1.

What is an appropriate strategy for responding to an individual

experiencing acute distress?
A. Have the individual list everything they lost in the disaster
B. Have the individual receive disaster preparedness training
C. Have the individual state their most urgent needs
D. Have the individual think about what they will need in the future.

2. Which is an individual health consequence during an extreme high

temperature condition?
A. Adequate hydration
B. Heat exhaustion
C. Hyperactivity
D. Uncontrollable chills

3. What is an example of a natural threat?

A. aircraft incident
B. animal disease outbreak
C. hazardous material release
D. workplace violence

4. Which is an example of a health-hazard notification tool?

A. Centers for disease control (CDC) monitors disease patterns throughout
nation
B. Emergency Alert System (EAS) addresses the public on short
notice
C. Federal Emergency Management Agency (FEMA) provides guidance for
healthcare professionals
D. National Oceanic Atmospheric Administration (NOAA) provides routine
weather information

5. According to the Federal Emergency management Agency (FEMA), stored

food and water in a home disaster supply kit should be changed every
A. two months
B. three months
C. six months
D. twelve months

6. The Strategic National Stockpile (SNS) Is a national cache of

A. blankets and clothes
B. Emergency vehicles and personnel
C. Medication and medical supplies
D. Storage containers and evacuation signage

7. Which is a characteristic of a mass casualty Incident (MCI)?

A. Decreased demand on neighboring healthcare facilities
B. Demand for resources is equal to supply
C. Healthcare system is disrupted
D. Precise inter-agency communication

8. Which disaster planning target group includes the homeless and

individuals with limited English-language proficiency?
A. Immediate treatment area patients
B. Low socioeconomic populations
C. Under represented populations
D. Vulnerable populations

9. Exposure to toxins and mold is an example of

A. An environmental health consequence
B. Collateral damage
C. poor planning
D. Risk mitigation

10. Federal assets are deployed through

A. federal bureau of land management
B. Memoranda of understanding
C. American red cross
D. Federal emergency Management Agency (FEMA)

11. Disaster recovery efforts include

A. Conducting a hazard vulnerability analysis
B. Reconnecting displaced populations with essential health and
social services
C. Strategies for reducing the impact of disasters
D. Training responders to strengthen capabilities

12. A continuity of Operations Plan requires:

A. That ancillary departments remain open for business
B. The avoidance of facility evacuation
C. The continuation of mission essential functions
D. The reduction in standards of care
13. Which is the guiding document used to coordinate response and
recovery actions?
A. Community comprehensive plan
B. Emergency operations plan
C. Risk management plan
D. Standard operating procedures

14. Which activity must be completed before on-scene triage?

A. A joint information center has been established
B. Incident Commander must be in place
C. Privacy is assured
D. Scene safety has been assured

15. Which is an accurate definition of individual resilience?

A. Maintaining safety of infrastructure
B. Sustained action taken to eliminate the long-term risk
C. The ability to adapt to changing conditions
D. The capability to equitably meet the vital human needs

16. What phase of emergency management includes exercises and drills?

A. Mitigation
B. preparedness
C. recovery
D. Response

17. What reference must be accessible at every workplace for each

hazardous substance?
A. Emergency response guide
B. Hazard Diamond Graphic
C. Package Insert
D. Safety Data Sheet

18. Which method is the most effective for the decontamination of

individuals?
A. Bleach and water
B. Charcoal
C. Dry brush
D. Soap and water
19. It is a process which places the right patient in the right place at the
right time to receive the right level of care”
A. Assessment
B. Triage
C. History taking
D. Nursing process

20. It is performed by nurses on a routine basis in the ED, often utilizing a

standardized approach, augmented by clinical judgment.
A. Daily Triage
B. Incident Triage
C. Disaster Triage
D. Population-based Triage

21. It occurs when the ED is stressed by a large number of patients due to

an acute incident or an ongoing medical crisis such as pandemic
influenza, but is still able to provide care to all patients utilizing existing
agency resources.
A. Triage
B. Incident Triage
C. Disaster Triage
D. Population-based Triage

22. After a blast incident, the primary responsibility of the responders is to:
A. Search and rescue
B. Conduct survey
C. Raise an alarm
D. Provide medications

23. During initial stabilization, the nurse should keep in mind that
A. Provide first aid in a safe place
B. Alleviate the worries of patients who are panicking
C. Find the patient’s belongings for identification
D. Ask questions to the patient during first aid

24. A client who is admitted after a thermal burn injury has the following
vital signs: blood pressure, 70/40; heart rate, 140 beats/min; respiratory
rate, 25/min. He is pale In color and it is difficult to find pedal pulses.
Which action will the nurse take first?
A. Start intravenous fluid line
B. Check the pulses with a Doppler device
C. Obtain a complete blood count
D. Obtain an electrocardiogram

25. The nurse should plan to assess soldiers who might have been exposed
to nerve gas agents for which symptoms?
A. Nausea and vomiting
B. Convulsion and loss of consciousness
C. Diarrhea
D. Constipation

26. There has been a radioactive explosion nearby. The emergency room
nurse must triage and manage the Decontamination of the clients
systematically. Which of the following clients would be decontaminated
first?
A. A client with severe injuries.
B. A client with minor injuries.
C. A client with the least injuries.
D. A client with the most injuries

27. Responsibility for securing the scene, preserving life and treating the
wounded is the responsibility of:
A. First responders
B. Mental health professionals
C. Social workers
D. All citizens

28. A newly graduated nurse is learning about the nurse’s role in disaster
relief as part of an orientation to the hospital. Which of the following
concepts is accurate?
A. Learning about the prevention and mitigation of disasters is nice to know,
but not essential.
B. Nurses take a passive role in helping others to save lives and fulfill an
important obligation.
C. Applying advanced skills can be very helpful until help arrives.
D. Nurses may have to assume expanded roles in making decisions
for the most appropriate treatment of casualties.

29. What emotion would a nurse anticipate when working with an older
person following a disaster??
A. Anger
B. Fear of loss of independence
C. Violence
D. Regression

30. Which statement below is INCORRECT about the yellow triage tag color
in regards to a disaster situation?
A. A survivor with this tag color is seen after patients with the green
tag color.
B. A survivor with this tag color can have treatment delayed for an hour or
less.
C. A survivor with this tag color has serious injuries that could eventually
lead to the compromise of breathing, circulation, or mental status,
especially if treatment is delayed more than an hour or so.
D. A survivor with this tag color has second priority for treatment of injuries.

31. Michael works as a triage nurse, and four clients arrive at the
emergency department at the same time. List the order in which he will
assess these clients from first to last.
1. A 50-year-old female with moderate abdominal pain and
occasional vomiting.
2. A 35-year-old jogger with a twisted ankle, having a pedal pulse
and no deformity.
3. An ambulatory dazed 25-year-old male with a bandaged head
wound.
4. An irritable infant with a fever, petechiae, and nuchal rigidity
A. 1, 2, 3, 4
B. 2, 1, 3, 4
C. 4, 3, 1, 2
D. 3, 4, 2, 1

32. In conducting a primary survey on a trauma patient, which of the

following is considered one of the priority elements of the primary survey?
A. Initiation of pulse oximetry.
B. Complete set of vital signs.
C. Client’s allergy history
D. Brief neurologic assessment.
33. You respond to a call for help from the ED waiting room. There is an
elderly patient lying on the floor. List the order for the actions that you
must perform.
1. Call for help and activate the code team.
2. Instruct a nursing assistant to get the emergency cart.
3. Initiate cardiopulmonary resuscitation (CPR).
4. Perform the chin lift or jaw thrust maneuver.
5. Establish unresponsiveness.
A. 5, 2, 4, 3, 1
B. 1, 5, 2, 4, 3
C. 1, 2, 5, 4, 3
D. 5, 1, 4, 3, 2

34. A client was brought to the ED due to an abdominal trauma caused by

a motorcycle accident. During the assessment, the client complains of
epigastric pain and back pain. Which of the following is true regarding the
diagnosis of pancreatic injury?
A. Redness and bruising may indicate the site of the injury in blunt trauma.
B. The client is symptom-free during the early post-injury period.
C. Signs of peritoneal irritation may indicate pancreatic injury.
D. All of the above

35. When attending a client with a head and neck trauma following a
vehicular accident, the nurse’s initial action is to?
A. Do oral and nasal suctioning.
B. Provide oxygen therapy.
C. Initiate intravenous access.
D. Immobilize the cervical area

36. According to ICN & WHO (2009) – these groups are known to be the
largest group of committed health personnel, often working in difficult
situations with limited resources, play vital roles when disasters strike,
serving as first responders, triage officers, and care providers,
coordinators of care and services, providers of information and
counselors.
A. Physician
B. Emergency Medical technician
C. Caregivers
D. Nurses
37. A nurse responds to a human-made disaster. Which of the following
describes what the nurse is responding to?
A. Communicable Disease epidemics
B. Structural collapse
C. Mud slides
D. Floods

38. Which statement about disaster is true?

A. They can be natural or human-made
B. They can be relieved without assistance
C. There is always injury and death when a disaster occurs
D. The timing of a disaster does not influence the types of injuries that will
occur.

39. A nurse responds to a natural disaster. Which of the following is the

nurse most likely responding to?
A. Transportation accident
B. Pollution
C. Communicable disease epidemic
D. Fire

40. A nurse experiences a stress reaction while working with the survivors
of a disaster. Which of the following best describes what has happened?
A. The nurse makes decisions to assist with care coordination of the
survivors.
B. The nurse tells the supervisor of the disaster the details of the care that
was provided.
C. The nurse cries after returning home at the end of the day.
D. The nurse refuses to follow orders.

41. A nurse is working in a temporary shelter for victims following a natural

disaster. Which condition is the nurse most likely to encounter?
A. Stress
B. Communicable disease
C. Depression
D. Injuries requiring first aid

42. A nurse is participating in the preparedness stage of disaster

management. Which of the following describes what is happening?
A. Heightened inspection and increased security in the community
B. Incorporation of provision of pets into local disaster plans
C. Purchase of personal protective equipment for all citizens
D. Assembly of disaster kits for the home, workplace, and car

43. A public health nurse (PHN) is working with a community during the
recovery phase of a disaster. Which of the following attributes would be
most important for the nurse to possess?
A. Flexibility
B. Organization skills
C. Personable
D. Sense of humor

44. A nurse is working in a community that is experiencing the Honeymoon

Phase after a disaster. Which of the following is characteristic of this
phase?
A. First responders work tirelessly to save others.
B. Survivors share their stories.
C. Medical personnel experience exhaustion.
D. Community organizations rebuild the community.

45. A nurse is triaging victims following a disaster. Which of the following

describes the action the nurse would take?
A. Allocation of treatment based on the victim’s potential for
survival
B. Assignment of tasks to the appropriate disaster response personnel
C. Determination of the level of disaster and agency involvement
D. Participation in community preparedness for the disaster response

46. A nurse is volunteering on a disaster medical assistant team as a first

responder. Which of the following tasks would the nurse be prepared to
perform?
A. Set up immunization clinics
B. Assist in triaging disaster victims
C. Provide all the medical care for disaster victims
D. Complete a needs assessment of the community

47. A public health worker had displayed a competency in disaster

medicine and public health. Which of the following describes what the
worker has done?
A. Communicate effectively with others
B. Get involved in the chain of command
C. Use a set of preplanned activities for every disaster
D. Implement a community assessment

48. What is the purpose of the National Incident Management System

(NIMS)?
A. Create a new branch of government that deals with bioterrorism
B. Establish a way for the Red Cross to carry out its mission
C. Develop a nationwide all-hazards approach to domestic incident
management
D. Extend presidential power to act quickly upon acts of bioterrorism

49. A nurse is developing and coordinating an emergency response plan

for a community. With which of the following organizations would the
nurse collaborate?
A. American Red Cross (ARC)
B. National Disaster Medical System (NDMS)
C. Centers for Disease Control and Prevention (CDC)
D. Emergency Management Agency (EMA)

50. A nurse is responding to a disaster. Which of the following is the

priority of the disaster response?
A. Clean up the environment
B. Handle the stress reaction of the victims
C. Bring in as many aid workers and nurses as possible
D. Reestablish sanitary barriers and focus on basic needs

51. A nurse is examining the future of disaster management. Which of the

following should the nurse anticipate?
A. Vague and unorganized future due to constant emergence of new
disasters
B. Increasing sophistication in technology and surveillance
C. Lack of involvement by national and state officials
D. Decreasing need for public health workers to provide care

52. Which populations are at greatest risk for disruption after a disaster?
(Select all that apply.)
A. Single-parent families
B. Children
C. Substance abusers
D. Middle-class families
E. Young adults

53. A 56-year-old patient presents in triage with left-sided chest pain,

diaphoresis, and dizziness. This patient should be prioritized into which
category?
A. High urgent
B. Urgent
C. Non-urgent
D. Emergent

54. It is the summer season, and patients with signs and symptoms of
heat-related illness present in the ED. Which patient needs attention first?
A. An elderly person complains of dizziness and syncope after standing in
the sun for several hours to view a parade
B. A marathon runner complains of severe leg cramps and nausea.
Tachycardia, diaphoresis, pallor, and weakness are observed.
C. A previously healthy homemaker reports broken air conditioner for days.
Tachypnea, hypotension, fatigue, and profuse diaphoresis are observed.
D. A homeless person, poor historian, presents with altered mental
status, poor muscle coordination, and hot, dry, ashen skin.
Duration of exposure is unknown.

55. An experienced traveling nurse has been assigned to work in the ED;
however, this is the nurse’s first week on the job. Which area of the ED is
the most appropriate assignment for the nurse?
A. Trauma team
B. Triage
C. Ambulatory or fast track clinic
D. Pediatric medicine team

56. An anxious 24-year-old college student complains of tingling

sensations, palpitations, and chest tightness. Deep, rapid breathing and
carpal spasms are noted. What priority nursing action should you take?
A. Notify the physician immediately.
B. Administer supplemental oxygen.
C. Have the student breathe into a paper bag.
D. Obtain an order for an anxiolytic medication
57. The emergency medical service (EMS) has transported a patient with
severe chest pain. As the patient is being transferred to the emergency
stretcher, you note unresponsiveness, cessation of breathing, and no
palpable pulse. Which task is appropriate to delegate to the nursing
assistant?
A. Chest compressions
B. Bag-valve mask ventilation
C. Assisting with oral intubation
D. Placing the defibrillator pads

58. A teenager arrives by private car. He is alert and ambulatory, but this
shirt and pants are covered with blood. He and his hysterical friends are
yelling and trying to explain that that they were goofing around and he
got poked in the abdomen with a stick. Which of the following comments
should be given first consideration?
i. "There was a lot of blood and we used three bandages.”
ii. “He pulled the stick out, just now, because it was hurting him.”
iii. “The stick was really dirty and covered with mud.”
iv. “He’s a diabetic, so he needs attention right away.”

59. In a multiple-trauma victim, which assessment finding signals the most

serious and life-threatening condition?
A. A deviated trachea
B. Gross deformity in a lower extremity
C. Decreased bowel sounds
D. Hematuria

60. In the work setting, what is your primary responsibility in preparing for
disaster management that includes natural disasters or bioterrorism
incidents?
A. Knowledge of the agency’s emergency response plan
B. Awareness of the signs and symptoms for potential agents of bioterrorism
C. Knowledge of how and what to report to the CDC
D. Ethical decision-making about exposing self to potentially lethal
substances