INACE Emergency Response Procedures 3 — Questions and Answers
Question 1: A resident receiving oxygen therapy suddenly pulls out the nasal cannula and the tubing becomes kinked. The NA's priority is:
- Document the incident and wait for the nurse's instructions
- Straighten the tubing, reapply the cannula, and notify the nurse (Correct answer)
- Increase the oxygen flow rate to compensate for lost oxygen
- Encourage the resident to breathe deeply without the oxygen
Correct answer: Straighten the tubing, reapply the cannula, and notify the nurse
The NA should restore oxygen delivery by fixing the tubing and reapplying the cannula, then notify the nurse.
Question 2: During a tornado warning, the NA should move residents AWAY from:
- Interior walls and hallways
- Windows, exterior walls, and glass doors (Correct answer)
- Beds and wheelchairs
- The nursing station
Correct answer: Windows, exterior walls, and glass doors
Windows and exterior walls pose the greatest shatter and debris risk during a tornado.
Question 3: A resident's IV site is red, swollen, and warm to the touch. The NA should:
- Flush the IV line with saline to clear the blockage
- Increase the IV drip rate as ordered
- Report the signs of infiltration or phlebitis to the nurse immediately (Correct answer)
- Apply a warm compress without notifying the nurse
Correct answer: Report the signs of infiltration or phlebitis to the nurse immediately
Redness, swelling, and warmth at an IV site indicate possible infiltration or phlebitis and must be reported to the nurse immediately.
Question 4: When using a fire extinguisher with the PASS technique, what does the second 'S' stand for?
- Spray
- Squeeze
- Sweep (Correct answer)
- Secure
Correct answer: Sweep
PASS stands for Pull, Aim, Squeeze, Sweep — the second S is Sweep from side to side at the base of the fire.
Question 5: A resident is experiencing a hypoglycemic episode and is conscious. The NA should:
- Give the resident a glass of water and encourage rest
- Report to the nurse immediately and stay with the resident (Correct answer)
- Administer insulin as directed by the care plan
- Offer the resident a large high-fat meal
Correct answer: Report to the nurse immediately and stay with the resident
The NA should stay with the resident and immediately report hypoglycemic signs to the nurse, who will direct treatment.
Question 6: Which of the following is the CORRECT sequence for hand washing before responding to a resident emergency?
- Hand washing is skipped entirely during emergencies to save time
- Use alcohol-based hand rub if hands are not visibly soiled (Correct answer)
- Always use soap and water even if it delays care by several minutes
- Put on gloves without any hand hygiene
Correct answer: Use alcohol-based hand rub if hands are not visibly soiled
Alcohol-based hand rub is appropriate when hands are not visibly soiled and is faster during urgent situations.
Question 7: A resident on a blood thinner has a deep laceration that is bleeding heavily. The NA should apply:
- A tourniquet above the wound immediately
- Direct pressure with a clean cloth or gloved hand and call for help (Correct answer)
- Hydrogen peroxide to slow bleeding
- Ice directly to the open wound
Correct answer: Direct pressure with a clean cloth or gloved hand and call for help
Direct pressure is the standard first-aid response for heavy bleeding while awaiting the nurse.
INACE Emergency Response Procedures 3
A resident receiving oxygen therapy suddenly pulls out the nasal cannula and the tubing becomes kinked.
The NA's priority is: