Question 1

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

Accepted Answer

The extent of the injury from a chemical warfare agent depends on the chemical used,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?

Accepted Answer

One of the branches of the Department of Health and Human Services is the Coordinating Office for Terrorism Preparedness and Emergency Response.The mission of this branch is to protect the health and enhance the potential for living at the highest possible level across the life span of all people.

Question 3

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

Accepted Answer

Each person must make a proactive choice to be as prepared as possible against biological attacks.The only way to do this is for children and adults to become immunized and keep all immunizations 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?

Accepted Answer

Bioterrorists can use chemical warfare agents that are gases,liquids,or solids that cause injury or death to people,animals,and plants.Chemical agents include nerve agents,blood agents,vomiting or choking agents,and blistering or vesicant agents.

Question 5

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

Accepted Answer

If exposed to ricin,remove from exposed area or get outside.Remove clothing,and wash the entire body with large amounts of soap and lukewarm water.Seek medical attention.Do not remove clothing over head,cut off and double bag,remove contacts or glasses,and rinse eyes.

Question 6

Which of the following are muscarinic effects of sarin exposure?

Accepted Answer

The muscarinic effects of sarin exposure include urinary and fecal incontinence,bradycardia,bronchial restriction,vomiting,diarrhea,abdominal cramping,conjunctivitis,blurred vision,pinpoint pupils,eye and head pain,and hypersecretion of glands.

Question 7

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

Accepted Answer

Ricin is one of the newest chemicals used as a nerve agent.Potential medical uses for ricin include a treatment to kill cancer cells and in bone marrow transplants.

Question 8

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

Accepted Answer

The nicotinic effects of sarin exposure include tachycardia,hypertension,skeletal muscle twitching,cramping,and weakness.

Question 9

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

Accepted Answer

The three factors that determine the amount of poisoning caused by exposure to sarin are the amount of sarin exposed,how the exposure occurred,and the length of time the exposure lasted.

Question 10

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

Accepted Answer

Nursing care must begin as soon as a diagnosis of smallpox is suspected.Standard,contact,and airborne precautions must be initiated for any client with a vesicular rash.

Question 11

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

Accepted Answer

If sarin is swallowed,do not induce vomiting or give fluids by mouth.Atropine sulfate and pralidoxime chloride are the only known antidotes for sarin poisoning.

Question 12

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

Accepted Answer

Humans acquire bubonic plague from the bite of a flea feeding on a rat or other rodent infected with Y.pestis or when an open wound is exposed to the bacterium.If not treated,it enters the bloodstream and invades the lungs,causing pneumonic plague,which is less common and frequently fatal.Bubonic plague is not transmitted from person to person.

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)

Accepted Answer

Symptoms of the bubonic plague include painful,swollen lymph nodes in the groin,armpits or neck;fever and chills;headache;malaise;and extreme exhaustion.

Question 14

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

Accepted Answer

One function of the CDC is to manage the Strategic National Stockpile to ensure communities experiencing an attack will have immediate necessary supplies.

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. )

Accepted Answer

There are three forms of human anthrax: pulmonary,cutaneous,or gastrointestinal.Anthrax is not transmitted person-to-person.

Question 16

Which statement is TRUE regarding purpose of the Stafford Act?

Accepted Answer

The Stafford Act has expanded the scope of existing disaster relief programs,provides provisions for the development of disaster plans and programs by state and local governments,and encourages all entities to obtain insurance coverage that would supplement or replace government assistance.

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?

Accepted Answer

Symptoms of exposure to a blood agent would include anxiety,irregular heartbeat,tightness in chest,shortness of breath,headache,dizziness,confusion,nausea,convulsions,weakness,vomiting,and unconsciousness.

Question 18

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

Accepted Answer

The first symptoms of radiation exposure are nausea,vomiting and diarrhea.Later symptoms include anorexia,fatigue,weight loss,and bone marrow suppression.

Question 19

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

Accepted Answer

Examples of nerve agents include sarin,tabun,and soman.Cyanide is a blood agent.

Question 20

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

Accepted Answer

Nerve agents are powerful acetylcholesterase inhibitors that alter cholinergic synaptic transmission at neuroeffector junctions,at skeletal myoneural junctions and autonomic ganglia,and in the central nervous system.

Quiz 23: Bioterrorism