
first? a. Minimal
 9
b. Delayed a. Documenting the findings
c. Expectant b. Loosening any dressings on the chest
d. Immediate c. Raising the head of the bed
d. Preparing for intubation

5. This status is used for any patient who can wait more 2. A client who is admitted after a thermal burn injury has
than 2 hours to be seen without the likelihood of the following vital signs: blood pressure, 70/40; heart rate,
deterioration in the ED. 140 beats/min; respiratory rate, 25/min. He is pale in color
a. Emergent and it is difficult to find pedal pulses. Which action will the
b. Urgent nurse take first?
c. Nonurgent a. Start intravenous fluid line
d. Dead b. Check the pulses with a Doppler device
c. Obtain a complete blood count
SAS # 8 : Mass Casualty Incidents: Traumatic injury d. Obtain an electrocardiogram
due to Explosives and Blast Incidents
3. What is the priority nursing diagnosis during the first 24
1. The nurse is caring for a client with a blast injury. Which hours for a client with full-thickness chemical burns on the
of the following nursing assessments would be most anterior neck, chest, and all surfaces of the left arm?
appropriate for this client? a. Risk for ineffective breathing pattern
a. Assess for vasovagal hypotension b. Decreased tissue perfusion
b. Assess the client for confusion c. Risk for disuse syndrome
c. Assess for asphyxia d. Disturbed body image
d. Assess for hypervolemia
4. When should ambulation be initiated in the client who
2. The patient has a blasted lung and injury to his has sustained a major burn?
tympanic membrane. This classification of blast injury is: a. When all full-thickness areas have been closed with
a. Primary blast injury skin grafts
b. Secondary blast injury b. When the client’s temperature has remained normal for
c. Tertiary blast injury 24 hours
d. Quarternary blast injury c. As soon as possible after wound debridement is
complete
3. The patient has crushing injuries, fracture, traumatic d. As soon as possible after resolution of the fluid shift
amputation, and open brain injury This classification of
blast injury is: 5. Which intervention is most important to use to prevent
a. Primary blast injury infection by auto-contamination in the burned client during
b. Secondary blast injury the acute phase of recovery?
c. Tertiary blast injury e. Changing gloves between wound care on different parts
d. Quarternary blast injury of the client’s body.
f. Avoiding sharing equipment such as blood pressure
4. After a blast incident, the primary responsibility of the cuffs between clients
responders is to: g. Using the closed method of burn wound management.
a. Search and rescue h. Using proper and consistent handwashing
b. Conduct survey
c. Raise an alarm SAS # 10: Infectious Disease Emergencies and
d. Provide medications Coronavirus (Covid-19)

5. During initial stabilization, the nurse should keep in 1. What are the common symptoms of Covid 19?
mind that a. A new and continuous cough
a. Provide first aid in a safe place b. fever
b. Alleviate the worries of patients who are panicking c. tiredness
c. Find the patient’s belongings for identification d. All of the above
d. Ask questions to the patient during first aid
2. How is Covid-19 passed on?
SAS # 9; Management of Burns Mass Casualty a. Through droplets that come from the mouth and nose
Incident when sneezes, cough or breathes out.
b. By drinking unclean water
1. On assessment, the nurse notes that the client has c. In sexual fluids, including semen, vaginal fluids and
burns inside the mouth and is wheezing. Several hours mucous.
later, the wheezing is no longer heard. What is the nurse’s d. All of the above
next action?
 10
3. The most effective way for healthcare providers to SAS # 12: Natural Disasters: Tsunami, Winter
protect themselves, their family and their patients from storm,Wildfire Environmental
influenza is to: Disasters and Emergencies
a. Wear a surgical mask at all times at work.
b. Stay at home if they have respiratory symptoms. 1. All are true about wildfires except:
c. Get an annual shot and encourage their family, co- a. It occurs in forests, grasslands, and wooded areas
workers and patients to get the flu-vaccine annually. b. Controlled fire often occurring wildland areas
d. Not to go to work at all. c. Most common causes are lightning and human
accidents
4. What is the most important hygiene habit to teach d. A wildfire also known as a wildland fire
young children?
a. Wash hands frequently 2. After tsunami, the nurse should:
b. Use tissue to cover nose when sneezing a. Help injured or trapped people
c. Take a bath daily b. Stay inside of a building if water remains around it.
d. Don’t share glass or eating utensil : c. When re-entering homes, caution is not needed.
d. Ignore gas leaks.
5. It is a model for explaining the organism causing the
disease and condition that allow it to reproduce and 3. Which of the following is an indicator of a tsunami?
spread. a. thunderstorms
a. One health b. water receding from a great distance from the coast
b. Nursing care plan c. excessive rain clouds
c. Chain of infection d. peaceful waves in the shore
d. Epidemiological Triangle
4. What should you do during a winter storm if you’re
SAS # 11 : Natural Disasters inside a vehicle?
a. Drive slowly
1. What should you do during an earthquake if you are b. b. Find a warm shelter
staying outdoors? c. c. Keep the headlights on
a. Lie on the ground and stay there until the shaking stops d. All of the above
b. Stay under cable or power lines
c. Immediately enter a building 5. Oil spill is a man-made disaster that may cause:
d. Stay in a field around trees. Stand there until the a. Nourishment for the earth
shaking stops b. Destruction of marine ecosystem
c. Wildfire
2. Which is a possible cause of a flood? d. Nourishment for fishes
a. Overflows from dams, rivers, and lakes
b. Low tides SAS # 13 Mental Health and Psychosocial Support in
c. Converging winds Emergency Settings
d. All of the above
1. The core principles of MPHSS are the following except:
3. What should you do after an earthquake? a. Participation
a. Never replace damaged gas, water, and electrical lines b. Human rights and equity
b. Enter and stay inside damaged buildings c. Incoordination
c. Check for injuries. Give first aid as necessary d. Do No Harm
d. Install smoke detectors on every level of your home
2. The first intervention pyramid for mental health and
4. Which of the following is a good sign of an approaching psychosocial support in emergency is:
earthquake? a. Specialized services
a. Volcanic eruption b. Basic services and security
b. Strong winds c. Community and family support
c. Sunny day d. Focused, non-specialized supports
d. Traffic
3. In the matrix of interventions, which of the following
5. What should you do during a hurricane evacuation? has the high- priority responses that should be
a. Walk through floodwaters implemented as soon as possible in emergency?
b. Unplug home appliances a. emergency preparedness
c. Leave with all your valuables b. specialized preparedness
d. All of the above c. minimum responses
d. comprehensive responses
 11
4. All of the following are examples of Pre-emergency d. Develop policies and plans that support individual and
social problems in Predominantly Social Nature Problems community health efforts.
in Emergencies, except:
a. extreme poverty
b. political oppression
c. belonging to a group that is discriminated against or
marginalized SAS # 15: Climate Change and Health: The Nurse’s
d. family separation Role in Policy and Practice

5. What level of intervention pyramid for mental health 1. Which is the name of the gas that is responsible for the
and psychosocial support in emergencies includes the warning effect from greenhouse gases?
psychosocial first aid and basic mental health care by a. Carbon dioxide (CO2)
primary health care workers? b. Methane (CH4)
a. Level1: Basic services and security c. Nitrous Oxide (N2O)
b. Level 2: Community and family Supports d. All of the above
c. Level 3: Focused: non- specialized Supports
d. Level 4: Specialized services 2. What is the main man-made greenhouse gas?
a. CO2
SAS # 14: Restoring Public Health Under Disaster b. CH4
Conditions: Basic Sanitation, Water, Food Supply and c. N2O
Shelter
3. Things you can do to help decrease global warming
1. It is a state of complete physical, mental and social well include:
-being and not merely the absence of disease or infirmity. a. Keep your air condition on high.
a. Hygiene b. Turn off your lights when not using.
b. Sanitation c. Keep your freezer door open.
c. Health d. Eat more ice cream.
d. Infection control
4. The likelihood of which extreme weather event is
2. The 3 core functions of Public Health are the following, expected to increase with climate change?
except: a. Heat waves
a. Assessment b. droughts
b. Policy development c. hurricanes
c. Assurance d. all of the above

3. It is an individual perception of his/her position in life in 5. Certain gases in the atmosphere: water vapor, CO2,
the context of the culture and value of system where the methane and nitrous oxide, help maintain the Earth’s
individual lives and in relation to a personal goals, temperature and climate. These are called:
expectations and concerns. a. Ozone gases
a. Health promotion b. Greenhouse gases
b. Health assessment c. Solar gases
c. Quality of life d. Stomach gases
d. Rapid assessment
SAS # 16: Bioterrorism
4. The exercise of collecting information in order to
measure the damages and identify the basic needs that 1. All but one is correct about Bio-Agent Response:
require immediate response as a result of a disaster. a. Identify: Bio-Agent(s), source, area affected, population
a. Quality of life exposed
b. Rapid assessment b. Notify local medical facilities
c. Health assessment c. Isolate and contain unaffected areas and population
d. Health promotion d. Treat -- provide vaccine or medications to the affected
population
5. Essential functions of the public health as they relate to
a disaster are the following, except: 2. One advantage of a biological weapon is
a. Immobilize community partnerships and to identify and a. It is odorless, colorless, and tasteless
solve health problems. b. It has a small attack area
b. Monitoring health status to identify and solve problems. c. It will immediately result in massive cases of human
c. Inform, educate and empower people about health illness
issues. d. It will kill the perpetrator of the release
 12
3. The difference between the cost of biological weapons
and other types of weapons is 1. The nurse should plan to assess soldiers who might
a. Biological agents cost much more but can impact a have been exposed to nerve gas agents for which
much larger area making them cheaper overall symptoms?
b. Biological agents cost about as much as chemical a. Nausea and vomiting
agents b. Convulsion and loss of consciousness
c. Biological agents are about half the cost of other types c. Diarrhea
of weapons d. Constipation
d. Biological agents are several hundred times less
expensive than other weapons 2. A nurse is responding to a biochemical incident, to
protect the nurse from exposure to these chemicals, the
4. Which of the following is the worst-case scenario for a nurse must:
biological release? a. Handwash
a. Particle size 1 to 5 microns b. Wear mask
b. Weather pattern includes a thermal inversion c. Wear appropriate PPE
c. Aerosol release d. Call for emergency backup
d. All of the above
3. The best room to use for shelter during a chemical
5. One disadvantage of a biological weapon is that accident or attack is a room with many windows and doors
a. It is not easy to control that can be used as possible escape routes.
b. It is too easy to disperse and may leak prior to delivery a. True
c. It is difficult to use due to International restrictions b. False
d. None of the above
4. Chemical agents that destroy skin and tissues, cause
SAS # 17: Disaster Caused by Biological Agents blindness, may be fatal
a. Blood agents
1. What is the most common naturally occurring form of b. Blister agents
anthrax? c. Nerve agents
a. inhalation d. Choking agents
b. cutaneous
c. gastrointestinal 5. You work in a large convention center. Approximately
d. neurologic 500 people have been attending an all -day computer
software conference. By mid- afternoon, however, more
2. Which form of plague can be spread from person to than a hundred attendees have developed complaints of
person? disorientation, dizziness, and nausea. Some have even
a. Pneumonic left to go to the hospital. What is the most likely causing
b. Bubonic these symptoms?
c. septicemic a. Radiation agents
d. foodborne b. Biological agent
c. Chemical agents
3. Which of the following forms of anthrax infection causes d. None of the above
most fatalities?
a. Cutaneous SAS # 19: Preparing for Terrorism: Nuclear Radiation
b. inhalation Exposure
c. gastrointestinal
d. neurologic 1. There has been a radioactive explosion nearby. The
emergency room nurse must triage and manage the
4. The deadliest form/ type of plague. decontamination of the clients systematically. Which of the
a. Bubonic plague following clients would be decontaminated first?
b. Septicemic plague a. A client with severe injuries.
c. Pneumonic plague b. A client with minor injuries.
d. All of the above c. A client with the least injuries.
d. A client with the most injuries.
5. Which of the following would be a symptom of
botulism? a. Disfigured nodules on the skin 2. All are true about Radiation Detection except:
b. lockjaw a. Cannot be seen
c. flaccid paralysis b. Cannot be smelled
d. sepsis c. Can be tasted
d. Cannot be felt
SAS # 18: Preparing for Terrorism: Chemical Weapons
 13
3. All except one are forms of radiation 5. A newly graduated nurse is learning about the nurse’s
a. Alpha radiation role in disaster relief as part of an orientation to the
b. Beta radiation hospital. Which of the following concepts is accurate?
c. Gamma radiation a. Learning about the prevention and mitigation of
d. Proton radiation disasters is nice to know, but not essential.
b. Nurses take a passive role in helping others to save
4. When taking care of a patient undergoing radiation lives and fulfill an important obligation.
therapy, the nurse should c. Applying advanced skills can be very helpful until help
a. Be with the patient all the time arrives.
b. Minimize time together with patient d. Nurses may have to assume expanded roles in making
c. Use hazmat decisions for the most appropriate treatment of casualties.
d. Wash hands

5. What clinical manifestation should alert the nurse to SAS # 21: Community Health Nursing Interventions
possible fatal exposure to radiation? during Disaster
a. Elevated levels of chromosomal aberrations
b. Redness in the chest 1. What emotion would a nurse anticipate when working
c. Decreased in WBC count with an older person following a disaster??
d. Presence of white spots all over the body a. Anger
b. Fear of loss of independence
c. Violence
SAS # 20 Role of Nursing in Disaster Response Plan d. Regression

1. Who has the primary responsibility for safe guarding
the workplace, or community against a bioterrorist attack?
a. The local department of public health
b. employer
c. law enforcement
d. all of the above
2. A nursing student is studying about disasters and
emergency preparedness. Which of the following
statements by the nursing student depicts a correct
understanding of the difference between a disaster and an
emergency?
a. “Disasters are man- made only.”
b. “An emergency is an unforeseen combination of
circumstances calling for immediate action for a range of
victims.”
c. “Man- made disasters are intentional only.”
d. “Emergencies are caused by acts of nature or emerging
diseases.
3. A military nurse is working in Iraq. Because of the
potential threat of hazardous gas, which of the following
should be worn when working in a dangerous war zone?
Select all that apply.
a. Gas mask
b. Surgical mask
c. Protective clothing
d. A hood, helmet, or headgear
e. sunglasses
2. Which of the following is a direct impact of earthquake
on health? Select that all apply.
a. Respiratory diseases due to exposure to dust
b. High mortality from severe asphyxia due to dust
inhalation
c. Many people with minor cuts and bruises, some with
simple fractures
d. Disruption of the water supplier and sewerage system
in urban areas
3. In cluster approach, which of the following is
responsible for leading the response effort of Nutrition and
WASH (Water, Sanitation and Hygiene)
a. DOH (Department of Health)
b. DSWD (Department of Social Welfare and
Development) c. OCD (Office of Civil Defense)
d. DepED (Department of Education)
4. The indirect impact on health of volcanic eruption is the
following, except:
a. Injuries to and asphyxiation of people in buildings that
collapse under the weight of ash –especially wide-span
buildings and particularly if the ash is wet.
b. Possible gastrointestinal problems due to ingestion of
food or water contaminated by ash.
c. Accidents resulting from poor visibility and slippery
roads due to ash.
d. Bury people with little chance of being rescued alive
due to hot mudflows and lahars

4. Responsibility for securing the scene, preserving life 5. The specific health intervention of the community during
and treating the wounded is the responsibility of: earthquake disaster.
a. First responders a. Evacuation of people from the ash-fall area until the ash
b. Mental health professionals has settled and no more eruptions are expected.
c. Social workers b. Search and rescue; recovery of bodies.
d. All citizens c. Emergency shelter.
d. All of the above
 14
SAS # 22: Psychological First Aid
1. What is psychological first aid?
a. Is a humane, supportive and practical first response
given to people or persons in emotional distress
b. Helping people access information and services
c. Understanding their needs and concerns, and respond
accordingly
d. Protecting affected persons from any further harm
rate 28. He appears ill. Because you’ve seen a number
of similar patients tonight you suspect a biological attack
has taken place. After your initial assessment, the best
course of action should be to:
a. Immediately notify the local health department
b. Momentarily return to your ambulance to retrieve and
put on your N95 mask
c. Undress the patient to look for any rashes
d. Obtain a history regarding the patients travels,
activities, and whereabouts for the previous two weeks

2. What are the 3 action principles of PFA? Select that all 3. Which method is most effective for the decontamination
apply. of individuals?
a. Prepare a. Bleach and water
b. Look b. Charcoal
c. Listen c. Dry brush
d. Link d. Soap and water

3. Who delivers psychological first aid? 4. Where is the best place to decontaminate a person?
a. Depressed clients a. In their house
b. Non-mental professional b. In the ambulance
c. Mental Professional c. In the hospital
d. All of the above d. In an outside area

4. Who receives psychological first aid? Select that all 5. When removing PPE, it is important to know what areas
apply. of the PPE are considered "clean" vs "contaminated".
a. Disaster survivors Select ALL the areas on PPE that are considered "clean":
b. Individual in crisis a. Ties on the gown
c. Disaster responders b. Outside of the mask
d. None of the above c. Sleeves of the gown
d. Back of the gown
5. Which of the following is NOT a sign that a survivor e. Inside of the gloves
may need stabilization?? f. Straps on the goggles
a. Excessive talking
b. Insomnia
c. Fear
d. Nightmares

SAS # 23: Decontamination and Personal Protective

Equipment

1. A group of people arrived at the emergency unit by a

private car with complaints of periorbital swelling, cough,
and tightness in the throat. There is a strong odor
emanating from their clothes. They report exposure to a
“gas bomb” that was set off in the house. What is the
priority action?
a. Direct the clients to the decontamination area.
b. Direct the clients to the cold or clean zone for
immediate treatment.
C. Measure vital signs and auscultate lung sounds.
d. Immediately remove other clients and visitors from the
area.

2. You are a volunteer EMT in your hometown. You live in

a rural suburb of a large west coast city. You respond to a
911 call from a private residence where a 30 year male is
complaining of fever, headache, and vomiting. Upon
arrival you find him with mild shortness of breath, T =
101.2oF, heart rate 98, blood pressure 112/68, respiratory