Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 12

Question 1 Type: MCMA The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which statement(s)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "The endor!managed in entory ("M#) package can reach any community within $% to &' hours." 2. "(ur local hospital is supposed to )e stockpiling anti)iotics." 3. "The push package can reach any community within *$ hours of an attack." 4. "The Strategic +ational Stockpile is located at the Centers for ,isease Control and -re ention (C,C) in Atlanta." 5. "(ur country.s drug stockpile is managed )y the Centers for ,isease Control and -re ention (C,C)." Corre t Ans!er: */&/0 "ationa#e 11 The Strategic +ational Stockpile is managed )y the Centers for ,isease Control and -re ention (C,C). The push package can reach any community within *$ hours of an attack/ and the endor!managed in entory ("M#) package can reach any community within $% to &' hours. 2ocal hospitals are discouraged from stockpiling anti)iotics due to finite e3piration dates on the anti)iotics. The Strategic +ational Stockpile is located at arious sites throughout the country. "ationa#e 21 The Strategic +ational Stockpile is managed )y the Centers for ,isease Control and -re ention (C,C). The push package can reach any community within *$ hours of an attack/ and the endor!managed in entory ("M#) package can reach any community within $% to &' hours. 2ocal hospitals are discouraged from stockpiling anti)iotics due to finite e3piration dates on the anti)iotics. The Strategic +ational Stockpile is located at arious sites throughout the country. "ationa#e 31 The Strategic +ational Stockpile is managed )y the Centers for ,isease Control and -re ention (C,C). The push package can reach any community within *$ hours of an attack/ and the endor!managed in entory ("M#) package can reach any community within $% to &' hours. 2ocal hospitals are discouraged from stockpiling anti)iotics due to finite e3piration dates on the anti)iotics. The Strategic +ational Stockpile is located at arious sites throughout the country. "ationa#e 41 The Strategic +ational Stockpile is managed )y the Centers for ,isease Control and -re ention (C,C). The push package can reach any community within *$ hours of an attack/ and the endor!managed in entory ("M#) package can reach any community within $% to &' hours. 2ocal hospitals are discouraged from
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stockpiling anti)iotics due to finite e3piration dates on the anti)iotics. The Strategic +ational Stockpile is located at arious sites throughout the country. "ationa#e 51 The Strategic +ational Stockpile is managed )y the Centers for ,isease Control and -re ention (C,C). The push package can reach any community within *$ hours of an attack/ and the endor!managed in entory ("M#) package can reach any community within $% to &' hours. 2ocal hospitals are discouraged from stockpiling anti)iotics due to finite e3piration dates on the anti)iotics. The Strategic +ational Stockpile is located at arious sites throughout the country. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 5 aluation (earnin& +ut ome: *$!& Question 2 Type: MCMA The nurse works for the Centers for ,isease Control and -re ention (C,C). #n planning for a )ioterrorist attack/ what will the )est plan of the nurse include? +ote1 Credit will )e gi en only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. 2earn the signs and symptoms of chemical and )iological agents. 2. ()tain a listing of health and law enforcement contacts. 3. Assist in the stockpiling of medications. 4. ()tain current knowledge of emergency management. 5. Assist in triage at local hospitals. Corre t Ans!er: */$/% "ationa#e 11 The key roles of nurses in meeting the challenge of a potential )ioterrorist e ent include education (knowledge)/ resources (health and law enforcement contacts)/ and diagnosis and treatment (signs and symptoms of chemical and )iological agents). Stockpiling of medications is discouraged. #n a )ioterrorist attack/ a nurse from the Centers for ,isease Control and -re ention (C,C) would ha e a )roader role than assisting local hospitals with triage. "ationa#e 21 The key roles of nurses in meeting the challenge of a potential )ioterrorist e ent include education (knowledge)/ resources (health and law enforcement contacts)/ and diagnosis and treatment (signs and symptoms
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of chemical and )iological agents). Stockpiling of medications is discouraged. #n a )ioterrorist attack/ a nurse from the Centers for ,isease Control and -re ention (C,C) would ha e a )roader role than assisting local hospitals with triage. "ationa#e 31 The key roles of nurses in meeting the challenge of a potential )ioterrorist e ent include education (knowledge)/ resources (health and law enforcement contacts)/ and diagnosis and treatment (signs and symptoms of chemical and )iological agents). Stockpiling of medications is discouraged. #n a )ioterrorist attack/ a nurse from the Centers for ,isease Control and -re ention (C,C) would ha e a )roader role than assisting local hospitals with triage. "ationa#e 41 The key roles of nurses in meeting the challenge of a potential )ioterrorist e ent include education (knowledge)/ resources (health and law enforcement contacts)/ and diagnosis and treatment (signs and symptoms of chemical and )iological agents). Stockpiling of medications is discouraged. #n a )ioterrorist attack/ a nurse from the Centers for ,isease Control and -re ention (C,C) would ha e a )roader role than assisting local hospitals with triage. "ationa#e 51 The key roles of nurses in meeting the challenge of a potential )ioterrorist e ent include education (knowledge)/ resources (health and law enforcement contacts)/ and diagnosis and treatment (signs and symptoms of chemical and )iological agents). Stockpiling of medications is discouraged. #n a )ioterrorist attack/ a nurse from the Centers for ,isease Control and -re ention (C,C) would ha e a )roader role than assisting local hospitals with triage. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!$ Question 3 Type: MCSA The patient comes to the emergency department with an an3iety attack. 7e tells the nurse he heard that there was another anthra3 attack in the capitol and is concerned a)out running out of medications. 8hat is the )est response )y the nurse? 1. "9ou don.t need to worry a)out another attack at all: # think our go ernment can take care of us." 2. "9our health is in danger due to the an3iety: we really need to focus on reducing your an3iety now." 3. "The Centers for ,isease Control and -re ention (C,C) maintains a large stockpile of medications for us in case that occurs." 4. "#.m sure the Centers for ,isease Control and -re ention (C,C) has contingency plans in the e ent of an anthra3 attack." Corre t Ans!er: &
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"ationa#e 11 The Centers for ,isease Control and -re ention (C,C) maintains a stockpile of anti)iotics/ accines/ medical4surgical supplies/ and other patient!support supplies in the e ent of a )ioterrorist attack. Telling the patient not to worry is a nonspecific and patroni;ing response. <educing an3iety is important/ )ut this response does not answer the patient.s concern. Telling the patient that the Centers for ,isease Control and -re ention (C,C) has contingency plans is too ague and nonspecific. "ationa#e 21 The Centers for ,isease Control and -re ention (C,C) maintains a stockpile of anti)iotics/ accines/ medical4surgical supplies/ and other patient!support supplies in the e ent of a )ioterrorist attack. Telling the patient not to worry is a nonspecific and patroni;ing response. <educing an3iety is important/ )ut this response does not answer the patient.s concern. Telling the patient that the Centers for ,isease Control and -re ention (C,C) has contingency plans is too ague and nonspecific. "ationa#e 31 The Centers for ,isease Control and -re ention (C,C) maintains a stockpile of anti)iotics/ accines/ medical4surgical supplies/ and other patient!support supplies in the e ent of a )ioterrorist attack. Telling the patient not to worry is a nonspecific and patroni;ing response. <educing an3iety is important/ )ut this response does not answer the patient.s concern. Telling the patient that the Centers for ,isease Control and -re ention (C,C) has contingency plans is too ague and nonspecific. "ationa#e 41 The Centers for ,isease Control and -re ention (C,C) maintains a stockpile of anti)iotics/ accines/ medical4surgical supplies/ and other patient!support supplies in the e ent of a )ioterrorist attack. Telling the patient not to worry is a nonspecific and patroni;ing response. <educing an3iety is important/ )ut this response does not answer the patient.s concern. Telling the patient that the Centers for ,isease Control and -re ention (C,C) has contingency plans is too ague and nonspecific. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!* Question 4 Type: MCSA The nurse is teaching a class on anthra3 to a group of emergency response workers. 8hat is the )est instruction to include? 1. Anthra3 is a deadly )acterium: the most common and deadly form is gastrointestinal anthra3. 2. Cutaneous anthra3 is the most common form/ )ut inhaled anthra3 is the most lethal form. 3. Anthra3 most commonly affects wild rodents such as mice/ rats/ s=uirrels/ and chipmunks. 4. Cutaneous anthra3 is serious )ecause it =uickly spreads )y person!to!person contact. Corre t Ans!er: $
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"ationa#e 11 Cutaneous anthra3 is the most common/ )ut least complicated form of anthra3. #nhalation anthra3 is the least common/ )ut most dangerous form of anthra3. >astrointestinal anthra3 is a rare form of anthra3. Anthra3 most commonly affects hoofed animals such as cattle/ sheep/ and horses. Cutaneous anthra3 cannot )e spread )y person!to!person contact. "ationa#e 21 Cutaneous anthra3 is the most common/ )ut least complicated form of anthra3. #nhalation anthra3 is the least common/ )ut most dangerous form of anthra3. >astrointestinal anthra3 is a rare form of anthra3. Anthra3 most commonly affects hoofed animals such as cattle/ sheep/ and horses. Cutaneous anthra3 cannot )e spread )y person!to!person contact. "ationa#e 31 Cutaneous anthra3 is the most common/ )ut least complicated form of anthra3. #nhalation anthra3 is the least common/ )ut most dangerous form of anthra3. >astrointestinal anthra3 is a rare form of anthra3. Anthra3 most commonly affects hoofed animals such as cattle/ sheep/ and horses. Cutaneous anthra3 cannot )e spread )y person!to!person contact. "ationa#e 41 Cutaneous anthra3 is the most common/ )ut least complicated form of anthra3. #nhalation anthra3 is the least common/ )ut most dangerous form of anthra3. >astrointestinal anthra3 is a rare form of anthra3. Anthra3 most commonly affects hoofed animals such as cattle/ sheep/ and horses. Cutaneous anthra3 cannot )e spread )y person!to!person contact. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!% Question 5 Type: MCSA The patient has )een e3posed to anthra3. 8hat treatment will the nurse plan to administer? 1. -enicillin (?icillin 2A) and ancomycin ("ancocin). 2. Tetracycline (Sumycin) and erythromycin (5rythrocin). 3. Ampicillin (-rincipen) and cefepime (Ma3ipime). 4. Ciproflo3acin (Cipro) and do3ycycline ("i)ramycin). Corre t Ans!er: % "ationa#e 11 The @ood and ,rug Administration (@,A) has appro ed the use of ciproflo3acin (Cipro) and do3ycycline ("i)ramycin) in com)ination for treatment of anthra3. Tetracycline (Sumycin) and erythromycin (5rythrocin) are not appro ed for the treatment of anthra3. Ampicillin (-rincipen) and cefepime (Ma3ipime) are not appro ed for the treatment of anthra3. -enicillin (?icillin 2A) and ancomycin ("ancocin) are not appro ed for the treatment of anthra3.
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"ationa#e 21 The @ood and ,rug Administration (@,A) has appro ed the use of ciproflo3acin (Cipro) and do3ycycline ("i)ramycin) in com)ination for treatment of anthra3. Tetracycline (Sumycin) and erythromycin (5rythrocin) are not appro ed for the treatment of anthra3. Ampicillin (-rincipen) and cefepime (Ma3ipime) are not appro ed for the treatment of anthra3. -enicillin (?icillin 2A) and ancomycin ("ancocin) are not appro ed for the treatment of anthra3. "ationa#e 31 The @ood and ,rug Administration (@,A) has appro ed the use of ciproflo3acin (Cipro) and do3ycycline ("i)ramycin) in com)ination for treatment of anthra3. Tetracycline (Sumycin) and erythromycin (5rythrocin) are not appro ed for the treatment of anthra3. Ampicillin (-rincipen) and cefepime (Ma3ipime) are not appro ed for the treatment of anthra3. -enicillin (?icillin 2A) and ancomycin ("ancocin) are not appro ed for the treatment of anthra3. "ationa#e 41 The @ood and ,rug Administration (@,A) has appro ed the use of ciproflo3acin (Cipro) and do3ycycline ("i)ramycin) in com)ination for treatment of anthra3. Tetracycline (Sumycin) and erythromycin (5rythrocin) are not appro ed for the treatment of anthra3. Ampicillin (-rincipen) and cefepime (Ma3ipime) are not appro ed for the treatment of anthra3. -enicillin (?icillin 2A) and ancomycin ("ancocin) are not appro ed for the treatment of anthra3. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!0 Question , Type: MCSA The patient was e3posed to cutaneous anthra3 $ weeks ago. 8hat will the nurse see when assessing the patient.s skin? 1. 2arge pustules/ and later/ reddish sca)s 2. Small/ fluid!filled esicles/ and later/ small skin erosions 3. Alcerated areas/ and later/ keloids 4. Small skin lesions/ and later/ )lack sca)s Corre t Ans!er: % "ationa#e 11 Cutaneous anthra3 manifests as small skin lesions that de elop and turn into )lack sca)s. Small/ fluid!filled esicles/ and later/ small skin erosions are not seen with cutaneous anthra3. 2arge pustules/ and later/ reddish sca)s are not seen with cutaneous anthra3. Alcerated areas/ and later/ keloids are not seen with cutaneous anthra3.
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"ationa#e 21 Cutaneous anthra3 manifests as small skin lesions that de elop and turn into )lack sca)s. Small/ fluid!filled esicles/ and later/ small skin erosions are not seen with cutaneous anthra3. 2arge pustules/ and later/ reddish sca)s are not seen with cutaneous anthra3. Alcerated areas/ and later/ keloids are not seen with cutaneous anthra3. "ationa#e 31 Cutaneous anthra3 manifests as small skin lesions that de elop and turn into )lack sca)s. Small/ fluid!filled esicles/ and later/ small skin erosions are not seen with cutaneous anthra3. 2arge pustules/ and later/ reddish sca)s are not seen with cutaneous anthra3. Alcerated areas/ and later/ keloids are not seen with cutaneous anthra3. "ationa#e 41 Cutaneous anthra3 manifests as small skin lesions that de elop and turn into )lack sca)s. Small/ fluid!filled esicles/ and later/ small skin erosions are not seen with cutaneous anthra3. 2arge pustules/ and later/ reddish sca)s are not seen with cutaneous anthra3. Alcerated areas/ and later/ keloids are not seen with cutaneous anthra3. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!0 Question Type: MCSA The nursing instructor is teaching student nurses a)out the use of iruses in a )ioterrorism attack. The nurse determines that learning has occurred when the students make which statement? 1. "The Centers for ,isease Control and -re ention (C,C) has a plan to accinate Americans against most iruses." 2. "Actually/ a )igger concern is a nuclear weapon e3ploding in a city." 3. "Most Americans ha e already )een accinated against the lethal iruses." 4. "A )ioterrorist attack with iruses is a real threat to Americans." Corre t Ans!er: % "ationa#e 11 There are no effecti e therapies for treating patients infected )y most types of iruses used in a )ioterrorist attack. Mass accination is not appropriate until safer accines can )e produced. The C,C does not ha e a plan to accinate Americans against most iruses. Most Americans ha e not )een accinated against iruses. At this time/ a nuclear weapon does not pose a )igger threat to American citi;ens than does a )ioterrorism attack. "ationa#e 21 There are no effecti e therapies for treating patients infected )y most types of iruses used in a )ioterrorist attack. Mass accination is not appropriate until safer accines can )e produced. The C,C does not
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ha e a plan to accinate Americans against most iruses. Most Americans ha e not )een accinated against iruses. At this time/ a nuclear weapon does not pose a )igger threat to American citi;ens than does a )ioterrorism attack. "ationa#e 31 There are no effecti e therapies for treating patients infected )y most types of iruses used in a )ioterrorist attack. Mass accination is not appropriate until safer accines can )e produced. The C,C does not ha e a plan to accinate Americans against most iruses. Most Americans ha e not )een accinated against iruses. At this time/ a nuclear weapon does not pose a )igger threat to American citi;ens than does a )ioterrorism attack. "ationa#e 41 There are no effecti e therapies for treating patients infected )y most types of iruses used in a )ioterrorist attack. Mass accination is not appropriate until safer accines can )e produced. The C,C does not ha e a plan to accinate Americans against most iruses. Most Americans ha e not )een accinated against iruses. At this time/ a nuclear weapon does not pose a )igger threat to American citi;ens than does a )ioterrorism attack. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 5 aluation (earnin& +ut ome: *$!B Question . Type: MCSA The patient tells the nurse that she is concerned a)out terrorist acti ity and =uestions if e eryone should )e immuni;ed against smallpo3. 8hat is the )est response )y the nurse? 1. "The accine has side effects/ which are serious and could kill many people." 2. "# really do not think our country has enough accine to do this." 3. ",on.t )e so concerned: if an attack comes/ we will immuni;e people then." 4. "The accine has some serious side effects/ )ut this is pro)a)ly a good idea." Corre t Ans!er: * "ationa#e 11 An estimated B0/666 Americans could die if all Americans were accinated against smallpo3. There is enough accine for all Americans to )e accinated against smallpo3. Telling a patient not to )e concerned is a condescending and non!therapeutic response. Mass immuni;ation is not warranted at this time/ so it is not a good idea to accinate e eryone against smallpo3. "ationa#e 21 An estimated B0/666 Americans could die if all Americans were accinated against smallpo3. There is enough accine for all Americans to )e accinated against smallpo3. Telling a patient not to )e concerned is a
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condescending and non!therapeutic response. Mass immuni;ation is not warranted at this time/ so it is not a good idea to accinate e eryone against smallpo3. "ationa#e 31 An estimated B0/666 Americans could die if all Americans were accinated against smallpo3. There is enough accine for all Americans to )e accinated against smallpo3. Telling a patient not to )e concerned is a condescending and non!therapeutic response. Mass immuni;ation is not warranted at this time/ so it is not a good idea to accinate e eryone against smallpo3. "ationa#e 41 An estimated B0/666 Americans could die if all Americans were accinated against smallpo3. There is enough accine for all Americans to )e accinated against smallpo3. Telling a patient not to )e concerned is a condescending and non!therapeutic response. Mass immuni;ation is not warranted at this time/ so it is not a good idea to accinate e eryone against smallpo3. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!B Question / Type: MCSA The nursing instructor is teaching student nurses a)out dangerous infectious diseases. The nurse determines that learning has occurred when the students make which statement? 1. "The influen;a irus is the most dangerous irus today." 2. "The human immunodeficiency irus is the most deadly irus we ha e." 3. "The dengue fe er irus will kill more people than any other irus." 4. "The 5)ola irus has the potential to kill more people than any other irus." Corre t Ans!er: * "ationa#e 11 The influen;a irus causes &.B million deaths per year/ making it the most deadly infectious disease in the world. Although lethal/ none of the other iruses (dengue fe er/ 5)ola irus/ or human immunodeficiency irus) kill as many people as influen;a. "ationa#e 21 The influen;a irus causes &.B million deaths per year/ making it the most deadly infectious disease in the world. Although lethal/ none of the other iruses (dengue fe er/ 5)ola irus/ or human immunodeficiency irus) kill as many people as influen;a. "ationa#e 31 The influen;a irus causes &.B million deaths per year/ making it the most deadly infectious disease in the world. Although lethal/ none of the other iruses (dengue fe er/ 5)ola irus/ or human immunodeficiency irus) kill as many people as influen;a.
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"ationa#e 41 The influen;a irus causes &.B million deaths per year/ making it the most deadly infectious disease in the world. Although lethal/ none of the other iruses (dengue fe er/ 5)ola irus/ or human immunodeficiency irus) kill as many people as influen;a. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 5 aluation (earnin& +ut ome: *$!' Question 10 Type: MCSA The patient has )een e3posed to a ner e agent. @or which symptoms will the nurse most likely assess? 1. Sali ation/ in oluntary urination/ and con ulsions 2. ,ilated pupils and increased )lood pressure and heart rate 3. -inpoint pupils/ decreased )lood pressure/ and increased heart rate 4. <apid )reathing and cold/ clammy skin Corre t Ans!er: * "ationa#e 11 Symptoms of ner e gas e3posure are related to o erstimulation of acetylcholine/ and can result in sali ation/ in oluntary urination/ and con ulsions. The ner e agent )locks acetylcholinesterase. ,ilated pupils and increased )lood pressure and heart rate are symptoms of sympathetic ner ous system stimulation. -inpoint pupils/ decreased )lood pressure/ and increased heart rate are not symptoms of o erstimulation of acetylcholine. <apid )reathing and cold/ clammy skin are not symptoms of o erstimulation of acetylcholine. "ationa#e 21 Symptoms of ner e gas e3posure are related to o erstimulation of acetylcholine/ and can result in sali ation/ in oluntary urination/ and con ulsions. The ner e agent )locks acetylcholinesterase. ,ilated pupils and increased )lood pressure and heart rate are symptoms of sympathetic ner ous system stimulation. -inpoint pupils/ decreased )lood pressure/ and increased heart rate are not symptoms of o erstimulation of acetylcholine. <apid )reathing and cold/ clammy skin are not symptoms of o erstimulation of acetylcholine. "ationa#e 31 Symptoms of ner e gas e3posure are related to o erstimulation of acetylcholine/ and can result in sali ation/ in oluntary urination/ and con ulsions. The ner e agent )locks acetylcholinesterase. ,ilated pupils and increased )lood pressure and heart rate are symptoms of sympathetic ner ous system stimulation. -inpoint pupils/ decreased )lood pressure/ and increased heart rate are not symptoms of o erstimulation of acetylcholine. <apid )reathing and cold/ clammy skin are not symptoms of o erstimulation of acetylcholine. "ationa#e 41 Symptoms of ner e gas e3posure are related to o erstimulation of acetylcholine/ and can result in sali ation/ in oluntary urination/ and con ulsions. The ner e agent )locks acetylcholinesterase. ,ilated pupils and increased )lood pressure and heart rate are symptoms of sympathetic ner ous system stimulation. -inpoint pupils/
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decreased )lood pressure/ and increased heart rate are not symptoms of o erstimulation of acetylcholine. <apid )reathing and cold/ clammy skin are not symptoms of o erstimulation of acetylcholine. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!C Question 11 Type: MCSA The patient has )een e3posed to a ner e agent. 8hich antidote will the nurse plan to administer? 1. Apomorphine 2. Atropine (Atro-en) 3. Acetate of ammonia 4. 7ydro3y;ine ("istaril) Corre t Ans!er: $ "ationa#e 11 Atropine is an anticholinergic drug that will re erse the symptoms of acetylcholine o erstimulation. 7ydro3y;ine ("istaril)/ acetate of ammonia/ and apomorphine will not re erse the symptoms of acetylcholine o erstimulation. "ationa#e 21 Atropine is an anticholinergic drug that will re erse the symptoms of acetylcholine o erstimulation. 7ydro3y;ine ("istaril)/ acetate of ammonia/ and apomorphine will not re erse the symptoms of acetylcholine o erstimulation. "ationa#e 31 Atropine is an anticholinergic drug that will re erse the symptoms of acetylcholine o erstimulation. 7ydro3y;ine ("istaril)/ acetate of ammonia/ and apomorphine will not re erse the symptoms of acetylcholine o erstimulation. "ationa#e 41 Atropine is an anticholinergic drug that will re erse the symptoms of acetylcholine o erstimulation. 7ydro3y;ine ("istaril)/ acetate of ammonia/ and apomorphine will not re erse the symptoms of acetylcholine o erstimulation. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation
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(earnin& +ut ome: *$!C Question 12 Type: MCSA A small nuclear weapon has )een detonated in a near)y city. @or which immediate symptoms of radiation sickness will the nurse assess in patients who ha e )een e3posed? 1. ,ilated pupils and aggression 2. +ausea/ omiting/ and diarrhea 3. 8eight loss and fatigue 4. Anore3ia and fatigue Corre t Ans!er: $ "ationa#e 11 The immediate symptoms of radiation sickness include nausea/ omiting/ and diarrhea. 8eight loss and fatigue are late symptoms of radiation sickness. Anore3ia and fatigue are not signs of radiation sickness. ,ilated pupils and aggression are not signs of radiation sickness. "ationa#e 21 The immediate symptoms of radiation sickness include nausea/ omiting/ and diarrhea. 8eight loss and fatigue are late symptoms of radiation sickness. Anore3ia and fatigue are not signs of radiation sickness. ,ilated pupils and aggression are not signs of radiation sickness. "ationa#e 31 The immediate symptoms of radiation sickness include nausea/ omiting/ and diarrhea. 8eight loss and fatigue are late symptoms of radiation sickness. Anore3ia and fatigue are not signs of radiation sickness. ,ilated pupils and aggression are not signs of radiation sickness. "ationa#e 41 The immediate symptoms of radiation sickness include nausea/ omiting/ and diarrhea. 8eight loss and fatigue are late symptoms of radiation sickness. Anore3ia and fatigue are not signs of radiation sickness. ,ilated pupils and aggression are not signs of radiation sickness. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!D Question 13 Type: MCSA The nurse administers potassium iodide (ThyroSafe) ta)lets to a patient who has )een e3posed to radiation from a nuclear weapon. 8hat is the rationale for administering potassium iodide (ThyroSafe) to this patient?
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1. #t was administered to pre ent thyroid cancer. 2. #t was administered to pre ent )rain cancer. 3. #t was administered to pre ent li er cancer. 4. #t was administered to pre ent renal cancer. Corre t Ans!er: * "ationa#e 11 -otassium iodide (ThyroSafe) can pre ent up to *66E of the radioacti e iodine from entering the thyroid gland. -otassium iodide (ThyroSafe) will not protect the li er/ the kidneys/ or the )rain from the effects of radioacti e iodine. "ationa#e 21 -otassium iodide (ThyroSafe) can pre ent up to *66E of the radioacti e iodine from entering the thyroid gland. -otassium iodide (ThyroSafe) will not protect the li er/ the kidneys/ or the )rain from the effects of radioacti e iodine. "ationa#e 31 -otassium iodide (ThyroSafe) can pre ent up to *66E of the radioacti e iodine from entering the thyroid gland. -otassium iodide (ThyroSafe) will not protect the li er/ the kidneys/ or the )rain from the effects of radioacti e iodine. "ationa#e 41 -otassium iodide (ThyroSafe) can pre ent up to *66E of the radioacti e iodine from entering the thyroid gland. -otassium iodide (ThyroSafe) will not protect the li er/ the kidneys/ or the )rain from the effects of radioacti e iodine. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 5 aluation (earnin& +ut ome: *$!D Question 14 Type: MCSA The nurse conducts a seminar in a local community center on how Americans can )e affected )y radiation from a nuclear attack. The nurse determines that the education is effecti e when the patients make which statement? 1. "# can protect myself from cancers )y taking potassium iodide (ThyroSafe)." 2. "# need to stay inside my house for at least $ days after the attack to )e safe." 3. "# need to take at least four showers e ery day or # will de elop skin ulcers." 4. "# am at risk to de elop leukemia as a result of radiation e3posure."
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Corre t Ans!er: % "ationa#e 11 2eukemia is one of the long!term effects of radiation. <adiation will not dissipate in $ days. Showers will not always protect the skin. -otassium iodide (ThyroSafe) will only protect against thyroid cancer. "ationa#e 21 2eukemia is one of the long!term effects of radiation. <adiation will not dissipate in $ days. Showers will not always protect the skin. -otassium iodide (ThyroSafe) will only protect against thyroid cancer. "ationa#e 31 2eukemia is one of the long!term effects of radiation. <adiation will not dissipate in $ days. Showers will not always protect the skin. -otassium iodide (ThyroSafe) will only protect against thyroid cancer. "ationa#e 41 2eukemia is one of the long!term effects of radiation. <adiation will not dissipate in $ days. Showers will not always protect the skin. -otassium iodide (ThyroSafe) will only protect against thyroid cancer. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 5 aluation (earnin& +ut ome: *$!D Question 15 Type: MCSA The nurse is preparing an educational plan for parents a)out how to protect their children if a )ioterrorist attack occurs. 8hat is the )est information to include? 1. F,on.t worry/ the Centers for ,isease Control and -re ention (C,C) has e erything under control.G 2. F-lan to call the Centers for ,isease Control and -re ention (C,C) if an attack occurs.G 3. F@ollow the Centers for ,isease Control and -re ention (C,C) guidelines for immuni;ations.G 4. F<ealistically/ there is nothing that can )e done.G Corre t Ans!er: & "ationa#e 11 (ne of the roles of the Centers of ,isease Control and -re ention (C,C) is to pu)lici;e recommendations for immuni;ations. Telling parents not to worry and that the C,C has e erything under control is non!therapeutic and condescending information. Telling the parents that nothing can )e done is not true/ and would lea e the parents feeling ery powerless. -hone lines to the C,C would )e o erwhelmed during an attack/ so calling them would elicit no information. "ationa#e 21 (ne of the roles of the Centers of ,isease Control and -re ention (C,C) is to pu)lici;e recommendations for immuni;ations. Telling parents not to worry and that the C,C has e erything under control is non!therapeutic and condescending information. Telling the parents that nothing can )e done is not true/ and
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would lea e the parents feeling ery powerless. -hone lines to the C,C would )e o erwhelmed during an attack/ so calling them would elicit no information. "ationa#e 31 (ne of the roles of the Centers of ,isease Control and -re ention (C,C) is to pu)lici;e recommendations for immuni;ations. Telling parents not to worry and that the C,C has e erything under control is non!therapeutic and condescending information. Telling the parents that nothing can )e done is not true/ and would lea e the parents feeling ery powerless. -hone lines to the C,C would )e o erwhelmed during an attack/ so calling them would elicit no information. "ationa#e 41 (ne of the roles of the Centers of ,isease Control and -re ention (C,C) is to pu)lici;e recommendations for immuni;ations. Telling parents not to worry and that the C,C has e erything under control is non!therapeutic and condescending information. Telling the parents that nothing can )e done is not true/ and would lea e the parents feeling ery powerless. -hone lines to the C,C would )e o erwhelmed during an attack/ so calling them would elicit no information. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!& Question 1, Type: MCSA 8hich of the following correctly and completely identifies the items found within the Strategic +ational Stockpile? 1. ?andages/ airway de ices/ and #" supplies 2. Anti)iotics and #" fluids 3. 5mergency e=uipment 4. Anti)iotics/ accines/ and support supplies Corre t Ans!er: % "ationa#e 11 The Strategic +ational Stockpile consists of anti)iotics/ accines/ and support supplies. "ationa#e 21 The Strategic +ational Stockpile consists of anti)iotics/ accines/ and support supplies. "ationa#e 31 The Strategic +ational Stockpile consists of anti)iotics/ accines/ and support supplies. "ationa#e 41 The Strategic +ational Stockpile consists of anti)iotics/ accines/ and support supplies. $#o%a# "ationa#e:
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Co&niti'e (e'e#: <emem)ering C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!& Question 1Type: MCMA Anthra3 is a potential agent of )ioterrorism that +ote1 Credit will )e gi en only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. can )e spread easily/ causing panic and disruption. 2. can cause high mor)idity/ )ut low mortality. 3. is not spread easily/ )ut can cause high mortality. 4. can )e spread easily/ causing moderate mortality. Corre t Ans!er: */% "ationa#e 11 Anthra3 is a category A infectious agent. #t can )e spread easily and cause high mortality/ as well as panic and disruption. "ationa#e 21 Anthra3 is a category A infectious agent. #t can )e spread easily and cause high mortality/ as well as panic and disruption. "ationa#e 31 Anthra3 is a category A infectious agent. #t can )e spread easily and cause high mortality/ as well as panic and disruption. "ationa#e 41 Anthra3 is a category A infectious agent. #t can )e spread easily and cause high mortality/ as well as panic and disruption. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!% Question 1.
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Type: MCSA @ollowing a )ioterrorism attack/ the nurse finds that the ictims are suffering from small/ )lack lesions on their forearms. The nurse identifies this as a symptom most likely caused )y 1. cutaneous anthra3. 2. phosgene gas. 3. gastrointestinal anthra3. 4. hydrogen cyanide. Corre t Ans!er: * "ationa#e 11 Cutaneous anthra3 produces small )lack lesions on the skin. "ationa#e 21 Cutaneous anthra3 produces small )lack lesions on the skin. "ationa#e 31 Cutaneous anthra3 produces small )lack lesions on the skin. "ationa#e 41 Cutaneous anthra3 produces small )lack lesions on the skin. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!$ and *$!0 Question 1/ Type: MCSA 8hich of the following is a key role for the nurse in the e ent of a )ioterrorist attack? 1. Collecting e idence that might lead to the capture of the terrorists 2. -lanning that includes de eloping a list of health and law enforcement contacts 3. -rescri)ing anti)iotics 4. -rescri)ing accines Corre t Ans!er: $ "ationa#e 11 The nurse.s role includes )eing educated/ knowing resources/ diagnosing and treating/ and planning.
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"ationa#e 21 The nurse.s role includes )eing educated/ knowing resources/ diagnosing and treating/ and planning. "ationa#e 31 The nurse.s role includes )eing educated/ knowing resources/ diagnosing and treating/ and planning. "ationa#e 41 The nurse.s role includes )eing educated/ knowing resources/ diagnosing and treating/ and planning. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!$ Question 20 Type: MCSA 8hich of the following would )e most effecti e for the treatment of a person infected with anthra3? 1. Anthra3 accination 2. Atropine 3. Ciproflo3acin 4. Anti iral agents Corre t Ans!er: & "ationa#e 11 Anti)iotics (such as ciproflo3acin) are indicated for the treatment of anthra3. "accinations are useful for pre ention/ while atropine and anti iral agents are not indicated for )acterial infections. "ationa#e 21 Anti)iotics (such as ciproflo3acin) are indicated for the treatment of anthra3. "accinations are useful for pre ention/ while atropine and anti iral agents are not indicated for )acterial infections. "ationa#e 31 Anti)iotics (such as ciproflo3acin) are indicated for the treatment of anthra3. "accinations are useful for pre ention/ while atropine and anti iral agents are not indicated for )acterial infections. "ationa#e 41 Anti)iotics (such as ciproflo3acin) are indicated for the treatment of anthra3. "accinations are useful for pre ention/ while atropine and anti iral agents are not indicated for )acterial infections. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning
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(earnin& +ut ome: *$!0 Question 21 Type: MCSA Atropine would )e most useful for a ictim of )ioterrorism who e3perienced e3posure to 1. ioni;ing radiation. 2. ner e gas. 3. )acterial agents. 4. iral agents. Corre t Ans!er: $ "ationa#e 11 Chemicals in ner e gas cause o erstimulation )y the neurotransmitter acetylcholine. Atropine )locks the attachment of this neurotransmitter to receptor sites. "ationa#e 21 Chemicals in ner e gas cause o erstimulation )y the neurotransmitter acetylcholine. Atropine )locks the attachment of this neurotransmitter to receptor sites. "ationa#e 31 Chemicals in ner e gas cause o erstimulation )y the neurotransmitter acetylcholine. Atropine )locks the attachment of this neurotransmitter to receptor sites. "ationa#e 41 Chemicals in ner e gas cause o erstimulation )y the neurotransmitter acetylcholine. Atropine )locks the attachment of this neurotransmitter to receptor sites. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!B Question 22 Type: MCSA "ictims of a )ioterrorism attack e3perienced initial nausea and omiting followed )y weight loss and e entual thyroid cancer. 8hich of the following was the most likely causati e agent? 1. Chemical agent 2. "iral agent
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3. ?acterial agent 4. #oni;ing radiation Corre t Ans!er: % "ationa#e 11 53posure to radiation causes weight loss and e entual thyroid cancer. "ationa#e 21 53posure to radiation causes weight loss and e entual thyroid cancer. "ationa#e 31 53posure to radiation causes weight loss and e entual thyroid cancer. "ationa#e 41 53posure to radiation causes weight loss and e entual thyroid cancer. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!D Question 23 Type: MCSA 8hich of the following would )e the )est choice for pre enting thyroid cancer in persons e3posed to ioni;ing radiation? 1. -otassium!iodine ta)lets 2. Calcium ta)lets 3. Anti)iotics 4. Salt ta)lets Corre t Ans!er: * "ationa#e 11 -otassiumH! ta)lets are the only recogni;ed therapy for radiation e3posure. "ationa#e 21 -otassium!iodine ta)lets are the only recogni;ed therapy for radiation e3posure. "ationa#e 31 -otassium!iodine ta)lets are the only recogni;ed therapy for radiation e3posure. "ationa#e 41 -otassium!iodine ta)lets are the only recogni;ed therapy for radiation e3posure. $#o%a# "ationa#e:
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Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!D Question 24 Type: MCSA 8hich of the following antidotes would )e indicated for a patient who o erdosed on a )en;odia;epine? 1. Mucomyst 2. ,igi)ind 3. <oma;icon 4. Acetaminophen Corre t Ans!er: & "ationa#e 11 @luma;enil (<oma;icon) is the antidote for )en;odia;epine o erdose. "ationa#e 21 @luma;enil (<oma;icon) is the antidote for )en;odia;epine o erdose. "ationa#e 31 @luma;enil (<oma;icon) is the antidote for )en;odia;epine o erdose. "ationa#e 41 @luma;enil (<oma;icon) is the antidote for )en;odia;epine o erdose. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: -hysiological #ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!* Question 25 Type: MCMA As part of emergency nursing training/ the nurse is re iewing the causes of disasters. 8hich agents can cause potential disasters? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
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1. <adiologic agents 2. +uclear e3plosi es 3. ?iological agents 4. Chemical agents 5. Mechanical agents Corre t Ans!er: */$/&/% "ationa#e 11 -otential disasters can result from radiologic agents. "ationa#e 21 -otential disasters can result from nuclear e3plosi es. "ationa#e 31 -otential disasters can result from )iologic agents. "ationa#e 41 -otential disasters can result from chemical agents. "ationa#e 51 -otential disasters cannot result from mechanical agents. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy;ing C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: Safety and #nfection Control )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!* Question 2, Type: MCMA The nurse is re iewing the components of the Strategic +ational Stockpile (S+S)/ which include Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. intra enous administration e=uipment. 2. anti)iotics. 3. life!support medications. 4. chemical antidotes. 5. hospital )eds.
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Corre t Ans!er: */$/&/% "ationa#e 11 The Strategic +ational Stockpile (S+S)/ a national repository of medical e=uipment/ includes intra enous (#") administration e=uipment. "ationa#e 21 The Strategic +ational Stockpile (S+S)/ a national repository of medical e=uipment/ includes anti)iotics. "ationa#e 31 The Strategic +ational Stockpile (S+S)/ a national repository of medical e=uipment/ includes life! support medications. "ationa#e 41 The Strategic +ational Stockpile (S+S)/ a national repository of medical e=uipment/ includes chemical antidotes. "ationa#e 51 The Strategic +ational Stockpile (S+S)/ a national repository of medical e=uipment/ does not include hospital )eds. $#o%a# "ationa#e: Co&niti'e (e'e#: <emem)ering C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: Safety and #nfection Control )ursin&/*nte&rated Con epts: +ursing -rocess1 Assessment (earnin& +ut ome: *$!$ Question 2Type: MCMA The danger from radiation e3posure arises primarily from Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. the amount of e3posure. 2. the long!lasting effects. 3. the amount of cellular death. 4. the distance from the initial incident. 5. the amount of potassium iodine ingested after e3posure. Corre t Ans!er: */$/&/% "ationa#e 11 <adiation e3posure can cause mass casualty deaths at the point of impact and create residual ioni;ing radiation for miles around the site. Some radioisotopes emit radiation for decades and e en centuries.
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"ationa#e 21 8hen e3posed to large amounts of radiation/ or to small amounts o er many decades/ patients tend to de elop certain malignancies (cellular death) such as leukemia or thyroid cancer. "ationa#e 31 8hen e3posed to large amounts of radiation/ or to small amounts o er many decades/ patients tend to de elop certain malignancies (cellular death) such as leukemia or thyroid cancer. "ationa#e 41 <adiation e3posure can cause mass casualty deaths at the point of impact and create residual ioni;ing radiation for miles around the site. "ationa#e 51 The ingestion of potassium iodine does not contri)ute to the danger of radiation e3posure. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy;ing C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: Safety and #nfection Control )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!0 Question 2. Type: MCMA 8hich of the fi e general principles for treating acute poisoning would the nurse use to treat a patient who was e3posed to an e3ternal chemical agent? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Topical decontamination 2. #ncrease in the rate of e3cretion 3. -re ention of a)sorption 4. +eutrali;ation 5. Antidotes and symptomatic therapy Corre t Ans!er: */% "ationa#e 11 Topical decontamination includes the remo al of contaminated clothing and flushing of the skin or eyes. This would )e appropriate for e3posure to an e3ternal chemical agent. "ationa#e 21 This would )e appropriate for treating an acute poisoning through ingestion. "ationa#e 31 This would )e appropriate for treating an acute poisoning through ingestion.
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"ationa#e 41 Application of an agent to neutrali;e the poison would )e appropriate for an e3posure to an e3ternal chemical agent. "ationa#e 51 Antidotes and symptomatic therapy would not )e indicated for treating an e3ternal chemical agent. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: Safety and #nfection Control )ursin&/*nte&rated Con epts: +ursing -rocess1 #mplementation (earnin& +ut ome: *$!' Question 2/ Type: MCMA 8hich inter entions will the nurse include when planning care to enhance the remo al of poison from a patient who has o erdosed on drugs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Administering acti ated charcoal 2. Monitoring urine output 3. -reparing the patient for dialysis 4. #nserting a nasogastric tu)e 5. -reparing corticosteroids for administration Corre t Ans!er: */$/&/% "ationa#e 11 Charcoal works )y )inding with the poison agent. "ationa#e 21 The patient.s urine output should )e monitored/ noting the characteristics of urine for early identification of rha)domyolysis. "ationa#e 31 The patient might need dialysis for rapid remo al of lethal to3ins. "ationa#e 41 A nasogastric tu)e might )e needed for la age of stomach contents. "ationa#e 51 Corticosteroids are not used to enhance the remo al of poison from the )ody. $#o%a# "ationa#e:
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Co&niti'e (e'e#: Analy;ing C#ient )eed: Safe 5ffecti e Care 5n ironment C#ient )eed Su%: Safety and #nfection Control )ursin&/*nte&rated Con epts: +ursing -rocess1 -lanning (earnin& +ut ome: *$!D

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