A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?

"HICS is focused on having multidisciplinary responders available."

"HICS ensures that necessary antibiotics and antidotes are available."

"HICS provides additional responders when needs exceed the ability of local or state agencies."

"HICS identifies facility responsibilities and channels of reporting."

Answer and Explanation

The Correct Answer is D

Rationale:

A. HICS focuses on organizing and managing internal facility operations rather than mobilizing external multidisciplinary responders.

B. HICS does not directly ensure the availability of specific medical supplies; this is usually managed through other systems or protocols.

C. HICS is primarily concerned with internal facility management, not providing additional responders from outside agencies.

D. HICS helps to define roles, responsibilities, and reporting channels within the facility during a disaster, ensuring effective internal management.

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Correct Answer is C

Explanation

Rationale:

A. Informing the staff member of her appraisal time for that day prior to change-of-shift report is not ideal as it may disrupt the shift handover process.

B. Scheduling the appraisal interview as early in the shift as possible might not be feasible or considerate, especially if it impacts patient care or the staff member's workflow.

C. Providing the staff member with a copy of the appraisal form in advance is best practice as it allows the staff member to prepare for the discussion and address any concerns or achievements.

D. Providing a chair directly across the desk for the staff member to sit in is not as important as preparing the staff member by sharing the appraisal criteria in advance.

A. A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min B. An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication C. A toddler who has otitis media, a temperature of 39.2" C (102.6° F), and purulent ear discharge D. A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough

Correct Answer is D

Explanation

Rationale:

A. A toddler with asthma and a pulse oximetry reading of 95% is stable and manageable with current oxygen therapy.

B. An adolescent with sickle cell disease is in pain but does not require immediate intervention compared to other scenarios.

C. A toddler with otitis media has a fever and discharge but is not in immediate danger.

D. A school-age child with acute epiglottitis is at high risk for airway obstruction and requires urgent care due to the drooling and absence of spontaneous cough, which are signs of a potentially life-threatening condition.

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A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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