QUIZ ON DISASTER NURSING

A mass casualty incident has occurred due to a building collapse. Which patient should be prioritized for immediate treatment and transport?

• A patient with a closed fracture of the tibia, alert and oriented.

• A patient with an open head injury is unresponsive but starts to breathe when repositioned and with a pulse.

• A patient with a superficial laceration to the arm, conscious and anxious.

• patient with a dislocated shoulder, in severe pain but hemodynamically stable.

You are triaging patients at the scene of a motor vehicle accident. Which patient would be tagged as "immediate" (red tag) according to the START triage system?

• a) A patient who is walking around complaining of minor aches and pains.

• b) A patient who is conscious but breathing rapidly (over 30 breaths per minute).

• c) A patient who is unconscious but has a palpable radial pulse.

• d) A patient who is conscious but unable to move their legs.

During a mass casualty incident, a patient presents with a sucking chest wound. What is the priority nursing intervention at the scene?

• a) Apply a sterile dressing to the wound.

• b) Administer oxygen via nasal cannula.

• c) Cover the wound with an occlusive dressing.

• d) Start an intravenous line and administer fluids.

A patient arrives at the triage area with full-thickness burns over 80% of their body. According to burn triage protocols, how would this patient be classified?

• a) Immediate (red tag)

• b) Delayed (yellow tag)

• c) Minimal (green tag)

• d) Expectant (black tag)

A chemical spill has resulted in multiple casualties. Beyond the standard triage categories, what additional factor is crucial for effective patient management?

• a) The availability of translators.

• b) The specific nature of the chemical involved.

• c) The number of ambulances available.

• d) The location of the nearest hospital.

You encounter a patient who is alert but complaining of severe abdominal pain after a fall. What is the most important assessment to perform initially?

• a) Obtain a detailed history of the fall.

• b) Assess the patient's airway, breathing, and circulation (ABCs).

• c) Palpate the abdomen for tenderness and guarding.

• d) Administer pain medication.

A patient with a sucking chest wound is being transported to the hospital. What is the priority nursing intervention during transport?

• a) Continuously monitor the patient's vital signs.

• b) Administer pain medication as needed.

• c) Provide emotional support and reassurance.

• d) Notify the receiving hospital of the patient's condition.

During a mass casualty incident, resources are limited. Several patients require a ventilator, but only one is available. How should the healthcare team decide which patient receives the ventilator?

• a) The patient who is the youngest.

• b) The patient who is the most influential person in the community.

• c) The patient who has the greatest chance of survival with the intervention.

• d) The patient who arrived at the scene first.

You are triaging patients at the scene of a terrorist attack. Which patient should be prioritized for decontamination?

• a) A patient with a minor laceration.

• b) A patient with burns and respiratory distress.

• c) A patient who is alert and asymptomatic.

• d) A patient who is deceased.

A mass casualty incident has occurred at a sporting event. What is the priority nursing action immediately following the event?

• a) Begin triaging patients according to their injuries.

• b) Secure the scene and establish a safe triage area.

• c) Contact the media to inform them of the situation.

• d) Begin transporting patients to the nearest hospital.