TNCC Disaster Management 2

Question 1

In the START triage system, a patient who is breathing but has a respiratory rate greater than 30, no radial pulse, and does not follow commands is classified as:

Accepted Answer

Red (Immediate)

Answer

Green (Minor)

Answer

Yellow (Delayed)

Answer

Black (Expectant)

Question 2

During a mass casualty incident, the trauma nurse's FIRST priority upon arriving at the scene is:

Accepted Answer

Establishing a triage area and beginning triage

Answer

Beginning treatment of the most critically injured patient

Answer

Setting up a treatment area with IV supplies

Answer

Calling for additional ambulances

Question 3

Which decontamination principle is most critical before treating victims of a chemical exposure incident?

Accepted Answer

All patients must be decontaminated before entering the treatment area

Answer

Decontamination should occur after initial stabilization inside the hospital

Answer

Only symptomatic patients require decontamination

Answer

Decontamination is unnecessary if the chemical agent is unknown

Question 4

In disaster triage, which patient would be classified as Black (Expectant)?

Accepted Answer

A patient with extensive burns over 90% of body surface area who is apneic after airway repositioning

Answer

A patient with a femur fracture and stable vital signs

Answer

A patient with a laceration to the scalp with controlled bleeding

Answer

A patient with bilateral lower extremity fractures and a respiratory rate of 24

Question 5

The Hospital Incident Command System (HICS) is activated during a disaster primarily to:

Accepted Answer

Provide a standardized organizational structure for managing the hospital's disaster response

Answer

Replace the hospital administrator's authority

Answer

Coordinate only with external agencies

Answer

Assign clinical treatment protocols for specific injuries

Question 6

During a mass casualty event, a nurse must make triage decisions for 50 patients. Which ethical principle guides the shift from individual patient care to population-based care?

Accepted Answer

Beneficence — doing the greatest good for the greatest number

Answer

Autonomy — respecting each patient's treatment preferences

Answer

Nonmaleficence — avoiding harm to any single patient

Answer

Justice — providing equal treatment time to every patient