Which entity is responsible for activating the disaster plan during a
mass casualty incident (MCI)?
1
Local emergency management system
Incorrect2
State emergency management system
Correct3
Federal emergency management agency
4
Hospital-level emergency management system
Test-Taking Tip: ...
which entity is responsible for activating the disaster plan during a mass casualty incident mci 1 local emergency management system incorrect2 state emergency management system correct3 federal e
Which entity is responsible for activating the disaster plan during a
mass casualty incident (MCI)?
1
Local emergency management system
Incorrect2
State emergency management system
Correct3
Federal emergency management agency
4
Hospital-level emergency management system
Test-Taking Tip: Choose the best answer for questions asking for a single answer. More
than one answer may be correct, but one answer may contain more information or more
important information than another answer.
An emergency nursing staff member is performing defibrillation/cardioversion and
special resuscitation for clients who sustained injuries in a tsunami. Which
certification does the emergency nursing staff member possess?
1
Basic Life Support(BLS)
2
Certified Emergency Nurse (CEN)
Correct3
Advanced Cardiac Life Support (ACLS)
4
Pediatric Advanced Life Support (PALS)
Advanced Cardiac Life Support (ACLS) certification allows nurses to perform electrical
therapies, special resuscitation, and invasive airway management. Basic Life Support(BLS)
certification is granted when the nurse performs airway maintenance or cardiopulmonary
resuscitation. Certified Emergency Nurse (CEN) certification indicates that a nurse has core
emergency nursing skill and knowledge. Pediatric Advanced Life Support (PALS) certification
is needed to perform neonatal and pediatric resuscitation.
Which medical relief team would the nurse explain provides relief services ranging
from primary healthcare and triage to evacuation and staffing to assist healthcare
facilities in a massive disaster?
,1
Medical Reserve Corps (MRC)
Correct2
Disaster Medical Assistance Team (DMAT)
3
Hospital Incident Command System (HICS)
4
International Medical Surgical Response Teams (IMSuRTs)
The DMAT is a team of civilian, medical, and paraprofessionals who are deployed to a
disaster area. They provide relief services ranging from primary healthcare and triage to
evacuation and staffing to assist healthcare facilities in a massive disaster. The MRC is a
group of volunteer medical and public healthcare professionals. The MRC helps healthcare
settings that face personnel shortages in a mass casualty event. The HICS is a facility-level
organizational model to homogenize disaster operations. The IMSuRTs provide fully
functional field surgical facilities in a mass casualty event whenever needed.
What type of healthcare does a person who is "worried well" require? Select all
that apply.
Correct1
Evaluation
Correct2
Reassurance
3
Hospitalization
4
Diagnostic tests
Correct5
Preventive treatment
A person who is "worried well" wants evaluation, reassurance, and preventive treatment.
This person does not ask for hospitalization or diagnostic tests.
What is the role of the "doorkeeper" in a critical incident stress debriefing (CISD)
team?
1
,Helping dispel any feelings of blame or guilt in the participants
2
Encouraging group discussion through asking a series of questions
3
Educating participants about self-care concepts and coping strategies to use immediately
Correct4
Talking with anyone who leaves the session early in an effort to have him or her return or
accept follow-up
The role of the "doorkeeper" is to keep inappropriate people like the media and spectators
out and to talk with anyone who leaves the session early in an effort to have him or her
return or accept follow-up. The CISD group leader helps dispel any feelings of blame or guilt
in the participants, encourages group discussion through asking a series of questions, and
educates participants about self-care concepts and coping strategies to use immediately.
The emergency department nurse is triaging clients according to the emergency
service index (ESI). On further evaluation the nurse reassigned some clients to other
ESI levels. Which assessments made by the nurse helped in reassigning the clients?
1
Temperature of 98˚F (37˚C)
2
Pulse rate of 70 beats/min
Correct3
Blood pressure of 190/90mm Hg
4
Respiratory rate of 18 breaths/min
According to the emergency service index (ESI), all clients who do not meet criteria of ESI
level 1 (life threat) and ESI level 2 (high risk situation) are assigned to other levels such as
ESI levels 3, 4, 5. After further assessment, clients with abnormal vital signs in ESI level 3 are
reassigned to ESI level 2. If blood pressure is higher than normal (90/60 to 120/80 mm hg),
the client is
What is the purpose of an administrative review debriefing session after a disaster?
1
Change responsibility roles
2
Prevent the development of burnout
, 3
Analyze the amount of resources used
Correct4
Determine what went right and what went wrong
The goal of the administrative review debriefing is to discern what went right and what went
wrong during activation and implementation of the emergency preparedness plan. This
debriefing is not used to change responsibility roles. Preventing the development of burnout
is the goal of critical incident stress debriefing (CISD). Analyzing resource use would occur
after the disaster plan is discontinued.
The nurse is reassessing level of consciousness and mental status in a client who
survived a fire. Which type of emergency assessment of the trauma client is the
nurse performing?
Incorrect1
Airway
Correct2
Disability
3
Breathing
4
Full set of vital signs
Reassessing the level of consciousness and mental status in a client would provide
baseline assessment of neurologic status, which is an aspect of emergency assessment of
disability performed in a primary survey as a life-saving intervention. Emergency
assessment of the airway is performed to assess respiratory distress, bleeding, and edema.
Emergency assessment of breathing is performed to assess normal airway passage, tension
pneumothorax, or the need for mechanical ventilation. Assessing the full set of vital signs
involves monitoring temperature, heart rate and, respiratory rate.
Which color tagged clients usually make up the greatest number in most large-scale
multi-casualty situations, based on the disaster triage tag system?
Incorrect1
Red
2
Black
Correct3
Green
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