The "walking wounded" are automatically tagged as:

Using the START Method, the "walking wounded" will automatically be tagged as 🟢 GREEN 𝚃𝙰𝙶𝚂.

—

The rest who are unable to move will be assessed with which of the following parameters for correct tagging? [𝚂𝙰𝚃𝙰]

Using the START Method, the "walking wounded" will automatically be tagged as 🟢 GREEN 𝚃𝙰𝙶𝚂.

—

The rest who are unable to move will be assessed further for correct tagging. Which one is the first parameter?

Using the START Method, the "walking wounded" will automatically be tagged as 🟢 GREEN 𝚃𝙰𝙶𝚂.

—

The rest who are unable to move will be assessed further for correct tagging. Which one is the second parameter?

Using the START Method, the "walking wounded" will automatically be tagged as 🟢 GREEN.

—

The rest who are unable to move will be assessed further for correct tagging. Which one is the third/last parameter?

The first choice on where to attach triage tags.

The second choice on where to attach triage tags.

The recommended time-frame of doing triage/victim.

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?

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 is able to walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor?

Which statement below is incorrect about the 🟡 YELLOW 𝚃𝙰𝙶𝚂 in regards to a disaster situation?

The wounded victim is unable to walk, has respiratory rate of 40, capillary refill is 6 seconds, and can't follow simple commands. The wounded victim is assigned what tag color?

While triaging the wounded from a disaster, you note that one of the wounded is not breathing, radial pulse is absent, capillary refill >2 seconds, and does not respond to your commands. What color tag is assigned?

The wounded victim is unable to walk, has respiratory rate of 12, capillary refill is 8 seconds, and is unresponsive. The wounded victim is assigned what tag color?

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

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?

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?

The wounded victim is able to walk and obey commands. The wounded victim is assigned what tag color?

Nurse Ejay is assigned to telephone triage. A client called who was stung by a honeybee and is asking for help. The client reports pain and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the appropriate initial action that the nurse should direct the client to perform?

Nurse Anna is an experienced travel nurse who was recently employed and is assigned to the emergency unit. In her first week of the job, which of the following area is the most appropriate assignment for her?

A client arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority to take?

Nurse Kelly, a triage nurse encountered a client who complained of mid-sternal chest pain, dizziness, and diaphoresis. Which of the following nursing action should take priority?

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?

When an unexpected death occurs in the emergency department, which task is the mostappropriate to delegate to a nursing assistant?

The physician has ordered cooling measures for a child with a fever who is likely to be discharged when the temperature comes down. Which task would be appropriate to delegate to a nursing assistant?

You are preparing a child for IV conscious sedation before the repair of a facial laceration. What information should you report immediately to the physician?

The emergency medical service has transported a client with severe chest pain. As the client is being transferred to the emergency stretcher, you note unresponsiveness, cessation of breathing, and unpalpable pulse. Which of the following task is appropriate to delegate to the nursing assistant?

The nursing manager decides to form a committee to address the issue of violence against ED personnel. Which combination of employees would be best suited to fulfill this assignment?

A client suffered an amputation of the first and second digits in a chainsaw accident. Which task should be delegated to an LPN/LVN?

A client arrives in the emergency unit and reports that a concentrated household cleaner was splashed in both eyes. Which of the following nursing actions is a priority?

A client was brought to the emergency department after suffering a closed head injury and lacerations around the face due to a hit-run accident. The client is unconscious and has a minimal response to noxious stimuli. Which of the following assessment findings if observed after few hours, should be reported to the physician immediately?

A 5-year-old client was admitted to the emergency unit due to the ingestion of an unknown amount of chewable vitamins for children at an unknown time. Upon assessment, the child is alert and with no symptoms. Which of the following information should be reported to the physician immediately?

The following clients are presented with signs and symptoms of heat-related illness. Which of them needs to be attended first?

An anxious female client complains of chest tightness, tingling sensations, and palpitations. Deep, rapid breathing, and carpal spasms are noted. Which of the following priority action should the nurse do first?

An intoxicated client comes into the emergency unit with uncooperative behavior, mild confusion, and slurred speech. The client is unable to provide a good history but he verbalizes that he has been drinking a lot. Which of the following is a priority action of the nurse?

A nurse is providing discharge instructions to a woman who has been treated for contusions and bruises due to domestic violence. What is the priority intervention for this client?

In the work setting, what is the primary responsibility of the nurse in preparation for disaster management, that includes natural disasters and bioterrorism incidents?

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 65-year-old patient arrived at the triage area with complaints of diaphoresis, dizziness, and left-sided chest pain. This patient should be prioritized into which category?

In caring for a victim of sexual assault, which task is most appropriate for an LPN/LVN?

A 15-year-old male client arrives at the emergency department. He is conscious, coherent, and ambulatory, but his shirt and pants are covered with blood. He and his hysterical friends are yelling and trying to explain that they were goofing around and he got poked in the abdomen with a stick. Which of the following comments should be given first consideration?

A prisoner, with a known history of alcohol abuse, has been in police custody for 48 hours. Initially, anxiety, sweating, and tremors were noted. Now, disorientation, hallucination, and hyper-reactivity are observed. The medical diagnosis is delirium tremens. What is the priority nursing diagnosis?

In relation to submersion injuries, which task is most appropriate to delegate to an LPN/LVN?

You are assessing a patient who has sustained a cat bite to the left hand. The cat is up-to-date immunizations. The date of the patient’s last tetanus shot is unknown. Which of the following is the priority nursing diagnosis?

A 33-year-old patient with a history of seizures and medication compliance of phenytoin (Dilantin) and carbamazepine (Tegretol) is brought to the ED by the MS personnel for repetitive seizure activity that started 45 minutes prior to arrival. You anticipate that the physician will order which drug for status epilepticus?

A client arrived at the emergency department after suffering multiple physical injuries including a fractured pelvis from a vehicular accident. Upon assessment, the client is incoherent, pale, and diaphoretic. With vital signs as follows: temperature of 97°F (36.11° C), blood pressure of 60/40 mm Hg, heart rate of 143 beats/minute, and a respiratory rate of 30 breaths/minute. The client is mostly suffering from which of the following shock?

Cole is an emergency nurse who encountered a patient who is a suspected carrier of a biologic agent. Which of these if found in the patient is not classified as a Category A biologic agent?

A 15-year-old male client was sent to the emergency unit following a small laceration on the forehead. The client says that he can’t move his legs. Upon assessment, respiratory rate of 20, strong pulses, and capillary refill time of less than 2 seconds. Which triage category would this client be assigned to?

An ER nurse is handling a 50-year-old woman complaining of dizziness and palpitations that occur from time to time. ECG confirms the diagnosis of paroxysmal supraventricular tachycardia. The client seems worried about it. Which of the following is an appropriate response of the nurse?

A client was brought to the ED due to an abdominal trauma caused by a motorcycle accident. During the assessment, the client complains of epigastric pain and back pain. Which of the following is true regarding the diagnosis of pancreatic injury?

A 20-year-old male client was brought to the emergency department with a gunshot wound to the chest. In obtaining a history of the incident to determine possible injuries, the nurse should ask which of the following?

When attending a client with a head and neck trauma following a vehicular accident, the nurse’s initial action is to?

The residents and local leaders in Municipality X is mapping out potential disaster locations in the community. This period of planning and preparation is described as:

Earthquake occur, nurses need to be ready, not only in providing quality care for the victim but ensuring their own safety as well. During a mass disaster drill stimulating an earthquake, the nurse must triage numerous severely ill persons. The client who should receiver priority care is:

When developing the plan of care for a toddler who has taken an acetaminophen overdose, which of the following should the nurse expect to include as part of the initial treatment?

Which of the following is true response levels 1 and 2?

1. Local emergency response personnel and organizations can contain and effectively manage the disaster

2. Regional efforts and aid from surrounding communities are sufficient

3. Local and regional assets are overwhelmed

4. National assistance needed

A client with severe chest pain has been transported by the Emergency Medical Service (EMS). Upon transferring the patient to the emergency stretcher, you observe unresponsiveness, cessation of respiration, and absence of palpable pulse. What is the responsibility of a respiratory therapist?

When an unexpected death occurs in the Ed, the nursing assistant should be delegated which of the following responsibilities?

Mrs. Ty who came to ED due to difficulty of breathing after she was stung by a bee, and the physician ordered epinephrine injection. The indications for epinephrine injection for Mrs. Ty is to:

Several provinces in the Philippines have been devastated by an earthquake, and local and regional resources are overwhelmed. In what level of response is this?

How many LEVELS OF RESPONSE are there?

Which is true about Level 4 response?

Client call nurse Ejay because he was stung by a honeybee and is asking for help. The client reports pain and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the appropriate initial action?

The electric fan in the unit sparks occasionally but continues to function relatively well. Nurse Minda knows though that she _.

In case of poisoning, the nurse is aware that the main goals in poisoning are to _.

1. Inactive the poison

2. Administer the specific antidote

3. Induce the patient to vomit

4. Support vital organ functions

The electric fan stops to work every now and then and continues to spark at interval. The BEST thing to DO NEXT is to_.

To remove the ingested poisonous substance, the physician ordered a gastric lavage. What is the role of the nurse immediately prior to the procedure?

Nurse Emma must work with the Disaster Committee fora an appropriate disaster response strategy, in order to succeed, must have physical assets which includes which of the following?

1. Increased security

2. Stockpiles of equipment

3. Numerous medications

4. Trained staff

The wounded victim is able to walk and obey commands. The wounded victim is assigned what tag color?

A toddler is brought to the mergency room after ingesting and undetermined amount of drain cleaner. The nurse should expect to assist with which of the following first?

A 3 year-old client was brought to the emergency department by his mother and was triaged due to abdominal pain, confusion and agitation The initial diagnosis is lead poisoning. Which type of management is required?

A client presented to the emergency department with a marine sting and stated that they flush the affected area with tap water. What were you anticipating to observe?

The client's slippers are on fire, and the client has been removed from the room; what should the nurse do next?

Nurse Ejay caring client who was stung by a honeybee and ask nurse about medications. What is the best medication for this reactions?

Client ask nurse how to remove bee stings?

Patients brought in who are responsive with penetrating head wounds are tagged by the triage nurse in which colour?

Client call nurse Ejay because he was stung by a honeybee and is asking for help. The client report pin and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the inappropriate owner?

The nurse is the first responder after a tornado has destroyed many homes in the community. Which victim should the nurse attend to first?

The community health nurse is working with disaster relief after a tornado. The nurse assists in finding safe housing for survivors, providing support to families, organizing counseling, and securing physical care when needed. Which level of prevention does the nurse exercise?

The nurse in the hospital emergency department is notified by emergency medical services that several victims who survived a plane crash will be transported to the hospital. Victims are suffering from cold exposure because the plane plummeted and was submerged in a local river. What is the initial action of the nurse?

The community health nurse is preparing to teach personnel and family preparedness for disasters to a group of parents of school-age children. Which items should the nurse plan to include in disaster preparedness? [𝚂𝙰𝚃𝙰]

The nurse is the first responder at the scene of a 6-car crash on a highway. Which victim should the nurse attend to first?

The nurse in charge of a nursing unit is asked to select the hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster. Which clients can be safely discharged? [𝚂𝙰𝚃𝙰]

The nurse in charge of a nursing unit is asked to select those hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster. Which clients can be safely discharged? [𝚂𝙰𝚃𝙰]

The nurse from a medical unit is called to assist with care for clients coming into the hospital emergency department during an external disaster. Using principles of triage during a disaster, the nurse should attend to the client with which problem first?

The nurse is the first responder at the scene of a train accident. Which victim should the nurse attend to first?

The nurse in charge of a nursing unit is asked to select the hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster. Select the clients who can be safely discharged. [𝚂𝙰𝚃𝙰]

The nurse is the first responder at the scene of a train accident. Which victim should the nurse attend to first?

Which client should the emergency department triage nurse classify as emergent?

A hospital responds to a local mass casualty event. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event?

A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?

A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?

An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within the community. What is the role of this nurse during the event?

The hospital administration arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?

A nurse is caring for a client whose wife died in a recent mass casualty accident. The client says, "I cant believe that my wife is gone and I am left to raise my children all by myself." How should the nurse respond?

A nurse cares for clients during a community-wide disaster drill. Once of the clients asks, "Why are the individuals with black tags not receiving any care?" How should the nurse respond?

Emergency medical services (EMS) brings a large number of clients to the emergency department following a mass casualty incident. The nurse identifies the clients with which injuries with yellow tags? [𝚂𝙰𝚃𝙰]

A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? [𝚂𝙰𝚃𝙰]

Which is considered as the most significant and most crucial link in the adult's Chain of Survival that could increase the survival rate of someone on cardiac arrest if given or rendered earlier?

What is the compression to ventilation ratio you should use when giving CPR to any individual?

When performing two-rescuer CPR, how often should you switch roles?

When operating an AED, what are the correct steps to follow?

When looking for a pulse on a child from one year to puberty, where should you check?

What are the vital characteristics of first-rate CPR? [𝚂𝙰𝚃𝙰]

Which step is not a part of the five steps in the Adult Chain of Survival?

What is the recommended BLS sequence for the 2020 ILCOR guidelines?

What are the signs of an obstruction of the airway? [𝚂𝙰𝚃𝙰]

How many breaths should be given during a two-rescuer CPR on an adult with an advanced airway in place?

Due to the essential nature of washing your hands, how much time is recommended to wash your hands?

You come upon a person who has lost a significant amount of blood, has a very pale skin color, and is confused. What do you suspect the cause to be?

While dining out in a restaurant you hear a mother cry out that her six-month-old child, who was given some marbles by an older child, is gagging. His mouth area is turning blue and he’s unable to take a breath or cry out. What would you do first in this scenario?

While performing CPR on an infant, another rescuer appears on the scene, what do you do next?

Where should you place the AED pads when treating an infant for pediatric cardiac arrest?

How long should you check for breathing while performing CPR?

After finding an unresponsive child, yelling for help, and confirming the child isn't breathing what would be your next course of action?