DIS PRELIMS

Question 1

Disaster management includes ____ _

A. Response
B. recovery
C. Mitigation
D. all the above

Answer 1

D. all the above

Question 2

In the work setting, what is your primary responsibility in preparing for disaster management that includes natural disasters?

A. Knowledge of how and what to report to the CDC
B. Awareness of the signs and symptoms for potential agents of bioterrorism
C. Ethical decision-making about exposing self to potentially lethal substances
D. Knowledge of the agency’s emergency and disaster management response plan

Answer 2

D. Knowledge of the agency’s emergency and disaster management response plan

Question 3

Which one of the following is NOT a natural disaster?

A. Flood
B. Tsunami
C. Blow-out
D. Volcano eruption

Answer 3

C. Blow-out

Question 4

In which phase of disaster damage assessment is done?

A. Impact phase
B. Rescue phase
C. Rehabilitation
D. Warning phase

Answer 4

A. Impact phase

Question 5

Disasters can happen at any time. What is the first part of the disaster management cycle to consider?

A. Response
B. Recovery
C. Mitigation
D. Preparation

Answer 5

C. Mitigation

Question 6

What is an appropriate strategy for responding to an individual experiencing acute distress?

A. Have the individual state their most urgent needs
B. Have the individual list everything that they lost in the disaster
C. Have the individual receive disaster preparedness in the disaster
D. Have the individual think about what they will need in the future

Answer 6

A. Have the individual state their most urgent needs

Question 7

What phase of emergency management includes exercises and drills?
A. Recovery
B. Response
C. Mitigation
D. Preparedness

Answer 7

D. Preparedness

Question 8

Which is an accurate definition of individual resilience?

A. Maintaining safety of infrastructures
B. Sustained action taken to eliminate the long-term risks
C. training respondents to strengthen capabilities
D. The capability to equitably meet the vital human needs

Answer 8

C. training respondents to strengthen capabilities

Question 9

An emergency room nurse is at work when a major terrorist attack occurs. In addition to caring for injured clients, the nurse must control the crowd. Which of the following statements, if made by the nurse, demonstrates an understanding of the concept of crowd control?

A. “Even if the crowd control is maintained, chaos ensues.”
B. “The job of crowd control is under the auspices of the nurses.”
C. Nurses will need to enter areas that have not been secured yet to reach the clients.”
D. The agency’s security personnel and/or the local police force must control these crowds

Answer 9

D. The agency’s security personnel and/or the local police force must control these crowds

Question 10

Which of the following is a seasonally related hazard?

A. Typhoon
B. Earthquake
C. Terrorist attack
D. Volcanic eruption

Answer 10

A. Typhoon

Question 11

A newly graduated nurse is learning about the nurse’s role in disaster relief as part of an orientation to the hospital. Which of the following concepts is accurate?

A. Applying advanced skills can be very helpful until help arrives
B. Nurses take a passive role in helping others to save lives and fulfill an important obligation
C. Learning about the prevention and mitigation of disasters is nice to know, but not essential.
D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

Answer 11

D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

Question 12

An emergency room nurse is working when there is a bioterrorism attack in the city. Which of the following statements is correct about injuries or symptoms associated with a bioterrorism attack?

A. Biological attacks are usually known right away.
B. Detection is easy as clients go to different health care facilities.
C. The main purpose of biological weapon use is contained devastation.
D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken or kill people, livestock, or crops.

Answer 12

D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken or kill people, livestock, or crops.

Question 13

What does CBRNE stand for

A. Chemical, biological, radiological, nuclear, explosive
B. Chemical, biological, radiological, nuclear, extensive
C. Chemical, biochemical, radioactive, nuclear, explosive
D. Chemical, biochemical, radiological, natural, explosive

Answer 13

A. Chemical, biological, radiological, nuclear, explosive

Question 14

Effective hazard management largely relies on

A. disaster response
B. pre-disaster planning
C. emergency responses
D. government agencies

Answer 14

B. pre-disaster planning

Question 15

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. Man-made disasters are intentional only.”
C. “Emergencies are caused by acts of nature or emerging diseases.”
D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

Answer 15

D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

Question 16

What is an example of a natural threat?

A. Aircraft incident
B. Workplace violence
C. Animal disease outbreak
D. Hazardous material release

Answer 16

C. Animal disease outbreak

Question 17

A preceptor is teaching a graduate nurse the concepts of mitigation. Which of the following statements, if made by the graduate nurse, would indicate an understanding of this concept?

A. “The key to effective disaster management is predisaster planning and response.”
B. “Response is having a comprehensive disaster plan in place that coordinates efforts.”
C. A key nursing activity related to mitigation is reducing risk of loss from the occurrence of any
undesirable event.
D. Mitigation is the health care system’s ability to rapidly expand beyond normal services to meet the increased demand for qualified personnel.”

Answer 17

C. A key nursing activity related to mitigation is reducing risk of loss from the occurrence of any
undesirable event.

Question 18

Which of the following is NOT an example of a rapid-onset disaster?

A. Cyclone
B. Drought
C. Tsunami
D. Earthquake

Answer 18

B. Drought

Question 19

Which of the following is a man-made disaster?

A. Pollution
B. Terrorism
C. Major fire
D. All the above

Answer 19

D. All the above

Question 20

Disaster recovery efforts include

A. Conducting a hazard vulnerability analysis
B. strategies for reducing the impact of disasters
C. training respondents to strengthen capabilities
D. reconnecting displaced populations with essential health and social services

Answer 20

D. reconnecting displaced populations with essential health and social services

Question 21

You’re working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?

Red
Black
Green
Yellow

Answer 21

Red

Question 22

The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color?

Red
Black
Green
Yellow

Answer 22

Red

Question 23

In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?

A. Complete set of vital signs
B. Initiation of pulse oximetry
C. Brief neurologic assessment
D. Palpation and auscultation of the abdomen

Answer 23

C. Brief neurologic assessment

Question 24

Once a victim is assessed, their triage status stays the same throughout the entire length of care

True
False

Answer 24

False

Question 25

The wounded victim can walk and obey commands. The wounded victim is assigned what tag color? Red Black Green Yellow

Answer 25

Green

Question 26

The triage nurse is working as the main responder in a Mass Casualty Incident. Which client should be assessed first? A. The 25-year-old male who cut his hand with a hunting knife B. The 10-year-old child whose dad thinks the child's leg is broken C. The 45-year-old male who is diaphoretic and clutching his chest D. The 58-year-old female complaining of a headache and seeing spots

Answer 26

C. The 45-year-old male who is diaphoretic and clutching his chest

Question 27

The nurse in a disaster is triaging the following clients. Which client should be triaged as an Expectant Category, priority 4, and color black? A. The client with a sprain B. The client with a head injury and confused C. The client with a sucking chest wound and unresponsive D. The client with an abdominal wound and stable vital sign

Answer 27

C. The client with a sucking chest wound and unresponsive

Question 28

The nurse observes that the family members of a patient who was injured in an accident are blaming each other for the circumstances leading up to the accident. The nurse appropriately lets the family members express their feelings of responsibility, while explaining that there was probably little, they could do to prevent the injury. In what stage of crisis is this family? Anger Grief Anxiety and denial Remorse and guilt

Answer 28

Remorse and guilt

Question 29

The nurse is teaching a class on disaster preparedness. Which are components of an Emergency Operations Plan (EOP)? Select all that apply (12-16) A. A security plan B. A plan for practice drills C. A deactivation response D. A post-incident response E. Clinical and support activities F. A plan for internal communication only

Answer 29

A. A security plan B. A plan for practice drills C. A deactivation response

Question 30

A catastrophic disaster has occurred 5 miles from the hospital you are working in. The hospital's disaster plan is activated, and the wounded are brought to the hospital. You're helping triage the survivors. One of the wounded can walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor? Red Black Green Yellow

Answer 30

Green

Question 31

During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment by the nurse should be to A. observe the patient's respiratory effort. B. check the patient's level of consciousness C. palpate for the presence of peripheral pulses D. examine the patient for any external bleeding

Answer 31

A. observe the patient's respiratory effort.

Question 32

You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform. 1. Establish unresponsiveness. 2. Call for help and activate the code team. 3. Perform the chin lift or jaw thrust maneuver. 4. Initiate cardiopulmonary resuscitation (CPR). 5. Instruct a nursing assistant to get the crash cart. A. 1, 2, 3, 4, 5 B. 1, 3, 2, 4, 5 C. 1, 4, 2, 3, 5 D. 1, 5, 2, 3, 4

Answer 32

A. 1, 2, 3, 4, 5

Question 33

Mass Casualty Triage is A. doing nothing currently B. deciding who gets to take a break first C. determining what patients gets admitted first D. the assignment of response priority based on level of injury and available resources

Answer 33

D. the assignment of response priority based on level of injury and available resources

Question 34

An emergency incident that produces several patients that exceeds the capacity of area medical systems and facilities is called a A. large scale disaster B. multiple injury event C. mass casualty incident D. multiple casualty incident

Answer 34

C. mass casualty incident

Question 35

On JuLY 16, 1990, a 7.7 magnitude earthquake in the Philippines killed approximately 2, 412 people and injured thousands more. Lines of communication (including road and rail networks) were severed hindering rescue attempts. Hundreds of thousands were left homeless, and treatment of casualties delayed. Which of the following statements apply in the context of major incidents? A.The major incident was simple B. The major incident was natural C. The major incident was man-made D. The major incident was compensated

Answer 35

B. The major incident was natural

Question 36

The wounded victim is unable to walk; respiratory rate is absent and when airway is repositioned breathing is still absent. The wounded victim is assigned what tag color? Red Black Green Yellow

Answer 36

Black

Question 37

Which of these are included in the defining features of a traumatic disastrous experience? A. Disaster, violence, and loss B.Fear, helplessness, and horror C. Depression, anger, and helplessness D. Memory loss, confusion, and anxiety

Answer 37

B.Fear, helplessness, and horror

Question 38

The wounded victim is unable to walk, has respiratory rate of 19, capillary refill of one second, and can obey your commands. The wounded victim is assigned what tag color? Red Black Green Yellow

Answer 38

Yellow

Question 39

Labeling all patients with a triage tag provides __ . Select all that apply A. allergies. B. pre-existing conditions C. color coding for treatment priority D. triage tag numbers for reference and patient tracking

Answer 39

C. color coding for treatment priority D. triage tag numbers for reference and patient tracking

Question 40

Reasons why patient tracking, and identification is important include -- A. family reunification B. people respond better to their own name instead of a number C. patient accountability - to ensure all surviving casualties have been transported from the scene to a treatment destination D. All the above

Answer 40

D. All the above