Disaster And Emergency Response Participation - NCLEX Pn

Which disaster triage category is assigned when injuries are incompatible with survival given available resources?

Black (Expectant/Deceased). This designation conserves limited resources for viable patients when survival is unlikely despite maximal care.
What is the correct order for donning PPE (general sequence) in an emergency response setting?

Gown, mask/respirator, goggles/face shield, gloves. This sequence ensures systematic coverage, starting from the body and progressing to facial protection.
Which incident command section is responsible for direct tactical operations and patient care activities?

Operations Section. This section executes tactical activities, including direct patient management, to meet established incident goals.
Which patients should be evacuated first during a unit evacuation when time is limited?

Ambulatory patients first (then wheelchair, then bedbound). Prioritizing mobile patients streamlines evacuation, freeing resources to assist those with greater mobility needs.
Which disaster triage category is assigned to a patient with serious injuries but stable airway and perfusion?

Yellow (Delayed). Patients in this group have significant injuries that are not immediately life-threatening and can tolerate delayed treatment.
What is the first action in START triage when multiple victims are present?

Direct everyone who can walk to move to a safe area. This step rapidly identifies and segregates minimally injured victims, allowing triage of more severe cases.
What is the priority nursing action when a fire is discovered in a healthcare facility?

Activate alarm and begin RACE procedures. Immediate alarm activation alerts responders while initiating structured protocols to manage the emergency.
What does RACE stand for in fire response procedures in healthcare settings?

Rescue, Alarm, Contain, Extinguish/Evacuate. The RACE acronym provides a systematic framework for prioritizing actions in fire emergencies to ensure safety.
In START triage, what perfusion finding indicates immediate (red) priority if capillary refill is unavailable?

Absent radial pulse. Lack of detectable radial pulse reflects severe circulatory impairment requiring urgent triage classification.
In START triage, what capillary refill finding indicates immediate (red) priority when present?

Capillary refill $> 2$ seconds. Delayed refill beyond 2 seconds indicates inadequate perfusion, warranting immediate prioritization in triage.
Identify the isolation precaution required for suspected smallpox during a bioterrorism event.

Airborne and contact precautions. Smallpox transmission occurs via respiratory droplets and fomites, requiring dual precautions to prevent spread.
Which disaster triage category is assigned to a patient who needs immediate life-saving care?

Red (Immediate). This category prioritizes patients with life-threatening conditions requiring urgent intervention to prevent death.
In START triage, what mental status finding indicates immediate (red) priority?

Cannot follow simple commands. Failure to respond to basic instructions suggests neurological impairment or shock, mandating immediate priority.
Which incident command section is responsible for collecting and evaluating information and planning?

Planning Section. This section analyzes data to develop action plans, supporting informed decision-making throughout the incident.
Which incident command section obtains supplies, equipment, and staff resources during a disaster?

Logistics Section. This section procures necessary resources, ensuring operational sustainability during prolonged incidents.
In START triage, what respiratory rate threshold indicates immediate (red) priority in adults?

Respirations $> 30$ /minute. A rate exceeding 30 breaths per minute signals respiratory compromise necessitating urgent evaluation and intervention.
Which incident command role sets incident objectives and has overall responsibility for the event?

Incident Commander. The Incident Commander provides unified leadership, determining strategies and ensuring coordinated response efforts.
What does PASS stand for when using a fire extinguisher?

Pull, Aim, Squeeze, Sweep. The PASS technique ensures effective extinguisher use by directing aim and coverage to suppress the fire source.
What is the priority action for a patient exposed to an unknown chemical agent on clothing?

Remove contaminated clothing and begin decontamination. Immediate removal of contaminants prevents ongoing absorption and secondary exposure to hazardous substances.
Which incident command section tracks costs, time, and reimbursement documentation during an incident?

Finance/Administration Section. This section manages financial tracking, enabling accurate documentation for recovery and accountability.
What is the correct order for doffing PPE to reduce self-contamination (general sequence)?

Gloves, goggles/face shield, gown, mask/respirator. This order minimizes contamination risk by removing outermost items first and saving respiratory protection for last.
Which disaster triage category is assigned to a patient with minor injuries who can ambulate?

Green (Minor/Walking wounded). This category includes individuals with minimal injuries who can self-mobilize and require little to no immediate medical attention.
Identify the isolation precaution required for suspected inhalational anthrax exposure.

Standard precautions (not person-to-person spread). Inhalational anthrax lacks person-to-person transmission, making universal precautions sufficient for care.
Which personal protective equipment level is typically required for unknown chemical vapor exposure?

Level A (fully encapsulating suit with SCBA). Level A offers maximum protection against unknown hazards, including vapors, with self-contained breathing apparatus.
Which personal protective equipment is essential for airborne biological threats during patient care?

Fit-tested N95 respirator (or higher). Fit-tested N95 or superior respirators filter airborne pathogens, essential for protecting healthcare workers.

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