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Disaster Nursing Cfu 084740
Disaster Nursing Cfu 084740
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ANSWER: C
Rationale: In the START TRIAGE the Red color coded tag determines the severely injured patients who will
receive the most care and fastest transportation.
10. This method is one of the fastest triage methods, which takes only 15 seconds to test each patient
A. Simple Triage
B. Reverse Triage
C. SALT Triage
D. CareFlight Triage
ANSWER: D
Rationale: The noteworthy point is that in this method the criterion of obeying the commands is examined before
the evaluation of breathing and pulse rate. This method is one of the fastest triage methods, which takes only 15
seconds to test each patient.
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A. Cardiogenic
B. Neurogenic
C. Hypovolemic
D. Hemorrhagic
Answer: A
Rationale: Cardiogenic shock may be due to myocardial contusion, cardiac tamponade and penetrating wound in
the heart
9. Circulatory Resuscitation measures may include the following, SATA:
A. Aims to restore oxygen delivery to tissues
B. Avoid solutions containing glucose
C. Monitor urine output 0.5ml per kg per hour to be adequate
D. Arrange and cross match blood
Answer: ABD
Rationale: Circulatory Resuscitation measures may include the following: Aims to restore oxygen delivery to
tissues, avoid solutions containing glucose, monitor urine output 0.5ml per kg per hour as minimum and
1ml/kg/hour to be adequate, arrange and cross match blood.
10. We perform the following step for infant or child CPR, select all that applies:
A. Perform 2 rescue breaths with heads tilted backward and chin raised
B. Pinch nose shut and place mouth over theirs.
C. Breath into their mouth twice.
D. A&B only
E. All of the above
Answer: E
Rationale: If the child or infant is not breathing, perform two rescue breaths with their head tilted backward and
their chin raised. For a child, pinch their nose shut and place your mouth over theirs. Breathe into their mouth
twice.
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Rationale: In Spinal Trauma, examination must be done in neutral position. It is also mobilized by log rolling the
patient and transport in neutral position in the spinal board.
8. The following are considered as management for Abdominal Trauma, select all that applies:
A. CT Scan
B. Laparotomy
C. Observation
D. All choices above
E. A&B only
Answer: D
Rationale: ABC is correct. Management for Abdominal Trauma includes Observation and CT scan for those that
are stable and DPL/FAST Scan and Laparotomy for those unstable cases.
9. This results from motors vehicle crashes, falls blows, or explosions
A. BLUNT ABDOMINAL TRAUMA
B. PENETRATING ABDOMINAL INJURY
C. INTRA-ABDOMINAL INJURY
D. PERITONEAL TRAUMA
Answer: A
Rationale: BLUNT ABDOMINAL TRAUMA results from motors vehicle crashes, falls blows, or explosions. It can
lead to massive blood loss into the peritoneal cavity.
10. The following are nursing management for wound, except one:
A. Hair around the wound may be shaved or clipped
B. Providone Iodine or Hydrogen Peroxide should be allowed to get deep in the wound.
C. Tetanus prophylaxis
D. Debridement
Answer: B
Rationale: Nursing Management for wounds include: hair around the wound may be shaved or clipped; PNSS to
clean the wound area; Providone Iodine or Hydrogen Peroxide should not be allowed to get deep in the wound. It
is used only for initial cleansing; Debridement, Dressing application; Suture; Sterile strips of microporous tape;
Skin glue; Tetanus prophylaxis.
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6. This is a special type of wound that can lead to staphylococcus and streptococcus infection.
A. Animal Bite
B. Snake Bite
C. Human Bite
D. Sting Bite
Answer: C
Rationale: HUMAN BITES– staphylococcus and streptococcus infection
7. In this wound, infection can be neurotoxic or hemotoxic
A. Animal Bite
B. Snake Bite
C. Human Bite
D. Sting Bite
Answer: B
Rationale: SNAKE BITE– Infection can be neurotoxic or hemotoxic
8. Category II exposure of the previously immunized individuals related to dog bites includes the following, except:
A. Wash exposed skin surfaces No PEP required.
B. Wound washing and immediate vaccination is 2-sites ID on days 0, 3 and 76
C. 1-site ID on days 0 and 3
D. At 4-sites ID on day 0
Answer: B
Rationale: Item letter B is included in the Category II of Immunologically naïve individuals of all age groups.
9. In case of a life threatening poisoning, emergency treatment begins with the initial rapid assessment and resuscitation.
A. This statement is TRUE
B. This is FALSE
Answer: A
Rationale: In case of a life threatening poisoning, emergency treatment begins with the initial rapid assessment
and resuscitation
10. This is produced from carbonaceous substances such as peat or wood that have been pulverized and specially
treated
A. Syrup of Ipecac
B. Cathartics
C. Activated Charcoal
D. Hydrocarbons
Answer: C
Rationale: Activated Charcoal is produced from carbonaceous substances such as peat or wood that have been
pulverized and specially treated.
1. When the hospital is flooded to its capacity, this process may be performed:
A. Triage selection and Patient Care
B. Hospital Referral and Transfer
C. Mass Casualty Incident Management
D. Observation and Holding Area
Answer: B
Rationale: When the hospitals become flooded to its full capacity during a disaster and emergency, the process
of hospital referral and transfer must be considered.
2. It is a procedure performed to obtain history and physical examination after the initial assessment is done assuming
that emergency and life threatening problems have been stabilized.
A. Triage Care
B. Secondary Survey
C. Primary Survey
D. It is a lifesaving intervention to sort patient’s needs
Answer: B
Rationale: A focused history and physical exam should be performed after the initial assessment. It is assumed
that the life threatening problems have been found and corrected. If that process involved CPR you may not get
to this stage.
3. The following are considered the identifiable Mass casualty incident competencies or most likely health care role of a
nurse during disaster, select all that apply (SATA):
A. Mental Health Counselor
B. Member of decontamination team
C. Generalist Nurse
D. Onsite director of care management
Answer: ABCD
Rationale: Researcher, Investigator/epidemiologist, EMT or first responder, Direct care provider, generalist
nurse, Direct care provider, advanced practice nurse (APN), Director/coordinator of care in hospital/nurse
administrator or emergency department nurse manager, Onsite coordinator of care/incident commander, Onsite
director of care management, Information provider or educator, particularly the role of the generalist nurse,
Mental health counselor, Member of planning response team, Member of community assessment team, Manager
or coordinator of shelter, Member of decontamination team, Triage officer
4. Nurses often facilitate communication and coordinate care among members of the health care team, patients, and
their families during a disaster:
A. This is statement is True
B. study
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Answer: A
Rationale: Nurses often facilitate communication and coordinate care among members of the health care team,
patients, and their families during a disaster. This includes formal and informal communication (verbal and
written) and electronic and paper documentation
5. These are considered the signs and symptoms of an abdominal trauma following disaster, except:
A. Penetrating wound
B. Abdominal distention
C. Tensed and tenderness of the abdomen
D. Chest penetration
Answer: D
Rationale: Signs and symptoms of abdominal trauma includes penetrating wound, abdominal distention, tensed
and tenderness of the abdomen, bowel sounds but not chest pain and penetration.
6. Renee, a pizza parlor crew suffered an abdominal trauma following a blast incident just outside her work station and
pantry. She is conscious, in severe pain and panic when Nurse Troy arrived in the scene. Following a disaster, during a
mass casualty incident management, the first step will most likely start with:
A. Display patient name and Status
B. Incident command
C. Trauma team mobilization
D. Hospital Command
E. Transportation and documentation
ANSWER: B
Rationale: The First step during a mass casualty incident management is incident command followed by
hospital command, trauma team mobilization, initiate triage and categorize, display patient name and status,
mobilize health person in triage, coordinate and communicate with police, media and family, and transportation
and documentation.
7. What is the initial nursing action Nurse Troy will perform after arriving at the scene as mentioned in the previous item?
A. Perform CPR
B. Ensure safety
C. Call for help
D. Activate AED
ANSWER: B
Rationale: The hazard involved in the accident could still be a danger to the casualty, as well as other people
nearby, and even yourself as the first responder. You therefore need to make sure the area is safe before you
begin administering first aid. For example, if it's a road traffic accident, you may need to try to block traffic,
while if the incident involved a machine, it will need switching off.
8. A spinal trauma was suffered by Patient Nini in an earthquake affecting their locality. In what position can we place a
patient during examination?
A. Neutral
B. High fowler’s
C. Log roll
D. Reversed supine
ANSWER: A
Rationale: During a spinal trauma, examination must be done in neutral position. Mobilization is performed by
logrolling and transport in neutral position in spinal board.
9. In performing the primary survey approach, the emergency responder will check the patient’s response by doing the
following steps, except:
A. Assess level of consciousness
B. Gently shaking the casualty’s shoulders
C. Call out, “are you alright?”
D. Ensure safety at all times
ANSWER: D
Rationale: During RESPONSE – Assess level of consciousness. by gently shaking the casualty shoulders and
call out, “are you alright”. Ensuring safety is found in the first approach, Danger.
10. The last phase of mass casualty incident management refers to:
A. Display patient name and Status
B. Incident command
C. Trauma team mobilization
D. Hospital Command
E. Transportation and documentation
ANSWER: E
Rationale: The Final step during a mass casualty incident management is transportation and documentation.
Other steps include: incident command followed by hospital command, trauma team mobilization, initiate triage
and categorize, display patient name and status, mobilize health person in triage, coordinate and communicate
with police, media and family.
1. The following are considered as Burn Interventions, select all that apply (SATA):
A. PREVENT STRESS ULCERATION
B. MAINTAIN AIRWAY
C. RELIEVE PAIN PREVENT INFECTION
D. PROVIDE NUTRITION
Answer: ABCD
Rationale:
This study sourceBURN INTERVENTIONS
was downloaded ARE
by 100000869455681 ASCourseHero.com
from FOLLOWS:onMAINTAIN AIRWAY,
08-08-2023 15:39:03 FLUID RESUSCITATION, RELIEVE
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PAIN PREVENT INFECTION, PROVIDE NUTRITION, PREVENT STRESS ULCERATION, PROVIDE PSYCHOLOGIC
SUPPORT, PREVENT CONTRACTURES.
2. Bioterrorism is a result of the effects of thermal injury on the skin and other tissues as a result of destruction of the skin
from direct or indirect thermal force.
A. This statement is TRUE
B. This is FALSE
Answer: B
Rationale: Burns are result of the effects of thermal injury on the skin and other tissues as a result of destruction
of the skin from direct or indirect thermal force.
3. Patient Emma suffered a Minor Burn after a bombing that occurred 10 meters away from her location. NURSE Ben will
do the following measures, except:
A. Irrigate the area with cool/cold running water for 20 minutes
B. Keep non-burn area warm
C. Keep patient warm to prevent hyperthermia
D. Do not delay transfer
Answer: C
Rationale: All items above are treatment for minor burns, but we keep the patient warm to prevent hypothermia.
4. It is a substance produced through the distillation of crude oil that is known for its waterproofing and adhesive
properties.
A. Asphalt
B. Molasses
C. Diesel
D. Plaster of Paris
Answer: A.
Rationale: Bitumen, also known as asphalt in the United States, is a substance produced through the distillation
of crude oil that is known for its waterproofing and adhesive properties. Bitumen production through distillation
removes lighter crude oil components, such as gasoline and diesel, leaving the “heavier” bitumen behind.
5. Patient NOLI suffered from a Chemical Burn after his exposure to the chemical laboratory where he worked. The
following measures for this type of burn maybe applied, except:
A. Make sure to be wearing protective clothing before beginning treatment.
B. Powdered agents should be brushed from the skin with care
C. Areas of contact should be irrigated with copious amounts of cool running water
D. Avoid washing chemical over unaffected skin.
E. Remove footwear to avoid retention of the chemical in the shoes
Answer: C.
Rationale: The following are measures for Chemical Burns: Make sure to be wearing protective clothing before
beginning treatment, remove all contaminated clothing immediately, powdered agents should be brushed from
the skin with care, areas of contact should be irrigated with copious amounts of tepid/ lukewarm running water
(this is decontamination not cooling), avoid washing chemical over unaffected skin., remove footwear to avoid
retention of the chemical in the shoes, chemical eye injuries require continuous irrigation until ophthalmological
review is available – always ensure that the unaffected eye is uppermost when irrigating to avoid contamination.
Special cautions exist with the use of hydrogels.
6. Management for Flame Burns may include the following, except:
A. Instruct the person to ‘stop, cover, drop and roll’ in order to extinguish flames with a blanket
B. Remove the heat source (PPE) as soon as safe
C. Apply tepid/lukewarm running water to the burn until the burned skin feels cool (20mins)
D. Perform Resuscitation if necessary
E. Remove non-adherent clothing and potentially constricting jewelry
Answer: C.
Rationale: The following are measures for Flame Burns: instruct the person to ‘stop, cover, drop and roll’ –
extinguish flames with a blanket, remove the heat source (PPE) as soon as safe, apply cool running water to
the burn until the burned skin feels cool (20mins), perform Resuscitation if necessary, remove non-adherent
clothing and potentially constricting jewelry.
7. Electrical Burns management includes the following items, SATA:
A. Turn off the source of electricity – mains power, power point or generator.
B. Remove patient from electricity source, remembering your own safety
C. Ensure C-spine protection is in place – this is of particular importance as fractures of the spine may occur following
the violent muscular contractions that occur during the conduction of electrical current through the body
D. Cervical spine protection is mandatory
Answer: ABCD.
Rationale: The following are measures for Electrical Burns: Turn off the source of electricity – mains power,
power point or generator, remove patient from electricity source, remembering your own safety, ensure C-spine
protection is in place – this is of particular importance as fractures of the spine may occur following the violent
muscular contractions that occur during the conduction of electrical current through the body, cervical spine
protection is mandatory.
8. The acronym FACADE for Burn wound management comprises the following:
A. First aid, Analgesia, Clean, Assess, Dress, Elevate
B. First aid, Analgesia, Cure, Assess, Dress, Elevate
C. First refer, Analgesia, Clean, Assess, Debride, Elevate
D. First aid, Antibiotic, Clean, Assess, Dress, Examine
Answer: A.
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Rationale: The acronym FACADE for Burn wound management includes: First
aid, Analgesia, Clean, Assess, Dress, Elevate
9. The Modified Parkland Formula provides a guide to resuscitation fluids to compensate for excess fluid losses in the
first 24 hours after burn.
A. TRUE
B. FALSE
Answer: A.
Rationale: The Modified Parkland Formula provides a guide to resuscitation fluids to compensate for excess fluid
losses in the first 24 hours after burn.
10. For the assessment of total body surface area (TBSA) in burns, we follow measures the below:
A. Expose whole body, remove clothing and log roll to visualize posterior surfaces
B. Use Lund & Browder Chart
C. A&B.
D. A only
Answer: C.
Rationale: For the assessment of total body surface area (TBSA) in burns, we expose whole body, remove
clothing and log roll to visualize posterior surfaces. We also use the Lund & Browder Chart.
1. Hospitals or institutions requiring personnel to care for casualties affected by disasters and emergency need to:
A. Provide certain types of PPE at no cost to the personnel
B. Provide training on the proper use and disposal of PPE
C. Monitor and enforce the use of required PPE
D. All of the above.
Answer: D
Rationale: It is the main responsibility of the institution to provide needed materials and supplies in order to
ensure safety of health care personnel caring for casualties during disaster and emergency.
2. Eye protection should be:
A. Durable
B. Not interfere with vision
C. Kept in good repair
D. All of the above
Answer: D
Rationale: Eye protection needs to be durable, does not interfere with vision, kept in good repair and fitted
properly to protect the health care worker’s eyes and vision.
3. Foam earplugs provide greater protection than earmuffs.
A. True
B. False
Answer: A
Rationale: Foam earplugs provide greater protection than earmuffs.
4. Personal protective equipment can protect health care personnel from all workplace hazards.
A. True
B. False
Answer: B
Rationale: Personal protective equipment cannot protect health care personnel from all workplace hazards.
They too can be contaminated even if they wear PPE.
5. Personal Protective Equipment was meant to be comfortable at all times.
A. True
B. False
Answer: B
Rationale: Personal protective equipment is made to ensure the health care personnel’s safety and protection
but it is always uncomfortable to wear especially for long periods of time.
6. Sunscreen is a form of PPE
A. True
B. False
Answer: A
Rationale: Like other PPE, sunscreen also provides protection against burns from severe exposure to heat and
working outdoor may damage the skin as we also use this as prevention to cancer.
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