The first thing to do when arriving at a mass casualty site is:
assess casualties.
see who else is around to help.
check the safety of the environment.
call the local hospital.
The Correct Answer is C
Rationale:
A. Assessing casualties is an essential step, but it comes after ensuring the scene is safe. Immediately entering a hazardous environment without evaluating safety can endanger the nurse and others, potentially creating additional casualties.
B. Seeing who else is around to help can be useful for coordination, but it is secondary to confirming that the environment is safe. Even with available help, responding in an unsafe environment is not appropriate.
C. Check the safety of the environment is correct. The first priority in any emergency response is personal and bystander safety. Nurses and responders must evaluate for hazards such as fire, structural instability, chemical exposure, electrical hazards, or ongoing violence. Ensuring a safe environment allows responders to care for victims without becoming victims themselves.
D. Calling the local hospital is important for communication and resource mobilization, but it should be done after assessing safety and beginning triage and initial interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Occupation alone, such as cooking, does not inherently increase risk for reactivation of latent TB. While TB is transmitted via airborne droplets, the kitchen environment is typically not a high-risk setting unless in close contact with individuals with active TB.
B. Working multiple jobs may contribute to fatigue or stress, which can slightly impact immune function, but it is not a major risk factor for progression from latent to active TB.
C. Travel to endemic regions may increase exposure risk to new TB infections, but the question specifies latent TB infection, so the concern is reactivation, not new exposure.
D. Immunosuppressive medications (e.g., corticosteroids, biologics) weaken the immune system, significantly increasing the risk that latent TB will reactivate into active TB disease. Immunocompromised individuals are the highest-risk population for progression.
Correct Answer is C
Explanation
Rationale:
A. Next-door neighbor is incorrect because while neighbors may observe certain behaviors, they typically do not have consistent access to comprehensive information about a child’s health, behavior, or social risk factors, making them less reliable for identifying at-risk children.
B. Parent is incorrect because although parents provide valuable insight, they may not always recognize signs of victimization or aggressive behavior in their child, and relying solely on parental reporting can lead to underestimation of risk.
C. School nurse is correct because the school nurse regularly interacts with children in a structured environment, has access to health records, observes social interactions, and can identify early warning signs of both victimization and aggression. School nurses are uniquely positioned to help public health departments target prevention and intervention efforts effectively.
D. Pediatric primary care provider is incorrect because although they monitor children’s overall health and development, they may see the child infrequently and have limited observation of day-to-day social interactions and behaviors that indicate risk for violence in the school or community setting.
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