Anthrax
Triage
Mass Casualty/Disaster
Bioterrorism
Methamphetamine
100
A nurse checks emergency medications kept on hand for disaster threats of anthrax. The nurse determines there are sufficient amounts of which drug? A) Penicillin B) Amoxicillin C) Ciprofloxacin D) Vancomycin
C) Ciprofloxacin
100
Which triage category consists of the "walking wounded"? A) Green B) Yellow C) Red D) Black
A) Green
100
You are triaging patients after an explosion with mass casualties. You are aware that the guiding principle of this type of triage is what? A) Assign a high priority to the most critical injuries B) Do the greatest good for the greatest number of people. C) Allocate your resources to the youngest and most critical D) Allocate your resources on a first come, first served basis
B) Do the greatest good for the greatest number of people.
100
The nurse is teaching a class on bioterrorism and is discussing personal protective equipment (PPE). Which statement is the most important fact that must be shared with the participants? A) Health-care facilities should keep masks at entry doors. B) The respondent should be trained in the proper use of PPE. C) No single combination of PPE protects against all hazards. D) The EPA has divided PPE into four levels of protection.
C) No single combination of PPE protects against all hazards.
100
The nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? A) lethargy and fatigue B) cardiovascular depression C) talkativeness and euphoria D) difficulty swallowing and constipation
C) talkativeness and euphoria
200
An occupational health professional is conducting a class on risks of occupational exposure to inhalation of anthrax. Should an exposure occur, the employees are told they should receive which medication? A) Penicillin and vancomycin B) Erythromycin and vancomycin C) Tetracycline and ampicillin D) Ciprofloxacin and doxycycline
D) Ciprofloxacin and doxycycline
200
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first? A) Green B) Yellow C) Red D) Black
C) Red
200
The triage nurse in a large trauma center has been notified of an explosion in a major chemical manufacturing plant. Which action should the nurse implement first when the clients arrive at the emergency department? A) Triage the clients and send them to the appropriate areas. B) Thoroughly wash the clients with soap and water and then rinse. C) Remove the clients’ clothing and have them shower. D) Assume the clients have been decontaminated at the plant.
C) Remove the clients’ clothing and have them shower.
200
A nurse is educating a new disaster team. What should the nurse instruct the disaster team to do in a chemical bioterrorist attack? A) Cover their eyes B) Put on gloves C) Stand up D) Crawl to an exit
C) Stand up
200
The nurse is caring for a client who is under the influence of methamphetamine. The nurse expects which drug to be ordered for this client? A) Lasix B) Synthroid C) Ativan D) Procardia
C) Ativan
300
A client is suspected of exposure to inhaled anthrax. The nurse assesses for which initial symptoms? A) Difficulty swallowing, cramping, and diarrhea B) Skin lesions that develop into black scabs C) Fever, persistent cough, and dyspnea D) Headache, blurred vision, and generalized aches
C) Fever, persistent cough, and dyspnea
300
You are triaging patients after an explosion. A teenage girl with a small laceration on forehead says she can’t move her legs. Her respirations are 20, pulses are strong, and her capillary refill time is 1 second. What color tag would you give this patient? A) Green B) Yellow C) Red D) Black
B) Yellow
300
The triage nurse has placed a disaster tag on the client. Which action would warrant immediate intervention by the nurse? A) The nurse documents the tag number in the disaster log. B) The unlicensed nursing assistant documents vital signs on the tag. C) The health-care provider removes the tag to examine the limb. D) The LPN securely attaches the tag to the client’s foot.
C) The health-care provider removes the tag to examine the limb.
300
The emergency department is expecting multiple bioterrorist attack victims. The attack requires level D PPE. What does level D PPE include? A) A chemical-resistant coverall with splash hood, chemical-resistant gloves, and boots B) A self-contained breathing apparatus (SCBA) and a fully encapsulating, vapor-tight, chemical-resistant suit with chemical-resistant gloves and boots. C) The SCBA and a chemical-resistant suit, but the suit is not vapor tight D) Typical work uniform
D) Typical work uniform
300
Methamphetamine intoxication results from the increased stimulation of dopamine and norepinephrine receptors in the brain. A) True B) False
A) True
400
Which signs/symptoms would the nurse assess in the client who has been exposed to the anthrax bacillus via the skin? A) A scabby, clear fluid–filled vesicle. B) Edema, pruritus, and a 2-mm ulcerated vesicle. C) Irregular brownish-pink spots around the hairline. D) Tiny purple spots flush with the surface of the skin.
B) Edema, pruritus, and a 2-mm ulcerated vesicle.
400
You are a Daytona State student finishing up your degree in nursing. Have some chocolate.
*applause*
400
What are common psychological responses to disaster? (Mark all that apply.) A) Euphoria B) Somatization C) PTSD D) Interpersonal conflicts E) Enhanced performance
B) Somatization C) PTSD D) Interpersonal conflicts
400
A new nurse is being oriented to the emergency department, including a lecture about how to handle victims of bioterrorism. The nurses learn that if a patient is suspected of being exposed to the smallpox virus, they would be contagious when? A) Immediately after exposure B) Only when pustules form C) After a rash appears D) With a body temperature of 38°C
C) After a rash appears
400
A nurse in the medical-surgical unit is caring for a patient with a known history of heavy methamphetamine use. The patient's urine is cola-colored and their muscles are stiff and tender. What complication of methamphetamine abuse does the nurse suspect? A) Seizures B) Rhabdomyolysis C) Cardiovascular collapse D) Hyperthermia
B) Rhabdomyolysis
500
The health-care facility has been notified that an alleged inhalation anthrax exposure has occurred at the local post office. Which category of personal protective equipment (PPE) would the response team wear? A) Level A B) Level B C) Level C D) Level D
A) Level A
500
The nurse in a disaster is triaging the following clients. Which clients would be triaged as red? Select all that apply. A) The client with a sucking chest wound who is alert. B) The client with a head injury who is unresponsive. C) The client with an abdominal wound and stable vital signs. D) The client with a sprained ankle that may be fractured E) The client with multiple cuts and abrasions, but no hemorrhage, who says he can’t breathe
A) The client with a sucking chest wound who is alert. E) The client with multiple cuts and abrasions, but no hemorrhage, who says he can’t breathe
500
The nurse is teaching a class on disaster preparedness. Which are components of an Emergency Operations Plan (EOP)? Select all that apply. A) A plan for practice drills. B) A deactivation response. C) A plan for internal communication only. D) A pre-incident response. E) A security plan.
A) A plan for practice drills. B) A deactivation response. E) A security plan.
500
A community health nurse is educating the public on the agents of bioterrorism. Which of the following is a Category A biological agent? Select all that apply. A) Hantavirus B) Typhus C) Plague D) Tularemia E) Botulism
C) Plague D) Tularemia E) Botulism
500
The nurse is caring for a patient who is under the influence of methamphetamine. The nurse knows that which of these are clinical manifestations of methamphetamine use? Select all that apply. A) Irritability B) Palpitations C) Nystagmus D) Diaphoresis E) Hyperactivity
A) Irritability B) Palpitations D) Diaphoresis E) Hyperactivity
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