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WorksheetsDRRM PRETEST
Total questions: 50
Worksheet time: 28mins
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:
Green
Yellow
Red
Black
Following a typhoon, a nurse is assigned to an evacuation center with overcrowding and limited water supply. Which intervention BEST prevents secondary disaster?
Mass immunization immediately
Strict infection control and water sanitation measures
Referral of all evacuees to hospitals
Psychological debriefing sessions
During disaster response, a nurse notices volunteers bypassing triage to treat mildly injured patients. What ethical principle is MOST compromised?
Autonomy
Fidelity
Justice
Veracity
A nurse conducts hazard mapping in a coastal barangay prone to storm surges. This activity primarily supports which DRRM pillar?
Response
Recovery
Preparedness
Mitigation
Which nursing action BEST demonstrates leadership under the Incident Command System (ICS)?
Acting independently to speed up care
Following the stablished chain of command
Delegating tasks without coordination
Prioritizing personal judgment over protocol
During flood response, which symptom should alert the nurse to possible leptospirosis?
Productive cough and fever
Muscle pain, fever, and conjunctival suffusion
Severe headache and neck rigidity
Vesicular skin lesions
A nurse documents disaster care using FDAR format. Which entry BEST reflects legal and ethical documentation?
“Patient appears fine after care.”
“Client improved.”
“Wound cleaned; bleeding controlled; patient verbalized pain relief.”
“No further complaints noted.”
Which client should be tagged BLACK during disaster triage?
Apneic after airway repositioning
Respiratory rate of 24/min
Capillary refill of 4 seconds
Open fracture with controlled bleeding
A nurse provides psychological first aid to disaster survivors. The PRIMARY goal is to:
Diagnose mental illness
Encourage emotional expression
Promote safety, calmness, and coping
Conduct psychotherapy
Which situation BEST demonstrates community resilience?
Reliance on national relief operations
Presence of evacuation centers only
Ability to adapt, recover, and rebuild using local resources
Immediate external aid deployment
During an earthquake response, the nurse prioritizes wearing PPE before providing care. This action aligns with which disaster principle?
Accountability
Beneficence
Nonmaleficence
Safety and self-preservation
Which activity is MOST appropriate during the recovery phase?
Conducting disaster drills
Reconstruction and rehabilitation of services
Rapid triage
Emergency evacuation
Which nursing role is MOST critical during the first 24 hours post- disaster?
Researcher
Advocate
Clinician performing rapid aseessment
Educator
A nurse is assigned to manage limited IV fluids during a mass casualty incident. Which ethical framework guides decision-making?
Deontological ethics
Utilitarian ethics
Virtue ethics
Care ethics
Which factor MOST increases vulnerability to disasters?
High literacy rate
Poverty and inadequate housing
Disaster drills
Strong governance
A nurse leads a post-disaster after-action review (AAR). The PRIMARY purpose is to:
Assign blame
Document mistakes
Improve future disaster response
Evaluate student performance
Which intervention BEST reflects cultural sensitivity during disaster response?
Enforcing uniform care protocols
Respecting cultural practices when providing care
Prioritizing efficiency over beliefs
Limiting family involvement
A nurse encounters a child separated from parents during evacuation. What is the PRIORITY action?
Discharge the child
Provide food immediately
Ensure safety and initiate family tracing
Transfer to another center
Which outcome BEST indicates effective disaster preparedness?
Faster relief distribution
Reduced morbidity and mortality
Increased funding
Media coverage
Which nursing intervention is MOST appropriate when resources are severely limited?
Provide complete care to one patient
Focus on comfort measures only
Implement triage and prioritize care
Refer all patients to tertiary hospitals
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?
Tag the patient yellow
Apply direct pressure to control bleeding
Refer the patient to the treatment area
Perform a full head-to-toe assessment
A nurse assigned as Documentation Officer during disaster response notes incomplete entries by team members. What is the MOST appropriate action?
Ignore the entries to save time
Correct the entries independently
Remind team members to document accurately and objectively
Report the team to hospital administration
After a strong typhoon, several evacuees complain of anxiety, insomnia, and irritability. Which nursing intervention is MOST appropriate initially?
Refer immediately to a psychiatrist
Provide sedative medications
Offer psychological first aid and supportive listening
Conduct group psychotherapy
Which situation BEST illustrates the concept of mitigation in disaster nursing?
Conducting relief operations after flooding
Training nurses in triage skills
Enforcing no-build zones in landslide-prone areas
Operating evacuation centers
During an earthquake response, a nurse treats a critically injured stranger instead of a mildly injured relative. This decision reflects which ethical principle?
Fidelity
Autonomy
Justice
Veracity
A nurse notices signs of dehydration among elderly evacuees in a temporary shelter. Which action BEST demonstrates disaster nursing advocacy?
Waiting for physician orders
Providing IV fluids immediately
Coordinating with relief agencies for potable water
Transferring elderly clients to hospitals
Which indicator BEST suggests effective Incident Command System (ICS) implementation during disaster response?
Multiple leaders giving instructions
Independent decision-making by each responder
Clear chain of command and defined roles
Rapid completion of tasks regardless of protocol
A nurse performs hand hygiene and uses PPE consistently in an evacuation center. This action primarily prevents which disaster-related problem?
Secondary trauma
Secondary disaster
Structural collapse
Psychological stress
Which outcome BEST demonstrates successful disaster recovery at the community level?
Increased relief donations
Media recognition
Presence of emergency responders
Restoration of basic services and livelihoods
During a disaster drill, a nursing student reflects on decision-making errors and identifies areas for improvement. This activity MOST supports which competency?
Emergency preparedness
Clinical skills mastery
Ethical compliance
Reflective practice and lifelong learning
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?
Green
Yellow
Red
Black
A nurse assigned to disaster preparedness planning focuses on reducing informal settlements near fault lines. This strategy BEST supports which DRRM component?
Preparedeness
Mitigation
Response
Recovery
During a mass casualty incident, which client should the nurse prioritize for immediate intervention?
Open fracture with controlled bleeding
Unconscious client with airway obstruction
Client with minor lacerations
Stable client in severe pain
A nurse explains disaster evacuation plans to a coastal barangay. Which hazard is MOST relevant to Negros Oriental?
Volcanic eruption
Storm surge
Landslide
Hurricane
A nurse experiences emotional exhaustion after repeated disaster deployments. This condition is BEST described as:
Compassion fatigue
Moral distress
Burnout
Acute stress disorder
Which action by the nurse BEST prevents a secondary disaster in evacuation centers?
Mass feeding
Vector control and sanitation
Distribution of relief goods
Crowd control
A nurse is part of the Operations Section under the Incident Command System. What is the PRIMARY responsibility?
Resource procurement
Policy development
Direct patient care and triage
Financial documentation
Which ethical principle justifies prioritizing clients with the highest chance of survival during disasters?
Autonomy
Justice
Beneficence
Veracity
Which indicator BEST reflects community disaster resilience?
Amount of donated goods
Number of evacuation centers
Ability to recover and adapt using local resources
Presence of external responders
Which activity BEST reflects preparedness rather than response?
Conducting earthquake drills
Triage of casualties
Relief distribution
Wound suturing
A nurse advocates for psychosocial support for disaster survivors. Which health issue is being addressed?
Physical rehabilitation
Chronic disease management
Mental and emotional recovery
Psychological balance
Which outcome BEST demonstrates effective disaster mitigation at the hospital level?
Faster emergency response
Increased bed capacity
Earthquake-resistant infrastructure
Improved referral system
What is the PRIMARY focus of a nurse during a mass casualty incident?
Resource allocation
Patient education
Documentation of events
Immediate life-saving interventions
Which strategy is MOST effective for community engagement in disaster preparedness?
Mandatory training sessions
Public awareness campaigns
Social media outreach
Top-down communication
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?
Reliance on individual nurses’ prior disaster experience
Increased distribution of relief goods during disasters
Extension of duty hours during disaster response
Regular disaster simulation drills with structured debriefing
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?
Evacuate the elderly woman to respect age and senior citizen priority
Evacuate the infant due to high vulnerability and greatest risk of rapid deterioration
Evacuate one of the adults because they can help rescue others afterward
Allow the individuals to decide among themselves who will be rescued
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?
The adults with open wounds to prevent infection
The elderly woman due to chronic illness
Any evacuee who arrived first at the center
The infant showing signs of hypothermia
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?
The elderly man because advanced age increases mortality risk during disasters
The pregnant woman because two lives are potentially at risk
The two-legged athlete amputee because disability increases vulnerability in emergencies
The able-bodied adult because rapid self-evacuation minimizes risk to rescuers and maximizes the chance of saving at least one life
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?
Leave the deceased victim to prioritize only those with a chance of survival
Focus exclusively on the injured survivor and abandon recovery of the dead
Extract the injured survivor first, then recover the deceased victim if conditions remain safe
Delay all rescue efforts until authorities confirm the exact number of fatalities
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?
Apply a cervical collar and wait for advanced life support before intervening
Begin chest compressions immediately to prevent cardiac arrest
Open the airway using a jaw-thrust maneuver and provide rescue breaths with spinal stabilization
Roll the victim into the recovery position to prevent aspiration
