Question 1

A patient comes to the emergency department with reports of exposure to a toxic chemical spill.The assessment reveals that the patient has inhaled the chemical and had the chemical on his clothing.What actions by the nurse are appropriate?

Accepted Answer

A)  The nurse advises the patient to leave in contact lenses to continue to provide protection to the eyes.
B)  The nurse will proceed to irrigate the patient's eyes for 5 to 7 minutes with water.
C)  The nurse will use tongs to handle items taken off by the patient.
D)  The nurse will place the clothing in a metal receptacle for disposal. C

Question 2

The news reported that a train derailment 5 miles away from the clinic spilled a large amount of liquid chlorine that has been vaporized by the atmosphere.An indication that the chlorine gas is an imminent threat to the clinic would be:

Accepted Answer

A)  sighting of a low-lying green cloud.
B)  smelling "almonds" or "burning feathers."
C)  sudden nausea.
D)  skin blistering. A

Question 3

The nurse takes into consideration that the period of time during which there is the greatest chance that aerosolized anthrax could be inhaled after a terrorist attack would be _____ the attack.

Accepted Answer

A)  the day of
B)  the day after
C)  2 days after
D)  7 days after B

Question 4

The nurse explains that health workers who are caring for people exposed to radiation after the explosion of a nuclear bomb are monitored daily for exposure by way of:

Accepted Answer

A)  urinalysis.
B)  radiation badges.
C)  Geiger counters.
D)  sputum analysis.

Question 5

The nurse explains that the essential elements in a disaster plan are the preparation and organization to provide: (Select all that apply.)

Accepted Answer

A)  shelter for victims.
B)  transportation.
C)  communication.
D)  welfare of victims.
E)  food.F) None of the above.

Question 6

The nurse is aware that the plague,caused by Yersinia pestis,will most probably be introduced as an aerosolized weapon in a terrorist attack.Although exposed individuals can die in 24 hours,the organism is very vulnerable and can be destroyed by:

Accepted Answer

A)  cold temperatures of 40° F.
B)  exposure to sunlight.
C)  strong chlorine solution.
D)  dry environment.

Question 7

Matching
Assign triage categories to the disaster victims that they best fit.

-Toddler with partial-thickness burns on both legs

Accepted Answer

A)  Red tag: emergent
B)  Yellow tag: urgent
C)  Green tag: nonurgent
D)  Black tag: terminal

Question 8

Matching
Assign triage categories to the disaster victims that they best fit.

-Closed fracture of arm,head laceration

Accepted Answer

A)  Red tag: emergent
B)  Yellow tag: urgent
C)  Green tag: nonurgent
D)  Black tag: terminal

Question 9

The nurse encourages civic-minded people to enroll in local civil defense courses on disaster preparedness to better understand the role of the: (Select all that apply.)

Accepted Answer

A)  state government.
B)  federal government.
C)  law enforcement.
D)  individual service agencies.
E)  nurse as a volunteer.F) None of the above.

Question 10

The nurse is teaching a course in the community concerning the actions that need to be taken in the event a pandemic occurs.A participant questions the nurse about how long she should be prepared to stay at home.What response by the nurse is most correct?

Accepted Answer

A)  "The greatest danger during the pandemic will be in the first 48 to 72 hours."
B)  "You should be prepared to remain at home for about 2 weeks."
C)  "Residents should be prepared to stay home for 4 to 6 days."
D)  "Staying home for a full 10 days will be needed."

Question 11

Matching
Assign triage categories to the disaster victims that they best fit.

-Sucking chest wound,fully conscious

Accepted Answer

A)  Red tag: emergent
B)  Yellow tag: urgent
C)  Green tag: nonurgent
D)  Black tag: terminal

Question 12

A truck has just smashed into the dayroom of a long-term health care facility with enormous damage and injuring many of the residents.The noninjured residents are stunned and frightened and totally disorganized.Recognizing that everyone is in the impact stage,the nurse should:

Accepted Answer

A)  firmly instruct two CNAs to start wheeling residents to the dining room in their wheelchairs.
B)  begin wheeling residents back to their rooms herself.
C)  shout for everyone to hurry to the dining room.
D)  start treating the injured in the dayroom.

Question 13

The nurse informs a high school class that one of the differences between an emergency situation and a disaster is that,in an emergency situation:

Accepted Answer

A)  fewer than 50 people require emergent treatment.
B)  the community emergency rooms can meet the need.
C)  there is no need for a prearranged management plan.
D)  the community population is not affected by the event.

Question 14

The nurse takes into consideration that if terrorists were to use category B agents that produce low death rates and moderate illness,the organisms would most probably be delivered by which route?

Accepted Answer

A)  Vaporization
B)  Through water sources
C)  By an explosion
D)  From person-to-person contact

Question 15

The nurse assures a patient that accredited health care facilities test their emergency plan with a drill at least _____ time(s)each year.

Accepted Answer

A)  4
B)  3
C)  2
D)  1

Question 16

A tornado has touched down 1 mile from the hospital and a tornado warning has been issued with sirens.The nursing staff caring for the 36 patients on the second floor medical-surgical unit should move the patients to:

Accepted Answer

A)  the evacuation center across the street.
B)  the hall, closing room doors and windows.
C)  their rooms, padding the windows with bed linens.
D)  the basement in wheelchairs using the elevators.

Question 17

The nurse is participating in an educational program concerning nuclear disasters.The nurse correctly recognizes that the level of exposure will be determined by which factors? (Select all that apply.)

Accepted Answer

A)  Age of the victim
B)  Body surface area of the victim
C)  Length of exposure
D)  Distance of the victim from the nuclear source
E)  Shielding of the victim from the nuclear source

Question 18

People who have plague and have been treated with appropriate antibiotics can be released from respiratory droplet precautions after:

Accepted Answer

A)  all symptoms are gone.
B)  there is no longer any blood in the sputum.
C)  the lesions are dried.
D)  48 hours of antibiotic treatment.

Question 19

The nurse is aware that organisms that may be released in a bioterrorism attack because of their high lethality include: (Select all that apply.)

Accepted Answer

A)  Ebola.
B)  avian flu.
C)  botulism.
D)  smallpox.
E)  tularemia.

Question 20

Matching
Assign triage categories to the disaster victims that they best fit.

-Amputated arm,conscious,but in shock

Accepted Answer

A)  Red tag: emergent
B)  Yellow tag: urgent
C)  Green tag: nonurgent
D)  Black tag: terminal

Exam 44: Care of Patients in Disasters or Bioterrorism Attack

A patient comes to the emergency department with reports of exposure to a toxic chemical spill.The assessment reveals that the patient has inhaled the chemical and had the chemical on his clothing.What actions by the nurse are appropriate?

The news reported that a train derailment 5 miles away from the clinic spilled a large amount of liquid chlorine that has been vaporized by the atmosphere.An indication that the chlorine gas is an imminent threat to the clinic would be:

The nurse takes into consideration that the period of time during which there is the greatest chance that aerosolized anthrax could be inhaled after a terrorist attack would be _____ the attack.

The nurse explains that health workers who are caring for people exposed to radiation after the explosion of a nuclear bomb are monitored daily for exposure by way of:

The nurse explains that the essential elements in a disaster plan are the preparation and organization to provide: (Select all that apply.)

The nurse is aware that the plague,caused by Yersinia pestis,will most probably be introduced as an aerosolized weapon in a terrorist attack.Although exposed individuals can die in 24 hours,the organism is very vulnerable and can be destroyed by:

Matching Assign triage categories to the disaster victims that they best fit. -Toddler with partial-thickness burns on both legs

Matching Assign triage categories to the disaster victims that they best fit. -Closed fracture of arm,head laceration

The nurse encourages civic-minded people to enroll in local civil defense courses on disaster preparedness to better understand the role of the: (Select all that apply.)

The nurse is teaching a course in the community concerning the actions that need to be taken in the event a pandemic occurs.A participant questions the nurse about how long she should be prepared to stay at home.What response by the nurse is most correct?

Matching Assign triage categories to the disaster victims that they best fit. -Sucking chest wound,fully conscious

A truck has just smashed into the dayroom of a long-term health care facility with enormous damage and injuring many of the residents.The noninjured residents are stunned and frightened and totally disorganized.Recognizing that everyone is in the impact stage,the nurse should:

The nurse informs a high school class that one of the differences between an emergency situation and a disaster is that,in an emergency situation:

The nurse takes into consideration that if terrorists were to use category B agents that produce low death rates and moderate illness,the organisms would most probably be delivered by which route?

The nurse assures a patient that accredited health care facilities test their emergency plan with a drill at least _____ time(s) each year.

A tornado has touched down 1 mile from the hospital and a tornado warning has been issued with sirens.The nursing staff caring for the 36 patients on the second floor medical-surgical unit should move the patients to:

The nurse is participating in an educational program concerning nuclear disasters.The nurse correctly recognizes that the level of exposure will be determined by which factors? (Select all that apply.)

People who have plague and have been treated with appropriate antibiotics can be released from respiratory droplet precautions after:

The nurse is aware that organisms that may be released in a bioterrorism attack because of their high lethality include: (Select all that apply.)

Matching Assign triage categories to the disaster victims that they best fit. -Amputated arm,conscious,but in shock