National Healthcare Disaster Exam Sample QuestionsThe following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Show To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish. This practice exam is not timed, and you may take it as many times as you wish. Good luck! Welcome to your NCLEX reviewer and practice questions quiz about Emergency Nursing and Triage. Test your competence in emergency nursing in this nursing test bank. In this section are the practice problems and questions for emergency nursing and triage NCLEX practice quiz. In this nursing test bank, there are 40 practice questions divided into two parts. Please check out also our reviewer for emergency nursing below. Quizzes included in this guide are:
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1. Emergency Nursing & Triage NCLEX Practice | Quiz #1: 20 QuestionsEmergency Nursing & Triage NCLEX Practice | Quiz #1: 20 QuestionsWelcome to the first part of your quiz about emergency nursing. If you have trouble with the questions, why not read our reviewer first (see below) to refresh your memory. 1. Emergency Nursing & Triage NCLEX Practice | Quiz #1: 20 QuestionsEmergency Nursing Reviewer“Emergency!” The very event that is linked to drama and hysteria. The word emerge in emergency, and an emergency suddenly emerges — it happens all of a sudden, at any time to anyone, and anywhere. The person, specifically the nurse who responds at the scene in the emergency department or on the medical-surgical unit, faces the ultimate challenge of their nursing skills. In this medical setting, you plan a solution for a short period of time, and there is no room for error. Emergency
Emergency Nursing
Emergency Medical Services
1. Emergency Medical Technician (EMT). Also known as an ambulance technician, is a health professional that provides emergency medical services. EMTs are most commonly found working in ambulances. They are also the most common type of providers in all of EMS. 2. Emergency Medical Technician Intermediates (EMTI). EMTIs are next to EMTs. Intermediates maintain a critical skill set that can often be life-saving to those involved in accidents, emergencies, and complicated procedures. 3. Emergency Medical Technician Paramedics (EMTP). EMTPs are the highest level of EMTs. Paramedics are advanced providers of emergency medical care and are highly educated in anatomy and physiology, cardiology, medications, and medical procedures. Four Basic Steps for Emergencies 1. Know your facility. It is important to know what emergency resources are available in each location and the equipment’s placement, such as overhead sprinkler systems, fire extinguishers, and defibrillators. Healthcare providers, especially nurses, should know where the E-carts and E-kits are placed in the hospital setting. They need to be available to providers very easily. 2. Know the proper scope of your emergency care. The nurse should know their role, accountability, and responsibility when dealing with emergencies. The nurse is responsible for the following:
Primary and Secondary Assessment
3. Know your patients. Nurses are responsible for identifying if the patient is in an emergency and recognizing patients’ symptoms, taking measures within their scope of practice to administer medications, providing other measures for symptom alleviation, and collaborating with other professionals to optimize patients’ comfort and families’ understanding and adaptation. 4. Stay prepared. Preparing for unexpected occurrences is only part of the equation. Being fast, ready, and accurate for an emergency also involves practicing good mental health strategies that can develop one’s level of competency in the event of a crisis. Emergency Equipment, Drugs, and Procedures.
Guidelines for giving emergency care 1. Getting Started A. Planning of action. B. Gathering of materials needed. 2. Emergency Action Principles A. Survey the scene. First, survey the scene for any possible hazards. Stop. Look. Listen. Feel. Safety first! B. Perform Primary Assessment. If the area appears safe, check the victim for life-threatening conditions such as:
I. Assess for ABC.
C. Call for help. After checking the victim, call for help. Remain calm, and be prepared to describe the situation and the exact location where responders are needed. Also, contact local site security and emergency response. D. Perform Secondary Assessment. The main focus of the secondary assessment is to explore specific medical conditions the patient may have. I. Neurologic Assessment
Glasgow Coma Scale
Four grades are starting with the most severe: 1. No opening of the eye
Five grades are starting with the most severe: 1. No verbal response
There are six grades: 1. No motor response
II. History
III. Pain Assessment. OPQRST is a useful mnemonic used by EMTs, paramedics, nurses, medical assistants, and other allied health professionals to learn about the patient’s pain complaint.
IV. General Appearance. Gait, unusual skin markings, affect, posture, skin color. V. Head to toe Assessment. Establishing a good assessment would, later on, provide a more accurate diagnosis, planning, and better interventions and evaluation. That’s why it’s important to have a good and strong assessment. VI. Diagnostic Tests. A diagnostic procedure is an examination to identify an individual’s specific areas of weakness and strength to determine a condition, disease, or illness. E. Diagnosis. Nursing diagnoses represent the nurse’s clinical judgment about actual or potential health problems/life processes occurring with the individual, family, group, or community. F. Management. The nurse implements the nursing care plan, performing the determined interventions that were selected to help meet the goals/outcomes that were established. G. Evaluation. The nurse evaluates the progress toward the goals/outcomes identified in the previous phases. If progress towards the goal is slow, or if regression has occurred, the nurse must change the care plan accordingly. H. Client Disposition. Understanding the patient’s readmission risk stratification, the needs of the patient upon discharge, and the ability of the receiving facility to meet those needs all have a role in the patient’s well-being and can help prevent readmission. I. Documentation. The entire process is recorded or documented to inform all members of the health care team. 3. Golden Rules of Emergency Care
Triage Triage
Purpose:
Descriptions of a few Emergency Nurse roles: Triage Nurse
ED Charge Nurse
Trauma Nurse
Code Nurse
Disaster Response or Emergency Preparedness Nurse
Critical-Care Transport (CCT) Nurse (Ambulance)
Burn Center Nurse
Emergency Department Triage System (Three-Tier System) EMERGENT (RED)
URGENT (YELLOW)
NONURGENT (GREEN)
NO CATEGORY or BLACK CATEGORY
Cardiopulmonary Resuscitation (CPR) Cardiopulmonary Resuscitation (CPR) incorporates rescue breathing with chest compression to circulate oxygen around the body while anticipating further emergency help. CPR does not normally restart a person’s heart, but it can save many lives when combined with early emergency help, early defibrillation, and early advanced hospital care. Ribs may be broken during CPR, but this is preferable to dying. Basic Life Support (BLS)
Elements of Basic Life Support (BLS)
Four Age Categories in Basic Life Support (BLS)
Procedures in Doing Cardiopulmonary Resuscitation (CPR) https://www.redcross.org/take-a-class/cpr/performing-cpr/cpr-steps Before Giving CPR 1. Check the scene and the person. Ensure the scene is safe, then tap the person on the shoulder and shout “Are you OK?” to ensure that
the person needs help. CPR Steps according to Red Cross 1. Push hard, push fast. Place your hands, one on top of the other, in the middle of the chest. Use your body weight to help you administer compressions at least 2 inches deep and delivered at a rate of at least 100 compressions per minute. Note: End the cycles if the scene becomes unsafe or you cannot perform CPR due to exhaustion. Automated External Defibrillation (AED)
Two Types of Machine 1. Monophasic. Monophasic AEDs are devices that emit a type of shock. It sends an electrical current in a single direction from one side of the chest to an electrode on the other side. 2. Biphasic. Biphasic waveform defibrillators utilize bidirectional current flow as opposed to monophasic AED, where the current flows are in one direction. Contraindications: While it’s important to know when to use a defibrillator, it’s just as important to know when not to use a defibrillator.
Advanced Cardiac Life Support (ACLS)
Criteria for Not Starting Cardiac Life Support
Terminating BLS in Out-of-Hospital Setting
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