Disaster Triage and Chemical/Biologic Hazards · NCLEX Exam

A nurse performing mass casualty triage notes a patient is not breathing. She opens the airway and still no breathing. According to START, the patient is:

  1. Pulse 90, respirations 16, oxygen saturation 98%
  2. Respirations over 30/min with inability to follow commands
  3. Patient is walking, talking, and oriented at the scene
  4. Pulse 60, respirations 12, and stable vital signs
Show answer and explanation

Correct answer: Respirations over 30/min with inability to follow commands

In START, if after airway repositioning the patient remains apneic, they are tagged black as expectant or deceased in overwhelmed‐resource setting.

Difficulty: Medium Question 17 of 20

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