Deck 23: Bioterrorism

Question 1

The nurse is aware that the extent of the injury from a chemical warfare agent depends on the chemical used and:

A)the amount used and time exposed to the chemical
B)the amount used and the route of exposure to the chemical
C)the time exposed to the chemical and the route of exposure to the chemical
D)the time exposed to the chemical and if assistance is available

Answer 1

the amount used and time exposed to the chemical

Question 2

The nurse is aware that the Coordinating Office for Terrorism Preparedness and Emergency Response is one of the branches of which federal agency?

A)Federal Emergency Management Agency (FEMA)
B)Center for Disease Control and Prevention (CDC)
C)Department of Health and Human Services
D)Center for Domestic Preparedness

Answer 2

Department of Health and Human Services

Question 3

When teaching a client the most effective way to be pro-active against possible biological attacks,the nurse identifies:

A)Store food and water in a safe place.
B)Be immunized and keep them up to date.
C)Know where the local safe shelter is located.
D)Purchase an emergency-band radio.

Answer 3

Be immunized and keep them up to date.

Question 4

The nurse providing community preparedness course would include the possible use of chemical warfare agents in the program.Which of the following would NOT be included in this course?

A)nerve agents
B)vomiting agents
C)vesicant agents
D)anthrax agents

Question 5

The priority intervention for a victim exposed to ricin is to:

A)wash the entire body with large amounts of soap and water
B)remove clothing
C)remove from exposed area or get outside
D)rinse out the eyes

Question 6

Which of the following are muscarinic effects of sarin exposure?

A)urinary and fecal incontinence,tachycardia,bronchial restriction
B)vomiting,tachycardia,diarrhea
C)abdominal cramping,hypertension,bradycardia
D)conjunctivitis,bradycardia,blurred vision

Question 7

Ricin is one of the newest chemicals used as a nerve agent.Which of the following are potential medical uses for ricin?

A)to prevent certain cancer cells and in bone marrow transplants
B)to kill cancer cells and in bone marrow transplants
C)in bone marrow transplants and to prevent certain cancer cells
D)to kill cancer cells and in renal transplants

Question 8

Which of the following are NOT nicotinic effects of sarin exposure?

A)tachycardia
B)hypertension
C)bronchial restriction
D)muscle cramping

Question 9

The three factors that determine the amount of poisoning caused by exposure to sarin are:

A)the amount of sarin,the amount of time,the type of sarin used
B)the amount of sarin,the route of exposure,and the time exposed
C)the amount of time,the route of exposure,and the type of sarin used
D)the amount of time,the type of sarin used,and the time exposed

Question 10

The nurse is caring for a client suspected of contracting smallpox.The MOST important nursing intervention following this diagnosis is to:

A)notify the client's family members
B)wash the vesicular rash
C)monitor oxygen levels
D)airborne precautions

Question 11

The nurse anticipates the client exposed to sarin through ingestion will be treated with which of the following known antidotes?

A)atropine chloride and phosgene sulfate
B)atropine sulfide and pralidoxime magnesium
C)atropine sulfate and phosgene chloride
D)atropine sulfate and pralidoxime chloride

Question 12

Which of the following statements about the bubonic plague is NOT true?

A)is a disease of animals
B)may cause pneumonic plague
C)is transmitted from person to person
D)is frequently fatal

Question 13

A client has been ill for 4 days and was diagnosed with bubonic plague.The nurse expects to note which of the following symptoms in this client? (Select all that apply)

A)painful,swollen lymph nodes in the chest
B)fever and chills
C)headache
D)malaise
E)extreme exhaustion

Question 14

One function of the Centers for Disease Control and Prevention (CDC)is:

A)manage chemical agents for military agencies
B)manage the Strategic National Stockpile
C)manage the National Emergency Stockpile
D)manage the Emergency Relief Program

Question 15

The community health nurse is presenting a teaching session about anthrax (Bacillus anthracis)and terrorism.The nurse includes which of the following as routes of transmission for anthrax (Bacillus anthracis)? (Select all that apply. )

A)skin
B)sexual contact with an infected person
C)gastrointestinal tract
D)direct contact with an infected person
E)inhalation

Question 16

Which statement is TRUE regarding purpose of the Stafford Act?

A)It provides medical supplies to communities with disasters.
B)It provides provisions for the development of disaster plans.
C)It provides medical personnel to communities with disasters.
D)It provides federal monies to communities with disasters.

Question 17

The nurse suspects the client has had exposure to a chemical blood agent,such as cyanide.Which of the following symptoms of exposure would the nurse expect to note?

A)anxiety,headache,shortness of breath,coma
B)anxiety,irregular heartbeat,tightness in chest,shortness of breath
C)shortness of breath,tightness in chest,muscle cramps,convulsions
D)tightness in chest,shortness of breath,paralysis

Question 18

When monitoring a client for the first symptoms of radiation sickness,the nurse expects to note:

A)anorexia,vomiting,and diarrhea
B)nausea,vomiting,and diarrhea
C)vomiting,fatigue,and weight loss
D)fatigue,weight loss,and bone marrow suppression

Question 19

Which of the following is NOT an example of nerve agents?

A)sarin
B)cyanide
C)tabun
D)soman

Question 20

Nerve agents are powerful acetylcholesterase inhibitors that affect the body by altering cholinergic synaptic transmission at all of the following places EXCEPT:

A)neuroeffector junctions
B)skeletal myoneural junctions
C)cardiac myoneural junctions
D)in the central nervous system

Question 21

In an emergency situation,which interventions should the nurse take during initial care of a client suspected of exposure to anthrax? (Select all that apply)

A)Instruct client to remove clothing with minimal handling.
B)Place clothing in a labeled,paper bag.
C)Instruct the client to shower with soap and water.
D)Ensure that sterile gloves are used when in contact with clients.
E)Consult physician regarding post-exposure prophylactic antibiotic treatment.

Question 22

Which priority actions would the first responder take when suspecting a victim has had exposure to ricin? (Place in order,starting with the highest priority. )
____ remove from exposed area or get outside
____ seek medical attention
____ do not remove clothing over head,cut off and double bag
____ wash the entire body with large amounts of soap and lukewarm water
____ remove contacts or glasses and rinse eyes

Question 23

At the scene of a terrorist attack,the nurse assists with triaging victims.Which victim should be seen as first priority or most urgent? (Select all that apply. )

A)Victim is pulseless.
B)Victim has chest pain.
C)Victim has multiple fractures.
D)Victim has chest wound.
E)Victim has a head injury with loss of consciousness.
F)Victim has third-degree burns.

Question 24

In the event of a terrorist attack,which individuals are identified as those who will be "first responders"? (Select all that apply. )

A)primary care providers
B)nurses and EMS personnel
C)public health personnel
D)animal control
E)police and firemen
F)media personnel

Question 25

Each facility is required to have an emergency operations plan (EOP),which should include which of the following information? (Select all that apply. )

A)when to activate a response
B)who will be notified first
C)how to protect the facility environment
D)how to prevent an attack
E)how to identify the agent
F)how to control exposure