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A nurse is undergoing debriefing with the critical incident stress management team after participating in the response to a disaster. During this process, the nurse will do which of the following?
- A. Evaluate the care that he or she provided during the disaster.
- B. Discuss own emotional responses to the disaster.
- C. Explore the ethics of the care provided during the disaster.
- D. Provide suggestions for improving the emergency operations plan.
Correct Answer: B
Rationale: CISM debriefing focuses on processing emotional reactions and stress symptoms, not evaluating care, ethics, or operational plans.
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A patient has been admitted to the medical unit with signs and symptoms that are suggestive of an anthrax infection. The nurse should anticipate what intervention?
- A. Administration of acyclovir
- B. Hematopoietic stem cell transplantation (HSCT)
- C. Administration of penicillin
- D. Hemodialysis
Correct Answer: C
Rationale: Penicillin is the primary treatment for anthrax, a bacterial infection. Acyclovir, HSCT, and dialysis are not indicated.
A nurse is giving an educational class to members of the local disaster team. What should the nurse instruct members of the disaster team to do in a chemical bioterrorist attack?
- A. Cover their eyes.
- B. Put on a personal protective equipment mask.
- C. Stand up.
- D. Crawl to an exit.
Correct Answer: C
Rationale: Most chemical agents are heavier than air, so standing up minimizes exposure. Covering eyes, masking, or crawling increases exposure risk.
A hospitals emergency operations plan has been enacted following an industrial accident. While one nurse performs the initial triage, what should other emergency medical services personnel do?
- A. Perform life-saving measures.
- B. Classify patients according to acuity.
- C. Provide health promotion education.
- D. Modify the emergency operations plan.
Correct Answer: A
Rationale: EMS personnel focus on life-saving interventions and transport post-triage, prioritizing immediate care over classification, education, or plan modification.
The nurse has been notified that the ED is expecting terrorist attack victims and that level D personal protective equipment is appropriate. 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 coverall with chemical-resistant gloves and boots
- C. The SCBA and a chemical-resistant suit, but the suit is not vapor-tight
- D. The nurses typical work uniform
Correct Answer: D
Rationale: Level D PPE is equivalent to a standard work uniform, used when minimal protection is needed, indicating low hazard exposure.
Level C personal protective equipment has been deemed necessary in the response to an unknown substance. The nurse is aware that the equipment will include what?
- A. A self-contained breathing apparatus
- B. A vapor-tight, chemical-resistant suit
- C. A uniform only
- D. An air-purified respirator
Correct Answer: D
Rationale: Level C PPE includes an air-purified respirator, chemical-resistant coverall, gloves, and boots, balancing respiratory and skin protection for less hazardous substances.