1.Easy
In mass-casualty triage, which category does a green tag usually mark?
- ADeceased or expectant
- BImmediate: needs treatment at once
- CMinor injuries: the “walking wounded”
- DDelayed: serious but currently stable injuries
2.Easy
What are Kussmaul respirations?
- AShort pauses in breathing during normal sleep
- BSlow, shallow breathing after an opioid overdose
- CNoisy, high-pitched breathing caused by a blocked upper airway
- DDeep, rapid breathing seen in metabolic acidosis such as DKA
3.Easy
Which of these is one of the five rights of delegation?
- ARight dose and strength
- BRight time and frequency
- CRight route and site of injection
- DRight supervision and evaluation
4.Medium
A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?
- AGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
- BDo not make the child vomit; call poison control or emergency services now
- CMake the child vomit straight away to bring up the chemical
- DWait to see whether the child develops any symptoms first
5.Medium
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AOffer a meal and fluids
- BApply an ice pack to the perineum
- CMassage the fundus
- DEncourage the patient to rest quietly
6.Medium
Before giving a medication to a child, which check is especially important?
- AThat the dose is correct for the child’s weight
- BThat the child likes the taste of the drug
- CThat the parent agrees with the time it is given
- DThat the medicine cup is the child’s favorite color
7.Hard
In a disaster with very limited resources, a victim with severe burns over almost the whole body is tagged black. Which principle explains this decision?
- ATreating victims in the order in which they arrive
- BDoing the greatest good for the greatest number
- CTreating the most severely injured person first
- DTreating the youngest victims first
8.Hard
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- AWrapping the runner in a blanket to prevent shivering
- BRapid cooling while supporting airway and circulation
- CGiving an antipyretic tablet and waiting for it to work
- DAsking the runner to rest in the shade and drink slowly
Answer key
- 1. C · Minor injuries: the “walking wounded”
- 2. D · Deep, rapid breathing seen in metabolic acidosis such as DKA
- 3. D · Right supervision and evaluation
- 4. B · Do not make the child vomit; call poison control or emergency services now
- 5. C · Massage the fundus
- 6. A · That the dose is correct for the child’s weight
- 7. B · Doing the greatest good for the greatest number
- 8. B · Rapid cooling while supporting airway and circulation
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