BCEN Disaster Preparedness 4

Question 1

Which triage category in the Simple Triage and Rapid Treatment (START) system is assigned to a patient who is breathing at 24 breaths/minute, has a radial pulse, and can follow commands?

Accepted Answer

Yellow — delayed

Answer

A patient breathing >20 breaths/min with a radial pulse who obeys commands meets START criteria for yellow (delayed) category.

Question 2

During a bioterrorism event involving smallpox, emergency nurses should be aware that smallpox differs from chickenpox in that smallpox lesions are:

Accepted Answer

All in the same stage of development and deep in the dermis

Answer

Smallpox lesions are synchronous (all at the same stage) and deep, while chickenpox lesions are asynchronous (multiple stages) and superficial.

Question 3

A hospital is considering activating its shelter-in-place protocol. Which disaster scenario MOST warrants this response?

Accepted Answer

An outdoor chemical plume drifting toward the hospital from a nearby plant

Answer

Shelter-in-place is most appropriate when moving patients outside would increase exposure risk, such as with an approaching outdoor chemical release.

Question 4

Which piece of legislation established the National Response Framework and required hospitals to have emergency management programs to maintain accreditation?

Accepted Answer

The Joint Commission Emergency Management Standards

Answer

The Joint Commission's Emergency Management Standards require accredited hospitals to maintain comprehensive emergency operations plans and conduct drills.

Question 5

An emergency nurse is triaging victims of a building explosion. A patient has bilateral lower extremity traumatic amputations but is awake and screaming in pain. Using START, this patient is categorized as:

Accepted Answer

Red — immediate

Answer

An awake, vocalizing patient with major traumatic injuries who is at immediate risk for hemorrhagic shock is tagged red (immediate).

(BCEN) Board of Certification of Emergency Nursing Practice Test

(BCEN) Board of Certification of Emergency Nursing Practice Test

BCEN Disaster Preparedness 4