Nokea
A nurse is caring for patients exposed to a terrorist attack involving chemicals. The nurse has been advised that personal protective equipment must be worn in order to give the highest level of respiratory protection with a lesser level of skin and eye protection. What level protection is this considered?
- A. Level A
- B. Level B
- C. Level C
- D. Level D
Correct Answer: B
Rationale: Level B PPE provides maximal respiratory protection but less skin and eye coverage, suitable for chemical exposures where inhalation is the primary risk.
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A patient is admitted to the ED who has been exposed to a nerve agent. The nurse should anticipate the STAT administration of what drug?
- A. Amyl nitrate
- B. Dimercaprol
- C. Erythromycin
- D. Atropine
Correct Answer: D
Rationale: Atropine counteracts nerve agent effects by blocking acetylcholine, alleviating hyperstimulation symptoms. Other drugs are for different agents or ineffective.
A group of medical nurses are being certified in their response to potential bioterrorism. The nurses learn that if a patient is exposed to the smallpox virus he or she becomes contagious at what time?
- A. 6 to 12 hours after exposure
- B. When pustules form
- C. After a rash appears
- D. When the patient becomes febrile
Correct Answer: C
Rationale: Smallpox patients become contagious when a rash appears, typically on the face and forearms, not immediately or only with pustules or fever.
There has been a radiation-based terrorist attack and a patient is experiencing vomiting, diarrhea, and shock after the attack. How will the patients likelihood of survival be characterized?
- A. Probable
- B. Possible
- C. Improbable
- D. Extended
Correct Answer: C
Rationale: Symptoms like vomiting, diarrhea, and shock indicate high radiation exposure (>800 rads), making survival improbable due to severe systemic damage.
A major earthquake has occurred within the vicinity of the local hospital. The nursing supervisor working the night shift at the hospital receives information that the hospital disaster plan will be activated. The supervisor will need to work with what organization responsible for coordinating interagency relief assistance?
- A. Office of Emergency Management
- B. Incident Command System
- C. Centers for Disease Control and Prevention (CDC)
- D. American Red Cross
Correct Answer: A
Rationale: The Office of Emergency Management coordinates state and local disaster relief efforts, ensuring effective interagency collaboration.
A patient who has been exposed to anthrax is being treated in the local hospital. The nurse should prioritize what health assessments?
- A. Integumentary assessment
- B. Assessment for signs of hemorrhage
- C. Neurologic assessment
- D. Assessment of respiratory status
Correct Answer: D
Rationale: Inhalation anthrax progresses to severe respiratory distress, including stridor and hypoxia, making respiratory assessment critical. Other systems are less acutely affected.