NCLEX-RNManagement of CareHard

Following a multi-vehicle collision, four clients arrive simultaneously in the emergency department during a mass casualty event with limited staff and resources. Using disaster triage principles, which client should be treated first?

  1. AA client found in cardiac arrest with no pulse and no respirations
  2. BA client with a superficial laceration that has stopped bleeding and is alert
  3. CA client with a closed forearm fracture and stable vital signs
  4. DA client with stridor, labored breathing, and an oxygen saturation of 84%
Show answer & explanation

Correct answer: D. A client with stridor, labored breathing, and an oxygen saturation of 84%

In disaster/mass casualty triage, clients who are salvageable with immediate intervention (airway compromise with stridor and hypoxia) are classified as 'immediate' (red) and treated first. A client in cardiac arrest with no pulse is typically classified as 'expectant' (black) in a mass casualty situation due to the high resource demand and low survival likelihood, unlike standard single-client care where CPR would be the priority.

Why the other options are wrong

  • A. In mass casualty triage, cardiac arrest is classified as expectant given limited resources, differing from standard prioritization.
  • B. A controlled superficial laceration is classified as 'minor' (green) and treated last.
  • C. A stable fracture is classified as 'delayed' (yellow) and can safely wait.

Disaster/Mass Casualty Triage

In mass casualty events, triage prioritizes salvageable clients needing immediate intervention over those in cardiac arrest, reversing normal single-client ABC prioritization due to limited resources.

  • Red = immediate, salvageable with rapid intervention
  • Yellow = delayed, stable but needing care
  • Green = minor, walking wounded
  • Black = expectant, unlikely to survive given resource constraints (includes cardiac arrest in mass casualty)

Memory trick: In disasters, save the savable, not the unsalvageable.

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