10/5/21, 9:28 AM Disaster Nursing RAD Block Examination

Disaster Nursing RAD Block Examination

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Questions 1 to 25

Following are indirect typical Impacts of Cyclones/Typhoons on Health: 1 point

Select all that apply.

Contamination of water supplies if chemical factories or storage facilities are impacted

Outbreaks of communicable diseases are rarely observed. Nonetheless, the risk for water- and vectorborne disease can b

Impoverization and increased food insecurity due to destruction of crops, trees, livestock, houses and household assets

Electrocution due to downed power lines

Short- and long-term mental health effects are likely

The best room to use for shelter during a chemical accident or attack is a1 point
room with many windows and doors that can be used as possible escape routes.

False

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10/5/21, 9:28 Disaster Nursing RAD Block

True

Clear selection

During evening rounds an overhead announcement alerts the nurse to a1 point

fire on the unit. The nurse cannot see a fire nor smell smoke. Which action should the nurse perform

Begin evacuating patients to a safe area of the hospital.

Close all doors and windows on the way to investigate the fire. Locate the fire extinguisher.
Find the unit specific fire alert system and activate.

Clear selection

Radiation that will penetrate the whole body, so it will deliver radiation 1 point
doses to internal organs as well as to the skin.

Photon Alpha Gamma

Beta

Clear selection

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You work in a large convention center. Approximately 500 people have1 point
been attending an all- day computer software conference. By mid- afternoon, however, more than

Radiation agents Chemical agents Biological agent

None of the above

Clear selection

In the work setting, what is your primary responsibility in preparing for disaster 1management
point that inc
incidents?

Knowledge of the agency’s emergency response plan Knowledge of how and what to report to the CDC
Awareness of the signs and symptoms for potential agnets of bioterrorism Ethical decision-making about exposing self t

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A newly graduated nurse is learning about the nurse’s role in disaster relief1 point
as part of an orientation to the hospital. Which of the following concepts is accurate?

Learning about the prevention and mitigation of disasters is nice to know, but not essential.

Nurses take a passive role in helping others to save lives and fulfill an important obligation.

Applying advanced skills can be very helpful until help arrives.

Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties.

Clear selection

A nurse is responding to a biochemical incident, to protect the nurse from1 point

exposure to these chemicals, the nurse must:

Call for emergency backup Wear mask

Handwash

Wear appropriate PPE

Clear selection

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What emotion would a nurse anticipate when working with an older person 1 point
following a disaster?

Anger

Fear of loss of independence Regression

Violence

Clear selection

The following are determinants that influence the resurgence of both old1 point
and new infections include EXCEPT:

A stable Climate and ecosystem.

International travel, allowing for rapid transmission of existing illness or the introduction of specific microbes into a new

Increasing numbers of citizens living at or below the poverty level.

Ability of the microbe to mutate and adapt to the prevailing treatment protocol; immune suppression of patients due to tr

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A client’s absolute neutrophil count is less than 1000/mm3 during a course1 point
of chemotherapy. Which of the following interventions would be most appropriate for the nurse to i

Washing hands before entering the room

Wearing a gown and mask while caring for this client

Contacting the physician to obtain an order for erythropoietin (Epogen) Limiting visitors
Clear selection

Which of the following is a indirect impact of earthquake on health? Select 1 point

that all apply.

Psychological and psychosocial effects: fear and anxiety, increase in disease and non-specific medical symptoms

Low socio-economic status populations living near hazardous sites Economic costs
Social disruption if people are displaced

A client informs the nurse that she is using herbal remedies in addition to1 point
her chemotherapy medications. The nurse should:

Guide the client’s decision-making process to select either Western traditional or alternative therapies

Encourage alternative remedies that do not include ingesting unproven substances

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Determine what the client is using, and inform the rest of the health care team Recommend that the client stop using the alternat
Clear selection

There has been a radioactive explosion nearby. The emergency room nurse 1 point
must triage and manage the decontamination of the clients systematically. Which of the following cli

A client with minor injuries.

A client with the most injuries. A client with the least injuries. A client with severe injuries.

Clear selection

All are are not true about Radiation Detection except: 1 point

Can be detected by instruments Can be smelled

Can be felt Can be tasted
Can be seen

Clear selection

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A military nurse is working in Iraq. Because of the potential threat of hazardous1 point
gas, which of the f
dangerous war zone? Select all that apply.

Protective clothing sunglasses

A hood, helmet, or headgear Gas mask
Surgical mask

The nurse should plan to assess soldiers who might have been exposed to1 point
nerve gas agents for which symptoms?

Nausea and vomiting Diarrhea

Convulsion and loss of consciousness

Constipation

Clear selection

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The following people are in charge of securing the situation, preserving life, 1 point
and treating the injured EXCEPT:

First responders

Mental health professionals Social workers

All citizens

Bystanders

Clear selection

A prisoner, with a known history of alcohol abuse, has been in police1 point
custody for 48 hours. Initially, anxiety, sweating, and tremors were noted. Now,disorientation, halluc

Risk for Other-Directed Violence related to hallucinations Risk for Injury related to seizures
Risk for Situational Low Self-esteem related to police custody

Risk for Nutritional Deficit related to chronic alcohol abuse

Clear selection

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A patient sustains an amputation of the first and second digits in a 1 point

chainsaw accident. Which task should be delegated to the LPN/LVN?

Gently cleanse the amputated digits with Betadine solution. Place the amputated digits directly into ice slurry.
Wrap the amputated digits in sterile gauze moistened with saline.

Store the amputated digits in a solution of sterile normal saline.

Clear selection

Radiation, has a short range in tissue that cannot penetrate the dead cells1 point
of the epidermis to irradiate the living cells beneath.

Beta Alpha Proton

Gamma

Clear selection

Which sign or symptom is the most reliable early indicator of infection in a1 point
client with neutropenia?

Elevated body temperature

Chills

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Dsypnea

Diaphoresis

Clear selection

Following are direct typical Impacts of Cyclones/Typhoons on Health: 1 point

Select all that apply.

Outbreaks of communicable diseases Drowning

Injuries and trauma due to flying debris and building collapse

Asphyxiation due to entrapment in collapsed buildings

Which of the following is a direct impact of earthquake on health? Select1 point

that all apply.

High mortality from severe asphyxia due to dust inhalation Respiratory diseases due to exposure to dust
Many people with minor cuts and bruises, some with simple fractures

Disruption of the water supplier and sewerage system in urban areas

Chemical agents that destroy skin and tissues, cause blindness, may be 1 point
fatal

Blister agents Choking agents Nerve agents

Blood agents

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Clear selection

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10/5/21, 9:31 Disaster Nursing RAD Block

Disaster Nursing RAD Block Examination

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Questions 26 to 50

A class of protective clothing that is to be used only when the chemical 1 point
contaminant is known and the criteria for use of an APR are met.

Level A Level B Level C

Level D

Clear selection

Who needs more advanced support than PFA alone? SATA. 1 point

People so upset they cannot care for themselves or their children People who may hurt or endanger the lives of others.
People who may hurt themselves

People with serious lifethreatening injuries

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More thorough triage is performed 1 point

Cold Zone Warm Zone Neutral Zone

Hot Zone

Clear selection

The following are antidote for Tissue agents. SATA 1 point

Amyl nitrite Perles

Sodium thiosulfate

Atropine

The following are PFA action principles. SATA 1 point

Look Listen Link Evaluate

Prepare

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A class of protective clothing which provides the highest level of skin, 1 point
respiratory, eye, and mucus membrane protection.

Level D Level C Level B

Level A

Clear selection

When removing PPE, it is important to know what areas of the PPE are1 point
considered "clean" vs "contaminated".Select ALL the areas on PPE that are considered "clean":

Ties on the gown Outside of the mask Sleeves of the gown Back of the gown Inside of the gloves
Straps on the goggles

Who receives psychological first aid? Select that all apply. 1 point

Individual in crisis

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Disaster survivors Disaster responders Bystander

The specific health intervention of the community during earthquake 1 point

disaster.

Search and rescue; recovery of bodies. All of the above

Evacuation of people from the ash-fall area until the ash has settled and no more
eruptions are expected. Emergency shelter.
Clear selection

To ensure the greatest possible protection for nurses in the workplace,1 point
hospital, and other healthcare facility, employers are responsible for: SATA

Inform a colleague of the need to repair or replace PPE Properly wear PPE
Care for, clean, and maintain PPE

Attend training sessions on PPE

Minimal triage and medical care activities take place. 1 point

Warm Zone Neutral Zone

Cold Zone

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Hot Zone

Clear selection

To ensure the greatest possible protection for nurses in the workplace,1 point
hospital, and other healthcare facility, employers are responsible for: SATA

Properly wear PPE

Care for, clean, and maintain PPE Attend training sessions on PPE
Inform a supervisor of the need to repair or replace PPE

The following are specific health interventions in times of calamities. Select 1 point
all that apply.

Heightened disease surveillance

Long-term food assistance (when needed) and assistance to restore food security Restoration of electric power and water
Rehabilitation of sewerage infrastructure

Repair/restoration of transport routes and communications systems

Some of the guidelines in Decontamination Procedures are as follows. 1 point

Select all that apply.

Gather decontamination supplies and equipment

Mobilize security personnel and trained triage and decontamination staff. Determine the level of PPE required.
Open access to the decontamination site as well as to the hospital.

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Prepare decontamination area (warm zone should be outside the facility).

In cluster approach, which of the following is responsible for leading the 1 point
response effort of Nutrition and WASH (Water, Sanitation and Hygiene).

DSWD (Department of Social Welfare and Development) DOH (Department of Health)

DepED (Department of Education)

OCD (Office of Civil Defense)

Clear selection

The following are PFA action principles. SATA 1 point

Ask about people's needs and concern Learn about the crisis event.
Give information

Observe for safety.

The following are the Triage in the Zones of Operation. SATA 1 point

Neutral Zone Hot Zone Cold Zone

Warm Zone

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Where is the best place to decontaminate a person? 1 point

In their house

In an outside area In the hospital

In the ambulance

Clear selection

A group of people arrived at the emergency unit by a private car with1 point
complaints of periorbital swelling, cough,and tightness in the throat. There is a strong odor emanatin

Measure vital signs and auscultate lung sounds.

Direct the clients to the cold or clean zone for immediate treatment. Direct the clients to the decontamination area.
Immediately remove other clients and visitors from the area.

Clear selection

Following are typical impacts of Volcanic Eruptions which can provoke eye1 point
and skin irritation.

None of the above

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Volcanic mass, falling rocks and flying glass Ash and acid rain
Gases and fumes

An agent that has no known anti-dote and the most appropriate 1 point
intervention is to provide oxygen and absolute rest.

Tissue agent Vesicant Agent Nerve agent

Pulmonary Agent

Is a humane, supportive and practical first response given to people or 1 point

persons in emotional distress.

Psychological Support Psychological First Aid Psychological Test

Psychology

Clear selection

Following are typical impacts of Volcanic Eruptions on Health affecting the1 point
lungs. Select are that apply.

Ash-fall, particularly in fine particles

Volcanic mass, falling rocks and flying glass Hot ash, gases, rock and magma

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Gases and fumes

Which method is most incorrect for the decontamination of individuals? 1 point

SATA

Soap and water Bleach and water Charcoal

Dry brush

The following are signs that a survivor may need stabilization. Select all that 1 point
apply.

Nightmares Insomnia Excessive talking

Fear

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10/5/21, 9:31 Disaster Nursing RAD Block

Disaster Nursing RAD Block Examination

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* Required

Questions 51 to 75

You are a nurse in the emergency department and it is during the shift that 1 point
Mr. CT is admitted in the area due to a fractured skull from a motor accident. You scheduled him for

Urgent

Emergent

Required

Elective

It is an act of human malice intended to injure and kill civilians and is1 point
associated with higher rate of psychiatric morbidity than are ‘Acts of God’”
*

Disaster

Bioterrorism

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10/5/21, 9:31 Disaster Nursing RAD Block
c. Calamity

d. Natural disaster

During the nursing assessment, which data represent information 1 point

concerning health beliefs? *

Family role and relationship patterns

Educational level and financial status

Promotive, preventive, and restorative health practices

Use of prescribed and over-the-counter medications

Nurse Kelly is acquiring information from a client in the emergency department.1 point
Which is an exampl
obtained during a health history? *

The chief complaint

Past health status

History immunizations

Location of an advance

It is a systematic approach to identifying, assessing and implementing1 point

strategies and plans that aims to reduce,the probability of a hazard event. *

Disaster risk reduction management

Rehabilitation and recovery

Disaster prevention

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d. Nursing process

The nurse finds the client unresponsive on the floor of the bathroom. 1 point
Which action should the nurse implement first? *

a. Check the client for breathing.

b. Assess the carotid artery for a pulse.

c. Shake the client and shout.

d. Call a code via the bathroom call light.

This status is used for any patient who can wait more than 2 hours to be 1 point
seen without the likelihood of deterioration in the ED. *

Emergent

Urgent

Nonurgent

Elective

It is a purposeful exchange of information about the existence, nature and1 point

severity or acceptability of health risk between policymakers, health care providers AND THE MEDIA

Emergency response

Incident Action Plan

c Incident management system

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d. Risk Communication

It is the Government of the Philippines’ “multi-hazard” response plan. * 1 point

a. Philippine Disaster Plan

b. National Disaster Response Plan

c. Philippine National Red Cross

d. National Disaster Risk Reduction Management Council Plan

It is a catastrophic event that results in casualties that overwhelm the1 point healthcare resources in th
to allocate scarce resources? *

Disaster

Health Disaster

Pandemic

Natural disaster

An anxious 24-year-old college student complains of tingling sensations,1 point

palpitations, and chest tightness. Deep,rapid breathing and carpal spasms are noted. What priority n

Notify the physician immediately.

Administer supplemental oxygen.

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c. Have the student breathe into a paper bag.

d. Obtain an order for an anxiolytic medication.

Which assessment data should the nurse include when obtaining a review1 point
of body systems *

Brief statement about what brought the client to the health care provider

Client complaints of chest pain, dyspnea, or abdominal pain

Information about the client’s sexual performance and preference

The client’s name, address, age, and phone number

It is a serious disruption of the functioning of a community or a society at1 point any scale due to haza
human,material, economic and environmental losses and impacts *

Disaster

Health Disaster

Pandemic

Natural disaster

A male client is admitted to the hospital with blunt chest trauma after a 1 point
motor vehicle accident. The first nursing priority for this client would be
to:
*

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10/5/21, 9:31 Disaster Nursing RAD Block
a. Assess the client’ s airway

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10/5/21, 9:31 Disaster Nursing RAD Block
Provide pain relief

Encourage deep breathing and coughing

Splint the chest wall with a pillow

The primary government office for disaster prevention and mitigation: * 1 point

DILG

DTI

DOST

DND

They are considered to be more vulnerable and therefore require special 1 point
consideration both in disaster planning and response? *

Special needs population

Older people

Children and youth

Ethnic people

None of the above

All of the above

A disaster survivor started to have trouble sleeping at night days after 1 point
the disaster. What could be the explanation for this? *

a. It is a normal reaction.

b. It is not a normal reaction to the situation

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10/5/21, 9:31 Disaster Nursing RAD Block
c. Her sleep deprivation is caused by overstimulation

d. She was just not tired.

A nurse told the physician about the patient’s infidelity to his wife. The 1 point
nurse violated the patient’s: *

Civil liability

Nurse-patient contract

Data Privacy

Confidentiality

Which of the following is not a category in determining disasters? * 1 point

Man-made

Natural

Anthropogenic

Supernannuated

A 56-year-old patient presents in triage with left-sided chest pain, diaphoresis, 1and
pointdizziness. This p
category? *

High urgent

Urgent

Non-urgent

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10/5/21, 9:31 Disaster Nursing RAD Block
d. Emergent

This is a potential threat to humans and their welfare * 1 point

Risk

Disaster

Hazard

Warning

This is the lead government instrumentality for response: * 1 point

DPWH

DILG

DSWD

DND

This is usually considered to be the restriction of the activities of a healthy1 point

person who has been exposed to a communicable disease? *

Isolation

Quarantine

Screening

Vaccination

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It is used to determine which events are most likely to affect a community1 point
and to make decisions about whom or what to protect as the basis of establishing measures for pr

Hazard Identification

Vulnerability analysis

Risk Assessment

Disaster Planning

The nurse is triaging four clients injured in a train derailment. Which client1 point
should receive priority treatment? *

A 42-year-old with dyspnea and chest asymmetry.

A 17-year-oldwith fractured arm.

A 4-year-old with facial lacerations.

A 30-year-old with blunt abdominal trauma

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Disaster Nursing RAD Block Examination

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Questions 76 to 100

Which intervention is most important to use to prevent infection by auto-1 point

contamination in the burned client during the acute phase of recovery?

Changing gloves between wound care on different parts of the client’s body. Using the closed method of burn wound m
Using proper and consistent handwashing

Avoiding sharing equipment such as blood pressure cuffs between clients

Clea

It is a model for explaining the organism causing the disease and condition 1 point
that allow it to reproduce and spread.

Chain of infection
Nursing Care Plan Once health

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10/5/21, 9:31 Disaster Nursing RAD Block
Epidemiological Triangle

Clear selection

What should you do after an earthquake? 1 point

Enter and stay inside damaged buildings

Check for injuries. Give first aid as necessary

Never replace damaged gas, water, and electrical lines

Install smoke detectors on every level of your home

Clear selection

Which of the following is an indicator of a tsunami? 1 point

peaceful waves in the shore thunderstorms

water receding from a great distance from the coast

excessive rain clouds

Clear selection

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A client who is admitted after a thermal burn injury has the following vital1 point
signs: blood pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in colo

Check the pulses with a Doppler device Obtain an electrocardiogram

Obtain a complete blood count

Start intravenous fluid line

Clear selection

What should you do during an earthquake if you are staying outdoors? 1 point

Stay under Cable or power lines Stay in a field around tress.

Immediately enter a building

Lie on the ground and stay their until the shaking stops

Clear selection

What should you do during a hurricane evacuation? 1 point

All of the above

Unplug home appliances

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Leave with all your valuables

Walk through floodwaters

Clear selection

The patient has a blasted lung and injury to his tympanic membrane. This1 point
classification of blast injury is:

Tertiary blast injury Quarternary blast injury Primary blast injury

Secondary blast injury

Clear selection

After a blast incident, the primary responsibility of the responders is to: 1 point

Provide medications Raise an alarm Conduct survey

Search and rescue

Clear selection

It is performed by nurses on a routine basis in the ED, often utilizing a 1 point

standardized approach, augmented by clinical judgment.

Incident Triage

Disaster Triage

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Daily Triage

Population-based Triage

Clear selection

What is the priority nursing diagnosis during the first 24 hours for a client1 point
with full-thickness chemical burns on the anterior neck, chest, and all surfaces of the left arm?

Decreased tissue perfusion Disturbed body image

Risk for disuse syndrome

Risk for ineffective breathing pattern

Clear selection

The most effective way for healthcare providers to protect themselves, 1 point
their family and their patients from influenza is to:

Get an annual shot and encourage their family, co-workers and patients to get the flu- vaccine annually.

Stay at home if they have respiratory symptoms. Wear a surgical mask at all times at work.
Not to go to work at all.

Clear selection

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During initial stabilization, the nurse should keep in mind that 1 point

Find the patient’s belongings for identification Provide first aid in a safe place
Alleviate the worries of patients who are panicking

Ask questions to the patient during first aid

Clear selection

After tsunami, the nurse should: 1 point

When re-entering homes, caution is not needed. Stay inside of a building if water remains around it. Ignore gas leaks.
Help injured or trapped people

Clear selection

On assessment, the nurse notes that the client has burns inside the mouth1 point
and is wheezing. Several hours later, the wheezing is no longer heard. What is the nurse’s next actio

Loosening any dressings on the chest

Preparing for intubation

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10/5/21, 9:31 Disaster Nursing RAD Block
Documenting the findings

Raising the head of the bed

Clear selection

What is the most important hygiene habit to teach young children? 1 point

Wash hands frequently

Don’t share glass or eating utensil

Use tissue to cover nose when sneezing Take a bath daily

Clear selection

The nurse is caring for a client with a blast injury. Which of the following 1 point
nursing assessments would be most appropriate for this client?

Assess for asphyxia

Assess for vasovagal hypotension Assess for hypervolemia

Assess the client for confusion

Clear selection

When should ambulation be initiated in the client who has sustained a 1 point
major burn?

As soon as possible after resolution of the fluid shift

When all full-thickness areas have been closed with skin grafts

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10/5/21, 9:31 Disaster Nursing RAD Block
When the client’s temperature has remained normal for 24 hours

As soon as possible after wound debridement is complete

Clear selection

4. These are those who have difficulty in breathing, uncontrolled hemorrhage, absence
1 point of periphera
commands.

Immediate Minimal Expectant

Delayed

Clear selection

Which is a possible cause of a flood? 1 point

Low tides

Overflows from dams, rivers, and lakes All of the above

Converging winds

Clear selection

Which of the following is a good sign of an approaching earthquake? 1 point

Traffic

Strong winds

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10/5/21, 9:31 Disaster Nursing RAD Block
Volcanic eruption

Sunny day

Clear selection

How is Covid-19 passed on? 1 point

Through droplets that come from the mouth and nose when sneezes, cough or breathes out.

All of the above

c. In sexual fluids, including semen, vaginal fluids an

b. By drinking unclean water

Clear selection

Oil spill is a man-made disaster that may cause: 1 point

Wildfire
Destruction of marine ecosystem Nourishment for fishes Nourishment for the earth

Clear selection

The patient has crushing injuries, fracture, traumatic amputation, and open 1 point
brain injury This classification of blast injury is:

Primary blast injury

Tertiary blast injury

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10/5/21, 9:31 Disaster Nursing RAD Block
Secondary blast injury

Quarternary blast injury

Clear selection

This status is used for any patient who can wait more than 2 hours to be 1 point
seen without the likelihood of deterioration in the ED.

Dead Urgent Nonurgent

Emergent

Clear selection

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