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DRRM PRETEST

Total questions: 50

Worksheet time: 28mins

Name
Class
Date
1.

After a 7.4 magnitude earthquake, a nurse encounters a victim who is unconscious, has shallow respirations at 8 breaths/min, and capillary refill > 3 seconds. Based on START triage, the nurse should classify the patient as:

a)

Green

b)

Yellow

c)

Red

d)

Black

2.

Following a typhoon, a nurse is assigned to an evacuation center with overcrowding and limited water supply. Which intervention BEST prevents secondary disaster?

a)

Mass immunization immediately

b)

Strict infection control and water sanitation measures

c)

Referral of all evacuees to hospitals

d)

Psychological debriefing sessions

3.

During disaster response, a nurse notices volunteers bypassing triage to treat mildly injured patients. What ethical principle is MOST compromised?

a)

Autonomy

b)

Fidelity

c)

Justice

d)

Veracity

4.

A nurse conducts hazard mapping in a coastal barangay prone to storm surges. This activity primarily supports which DRRM pillar?

a)

Response

b)

Recovery

c)

Preparedness

d)

Mitigation

5.

Which nursing action BEST demonstrates leadership under the Incident Command System (ICS)?

a)

Acting independently to speed up care

b)

Following the stablished chain of command

c)

Delegating tasks without coordination

d)

Prioritizing personal judgment over protocol

6.

During flood response, which symptom should alert the nurse to possible leptospirosis?

a)

Productive cough and fever

b)

Muscle pain, fever, and conjunctival suffusion

c)

Severe headache and neck rigidity

d)

Vesicular skin lesions

7.

A nurse documents disaster care using FDAR format. Which entry BEST reflects legal and ethical documentation?

a)

“Patient appears fine after care.”

b)

“Client improved.”

c)

“Wound cleaned; bleeding controlled; patient verbalized pain relief.”

d)

“No further complaints noted.”

8.

Which client should be tagged BLACK during disaster triage?

a)

Apneic after airway repositioning

b)

Respiratory rate of 24/min

c)

Capillary refill of 4 seconds

d)

Open fracture with controlled bleeding

9.

A nurse provides psychological first aid to disaster survivors. The PRIMARY goal is to:

a)

Diagnose mental illness

b)

Encourage emotional expression

c)

Promote safety, calmness, and coping

d)

Conduct psychotherapy

10.

Which situation BEST demonstrates community resilience?

a)

Reliance on national relief operations

b)

Presence of evacuation centers only

c)

Ability to adapt, recover, and rebuild using local resources

d)

Immediate external aid deployment

11.

During an earthquake response, the nurse prioritizes wearing PPE before providing care. This action aligns with which disaster principle?

a)

Accountability

b)

Beneficence

c)

Nonmaleficence

d)

Safety and self-preservation

12.

Which activity is MOST appropriate during the recovery phase?

a)

Conducting disaster drills

b)

Reconstruction and rehabilitation of services

c)

Rapid triage

d)

Emergency evacuation

13.

Which nursing role is MOST critical during the first 24 hours post- disaster?

a)

Researcher

b)

Advocate

c)

Clinician performing rapid aseessment

d)

Educator

14.

A nurse is assigned to manage limited IV fluids during a mass casualty incident. Which ethical framework guides decision-making?

a)

 Deontological ethics

b)

Utilitarian ethics

c)

Virtue ethics

d)

Care ethics

15.

Which factor MOST increases vulnerability to disasters?

a)

High literacy rate

b)

Poverty and inadequate housing

c)

Disaster drills

d)

Strong governance

16.

A nurse leads a post-disaster after-action review (AAR). The PRIMARY purpose is to:

a)

Assign blame

b)

Document mistakes

c)

Improve future disaster response

d)

Evaluate student performance

17.

Which intervention BEST reflects cultural sensitivity during disaster response?

a)

Enforcing uniform care protocols

b)

Respecting cultural practices when providing care

c)

Prioritizing efficiency over beliefs

d)

Limiting family involvement

18.

A nurse encounters a child separated from parents during evacuation. What is the PRIORITY action?

a)

Discharge the child

b)

Provide food immediately

c)

Ensure safety and initiate family tracing

d)

Transfer to another center

19.

Which outcome BEST indicates effective disaster preparedness?

a)

Faster relief distribution

b)

Reduced morbidity and mortality

c)

Increased funding

d)

Media coverage

20.

Which nursing intervention is MOST appropriate when resources are severely limited?

a)

Provide complete care to one patient

b)

Focus on comfort measures only

c)

Implement triage and prioritize care

d)

Refer all patients to tertiary hospitals

21.

During a mass casualty incident following a landslide, a victim has spontaneous respirations of 32/min, weak radial pulse, and uncontrolled external bleeding. What should the nurse do FIRST?

a)

Tag the patient yellow

b)

Apply direct pressure to control bleeding

c)

Refer the patient to the treatment area

d)

Perform a full head-to-toe assessment

22.

A nurse assigned as Documentation Officer during disaster response notes incomplete entries by team members. What is the MOST appropriate action?

a)

Ignore the entries to save time

b)

Correct the entries independently

c)

Remind team members to document accurately and objectively

d)

Report the team to hospital administration

23.

After a strong typhoon, several evacuees complain of anxiety, insomnia, and irritability. Which nursing intervention is MOST appropriate initially?

a)

Refer immediately to a psychiatrist

b)

Provide sedative medications

c)

Offer psychological first aid and supportive listening

d)

Conduct group psychotherapy

24.

Which situation BEST illustrates the concept of mitigation in disaster nursing?

a)

Conducting relief operations after flooding

b)

Training nurses in triage skills

c)

Enforcing no-build zones in landslide-prone areas

d)

Operating evacuation centers

25.

During an earthquake response, a nurse treats a critically injured stranger instead of a mildly injured relative. This decision reflects which ethical principle?

a)

Fidelity

b)

Autonomy

c)

Justice

d)

Veracity

26.

A nurse notices signs of dehydration among elderly evacuees in a temporary shelter. Which action BEST demonstrates disaster nursing advocacy?

a)

Waiting for physician orders

b)

Providing IV fluids immediately

c)

Coordinating with relief agencies for potable water

d)

Transferring elderly clients to hospitals

27.

Which indicator BEST suggests effective Incident Command System (ICS) implementation during disaster response?

a)

Multiple leaders giving instructions

b)

Independent decision-making by each responder

c)

Clear chain of command and defined roles

d)

Rapid completion of tasks regardless of protocol

28.

A nurse performs hand hygiene and uses PPE consistently in an evacuation center. This action primarily prevents which disaster-related problem?

a)

Secondary trauma

b)

Secondary disaster

c)

Structural collapse

d)

Psychological stress

29.

Which outcome BEST demonstrates successful disaster recovery at the community level?

a)

Increased relief donations

b)

Media recognition

c)

Presence of emergency responders

d)

Restoration of basic services and livelihoods

30.

During a disaster drill, a nursing student reflects on decision-making errors and identifies areas for improvement. This activity MOST supports which competency?

a)

Emergency preparedness

b)

Clinical skills mastery

c)

Ethical compliance

d)

Reflective practice and lifelong learning

31.

After a major earthquake, a nurse finds a victim who is breathing after airway repositioning, has a respiratory rate of 28/min, and capillary refill of 2 seconds. How should this client be triaged?

a)

Green

b)

Yellow

c)

Red

d)

Black

32.

A nurse assigned to disaster preparedness planning focuses on reducing informal settlements near fault lines. This strategy BEST supports which DRRM component?

a)

Preparedeness

b)

Mitigation

c)

Response

d)

Recovery

33.

During a mass casualty incident, which client should the nurse prioritize for immediate intervention?

a)

Open fracture with controlled bleeding

b)

Unconscious client with airway obstruction

c)

Client with minor lacerations

d)

Stable client in severe pain

34.

A nurse explains disaster evacuation plans to a coastal barangay. Which hazard is MOST relevant to Negros Oriental?

a)

Volcanic eruption

b)

Storm surge

c)

Landslide

d)

Hurricane

35.

A nurse experiences emotional exhaustion after repeated disaster deployments. This condition is BEST described as:

a)

Compassion fatigue

b)

Moral distress

c)

Burnout

d)

Acute stress disorder

36.

Which action by the nurse BEST prevents a secondary disaster in evacuation centers?

a)

Mass feeding

b)

Vector control and sanitation

c)

Distribution of relief goods

d)

Crowd control

37.

A nurse is part of the Operations Section under the Incident Command System. What is the PRIMARY responsibility?

a)

Resource procurement

b)

Policy development

c)

Direct patient care and triage

d)

Financial documentation

38.

Which ethical principle justifies prioritizing clients with the highest chance of survival during disasters?

a)

Autonomy

b)

Justice

c)

Beneficence

d)

Veracity

39.

Which indicator BEST reflects community disaster resilience?

a)

Amount of donated goods

b)

Number of evacuation centers

c)

Ability to recover and adapt using local resources

d)

Presence of external responders

40.

Which activity BEST reflects preparedness rather than response?

a)

Conducting earthquake drills

b)

Triage of casualties

c)

Relief distribution

d)

Wound suturing

41.

A nurse advocates for psychosocial support for disaster survivors. Which health issue is being addressed?

a)

Physical rehabilitation

b)

Chronic disease management

c)

Mental and emotional recovery

d)

Psychological balance

42.

Which outcome BEST demonstrates effective disaster mitigation at the hospital level?

a)

Faster emergency response

b)

Increased bed capacity

c)

Earthquake-resistant infrastructure

d)

Improved referral system

43.

What is the PRIMARY focus of a nurse during a mass casualty incident?

a)

Resource allocation

b)

Patient education

c)

Documentation of events

d)

Immediate life-saving interventions

44.

Which strategy is MOST effective for community engagement in disaster preparedness?

a)

Mandatory training sessions

b)

Public awareness campaigns

c)

Social media outreach

d)

Top-down communication

45.

A nurse leader reviews research findings to strengthen disaster preparedness training for nurses assigned to evacuation centers.

Which research-based intervention has been shown to MOST consistently improve disaster response outcomes?

a)

Reliance on individual nurses’ prior disaster experience

b)

Increased distribution of relief goods during disasters

c)

Extension of duty hours during disaster response

d)

Regular disaster simulation drills with structured debriefing

46.

During a nighttime flood evacuation, a barangay rescue team with a nurse on board has one remaining seat in the rescue boat. Rising waters are expected to fully submerge the area within minutes. The team must choose only one person to evacuate immediately: An infant (4 months old) with mild hypothermia, crying but responsive; An elderly woman (82 years old) with shortness of breath and limited mobility; Two adults who are physically able but insist that they should be rescued first. The nurse is aware that delaying evacuation for any individual may result in serious harm. Based on DRRM principles and ethical decision-making, what is the most appropriate action?

a)

Evacuate the elderly woman to respect age and senior citizen priority

b)

Evacuate the infant due to high vulnerability and greatest risk of rapid deterioration

c)

Evacuate one of the adults because they can help rescue others afterward

d)

Allow the individuals to decide among themselves who will be rescued

47.

Following prolonged flooding, a temporary evacuation center becomes overcrowded. Limited medical supplies allow for only one immediate health intervention. The evacuees needing attention include: An elderly woman with controlled diabetes complaining of fatigue; An infant with signs of mild hypothermia (cool skin, lethargy); Three adults with minor cuts and abrasions. Based on DRRM triage and prioritization, who should receive immediate intervention?

a)

The adults with open wounds to prevent infection

b)

The elderly woman due to chronic illness

c)

Any evacuee who arrived first at the center

d)

The infant showing signs of hypothermia

48.

Following a powerful earthquake, a structurally compromised building is assessed by engineers as likely to collapse within minutes due to aftershocks. A rescue team with a nurse can safely extract only one person before an immediate evacuation order is enforced. Inside the building are:

An able-bodied adult (35 years old), conscious, ambulatory, and able to follow instructions

A two-legged athlete amputee (28 years old) using prostheses, alert but requires assistance to move safely

An elderly man (80 years old) with severe mobility limitation and visible fatigue

A pregnant woman (32 years old, 34 weeks gestation) complaining of dizziness but conscious

Based on DRRM principles, disaster triage, and ethical decision-making, who should be rescued first?

a)

The elderly man because advanced age increases mortality risk during disasters

b)

The pregnant woman because two lives are potentially at risk

c)

The two-legged athlete amputee because disability increases vulnerability in emergencies

d)

The able-bodied adult because rapid self-evacuation minimizes risk to rescuers and maximizes the chance of saving at least one life

49.

After a major earthquake, a search-and-rescue team enters a collapsed residential building. The area has been declared structurally unstable, but access is still permitted for a limited time. Inside, the team identifies:

One unconscious victim with no vital signs, partially trapped under debris

One conscious adult with a fractured leg calling for help

No signs of fire, chemical leaks, or secondary hazards at the moment

Some team members suggest leaving the deceased victim to focus only on survivors. Based on DRRM principles, disaster ethics, and standard casualty management, what is the most appropriate action?

a)

Leave the deceased victim to prioritize only those with a chance of survival

b)

Focus exclusively on the injured survivor and abandon recovery of the dead

c)

Extract the injured survivor first, then recover the deceased victim if conditions remain safe

d)

Delay all rescue efforts until authorities confirm the exact number of fatalities

50.

After a sudden flash flood near Canlaon Volcano, a responder retrieves a victim who was swept against rocks by fast-moving water. The scene is now safe. The victim is: Unresponsive; Not breathing normally; Pulse is present; Suspected cervical spine injury due to blunt trauma; No massive external bleeding. Based on DRRM protocols and BLS guidelines, what is the most appropriate initial intervention?

a)

Apply a cervical collar and wait for advanced life support before intervening

b)

Begin chest compressions immediately to prevent cardiac arrest

c)

Open the airway using a jaw-thrust maneuver and provide rescue breaths with spinal stabilization

d)

Roll the victim into the recovery position to prevent aspiration