TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 06: Disaster Preparedness Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. During a disaster drill, a patient presents with an open left femur fracture, BP 134/78 mmHg,
pulse 102 beats/minute, and pedal pulses 1+/4+ bilaterally. Into which category would the nurse triage this patient? a. Expectant b. Delayed c. Immediate d. Minimal ANS: B
A patient with an open fracture can be triaged into the delayed category when bleeding is controlled and pulses are strong. This patient’s pulses, although weak, are equal bilaterally, which indicates this is probably a normal finding in him or her. An expectant patient is one who is dead or expected to die. If this patient had uncontrollable bleeding, the nurse would triage him or her as immediate. The minimal category consists of individuals with minor or no visible injury. DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
OBJ: NCLEX: Safe and Effective Care Environment
2. The trauma unit manager wishes to improve the unit’s nurses’ capabilities in mass casualty
situations. What action by the manager would be best? N a. Prepare ongoing educational programming. b. Require nurses become certified in trauma care. c. Collaborate with a local nursing school on simulations. d. Involve the staff in disaster planning. ANS: C
While all options would increase nurses’ knowledge, using simulations has been shown to be effective in promoting competence in disaster nursing. Students have also been shown to lack knowledge in this area, so collaborating with a nursing school would lead to improvement in both populations plus sharing the costs would make simulation more feasible for both. DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
OBJ: NCLEX: Safe and Effective Care Environment
3. A trauma nurse has responded to the scene of a mass casualty incident. The nurse sees several
injured patients lying together in a heap. One of them does not appear to be breathing. What action by the nurse takes priority? a. Put on personal protective equipment. b. Assess the non-breathing patient first. c. Determine if the scene is safe to enter. d. Open the non-breathing patient’s airway. ANS: C
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