Chapter 66--Mass Casualty Care

Chapter 66–Mass Casualty Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse in the emergency department is using a triage system because this system ranks clients by:

1.	severity of illness or injury.
2.	body systems involved.
3.	name.
4.	age.

 

 

ANS:  1

No one can predict when the next patient will arrive or the severity of their injury or illness; this is why emergency departments utilize a triage system, which is a method to rank or classify patients’ illnesses and the severity of their injuries. The triage system does not rank clients by body systems involved, name, or age.

 

PTS:   1                    DIF:    Apply            REF:   Triage

 

2. In the event of a mass casualty situation, the best triage nurse is:

1.	the recently graduated registered nurse (RN).
2.	the licensed vocational nurse (LVN) with 5 years’ experience.
3.	the registered nurse (RN) with the most experience and best assessment skills.
4.	the recently graduated licensed vocational nurse (LVN).

 

 

ANS:  3

Triage is usually performed by an RN who is experienced and can complete a rapid assessment. Triage nurses are challenged with assessing the order in which clients need to be evaluated by an emergency department doctor. The recently graduated registered nurse does not have the experience necessary to perform adequate triage. The recently graduated licensed vocational nurse and the licensed vocation nurse with 5 years experience do not have the appropriate education on client assessment to serve as a triage nurse.

 

PTS:   1                    DIF:    Analyze         REF:   Triage

 

3. The nurse, triaging victims of a mass casualty incident, will focus attention on the victims who are color coded as:

1.	green.
2.	yellow.
3.	red.
4.	black.

 

 

ANS:  3

Victims coded green will do well with minimal care, and victims coded black will most likely die even with care. The focus is on the red-coded victims, then the yellow, using immediate resources and rapid intervention for those who will benefit the most.

 

PTS:   1                    DIF:    Apply            REF:   START Method of Triage

 

4. The emergency room nurse is utilizing a triage approach for a mass casualty incident that is different from traditional triage. The difference between these two triage approaches is that:

1.	mass casualty is first come, first served; traditional is most critical first.
2.	mass casualty is most likely to survive first; traditional is first come, first served.
3.	mass casualty is most critical first; traditional is most likely to survive first.
4.	mass casualty is most likely to survive first; traditional is most critical first.

 

 

ANS:  4

In traditional triaging the most critical come first, but in mass casualties the number of people and limits of supplies have to be taken into consideration. This means the clients who are most likely to survive are treated first and the most critical are treated last.

 

PTS:   1                    DIF:    Apply            REF:   START Method of Triage

 

5. The emergency department nurse is preparing to triage victims of an internal event. Which of the following would be considered an internal event?

1.	Bus crash in front of the hospital
2.	Train crash 5 miles away
3.	Fire in the hospital
4.	Explosion in a nearby oil station

 

 

ANS:  3

An internal event is an event inside the facility, such as a fire in the building or a water pipe breaking. All the other events are outside the facility and would be external.

 

PTS:     1          DIF:     Analyze           REF:    HEICS Activator