1.

What action should ED staff members take after removing the client's clothing from a patient
who has been exposed to a chemical agent in order to conduct decontamination?
A) Rinse the client with dilute bleach solution
B) Rinse the client with water
C) Wash the client with chlorhexidine
D) Rinse the client with hydrogen peroxide

2. The local disaster response team's nurse is becoming knowledgeable about blast injuries.
What scenario should the nurse prepare for when a blast injury enters its tertiary stage?
A) Victims' pre-existing medical conditions are exacerbated
B) Victims are thrown by the pressure wave
C) Victims experience burns from the blast
D) Victims suffer injuries caused by debris or shrapnel from the blast

3. A patient with symptoms and signs that point to anthrax infection has been admitted to the
medical unit. Which intervention should the nurse plan ahead for?
A) Administration of acyclovir
B) Hematopoietic stem cell transplantation (HSCT)
C) Administration of ciprofloxacin
D) Hemodialysis

4. Maintaining tissue perfusion, oxygenation, and nutritional support are strategies to prevent:
during the course of the treatment and management of the trauma patient.
A) Disseminated intravascular coagulation
B) Multiple system organ dysfunction
C) Septic shock
D) Wound infection

5. Which of the following interventions is a tactic to avoid the syndrome of fat embolism?
A) Administer lipid-lowering statin medication
B) Intubate the patient early after the injury to provide mechanical ventilation
C) Provide prophylaxis with low-molecular weight heparin
D) Stability extremity fractures early

6. Which of the following wounds would be more likely to cause internal organ damage and
infection risk?
A) A fall from a 6-foot ladder onto the grass
B) A shotgun wound to the abdomen
C) A knife wound to the right chest
D) A motor vehicle crash in which the driver hits the steering wheel

7. Which of the following nursing priorities helps to prevent ineffective coagulation? SATA
A) Prevention of hypothermia
B) Administration of fresh frozen plasma as ordered
C) Administration of potassium as ordered
D) Administration of calcium as ordered

8. Exercises that improve range of motion, early ambulation, and sufficient hydration are
interventions to stop:
A) Catheter-associated infection
B) Venous thromboembolism
C) Fat embolism
D) Nosocomial pneumonia

9. Which of the following patients is most at risk for ARDS after suffering a traumatic injury?
A) A patient who has a closed head injury with decreased LOC
B) A patient who has a fractured femur and is currently in traction
C) A patient who has received large volumes of fluid and/or blood replacement
D) A patient who has underlying chronic obstructive pulmonary disease

10. A patient who hit his car's steering wheel and suffered rib fractures is being cared for by the
nurse. The patient's oxygen saturation is 95% and they are breathing on their own while using a
face mask to get oxygen. The nurse's evaluation causes the oxygen saturation to fall to 80%.
Blood pressure for the patient has decreased from 128/76 mm Hg to 84/60 mm Hg. The nurse
notes that there are no breath sounds in any of the left lung fields. The nurse informs the doctor
and plans to:
A) Administration of lactated Ringer's solution (1 L) wide open
B) Chest X-Ray study to determine the etiology of the symptoms
C) Endotracheal intubation and mechanical ventilation
D) Needle thoracostomy and chest tube insertion

11. TRUE/FALSE
In an emergency, a patient's bed or stretcher should have a disaster tag securely fastened to it
to make identification and treatment easier.

12. TRUE/FALSE
A person who has serious injuries but is not in immediate danger of losing their life or limb is
triaged as a priority 2 and given the color green during a mass casualty incident.

13. TRUE/FALSE
A self-contained breathing apparatus and a chemical-resistant suit with gloves and boots are
required for use in accordance with Level A of the Environmental Protection Agency's
regulations regarding personal protective equipment for healthcare workers.

14. TRUE/FALSE
Two examples of category A biological agents that could be used as weapons are smallpox and
botulism.
15. TRUE/FALSE
The biggest challenge to a well-coordinated emergency response during a natural disaster is
typically the loss of communications, potable water, and electricity, so advance planning is
crucial.

16. The Department of Homeland Security states that the Incident Command System must be
activated in the event of an _______ security threat.

17. To ensure proper resource allocation during a disaster, the most severely injured patients
are treated _______.

18. During the ______ phase of a blast injury, blast lung and tympanic membrane rupture are
two injuries that are frequent.

19. The most likely biologic agent to be weaponized currently is ______.

20. TRUE/FALSE
The care of a patient in the urgent category requires more frequent assessment than the care of
a patient in the emergent category, according to a five-level triage severity rating system.

21. TRUE/FALSE
A foreign-body airway obstruction typically prevents a person from speaking, breathing, or
coughing.

22. TRUE/FALSE
The most severe form of alcohol withdrawal syndrome is delirium tremens.

23. TRUE/FALSE
100% oxygen is given and the patient is closely watched as part of emergency management for
carbon monoxide poisoning.

24. When someone sustains a penetrating abdominal injury, the _______ is the solid organ that
is most frequently injured (gunshot or stab wound).

25. A single catastrophic event that results in life-threatening injuries to at least two different
________ or _________ is what is known as multiple trauma.