Ch. 26 Zerwekh Emergency Preparedness Questions
And Correct Answers
A nurse manager is educating a group of nurses on biological agents that do
not have a chemoprophylaxis therapy and only allows for the nurse to provide
supportive care. The manager judges the teaching to be effective when the
nurses can state:
a."Anthrax is one of these biological agents."
b."The plague is one of these biological agents."
c."Smallpox is one of these biological agents."
d."Botulism is one of these biological agents."
ANS: D
Botulism is the only CDC Level A biological agent that has no known therapy or
treatment. Because of the toxin that is released from the bacterium, there is
methodology known to minimize or reduce the activation and metabolism of the toxin
that causes flaccid paralysis within the patient. Standard isolation precautions are
used for anthrax. Plague can be treated with antibiotics and droplet isolation
precautions. For smallpox, droplet precautions are recommended, especially if pocks
develop outside the buccal cavity.
A nursing professor is educating students on nerve agents. The nursing
professor judges teaching to be effective when one of students states:
a."Sarin gas is a chemical agent that is classified as a nerve agent."
b."Mustard gas is a chemical agent that is classified as a nerve agent."
c."Ricin is a chemical agent that is classified as a nerve agent." d."Chlorine
gas is a chemical agent that is classified as a nerve agent."
ANS: A
Sarin gas is an organophosphate ester classified under nerve agents. The nerve
agents inhibit the
uptake of acetylcholine. Mustard gas is classified as a vesicating (skin) agent. Ricin
is a
biological agent. Chlorine gas is classified as a choking agent.
, The nurse has an adequate understanding of phosgene gas when stating
which of the following?
a."Phosgene gas smells like bleach."
b."Phosgene gas smells like fresh cut grass."
c."Phosgene gas smells like almonds."
d."Phosgene gas smells like rotting fruit."
ANS: B
The residue from the choking agent known as phosgene gas on the clothes or skin
of an affected patient has the distinct odor of freshly cut grass. Chlorine gas has
been described as smelling like bleach. Cyanide gas has been described as smelling
like almonds. VX gas has been described as smelling like Vicks VapoRub or rotting
fruit.
A public health nurse is giving a presentation on the recovery stage of a
disaster to a group of nursing managers. The teaching has been effective
when one of the nurse managers states:
a."The recovery stage deals with operations that occur after the disaster."
b."The recovery stage deals with operations during a disaster."
c."The recovery stage deals with operations before a disaster."
d."The recovery stage involves the process of dealing with disasters."
ANS: A
The recovery mode of a disaster deals with operations that occur after the disaster.
During the recovery stage, the nurse may be confronted with unexpected or sudden
loss of key personnel, patients, and the management of mental health issues related
to the disaster. The preparedness mode of a disaster deals with operations done
before a disaster. The response mode of a disaster deals with operations during a
disaster.
Which of the following represents a Level II disaster?
a.A building collapse that fills the local emergency room with patients.
b.A freeway accident that involves multiple vehicles.
c.Flooding of a three-state area affecting food and water resources.
d.Earthquake that destroys homes and transportation facilities.
ANS: A
Level II disasters require the community health nurse to respond in a greater
capacity using larger casualty practices in coordination with regional response
And Correct Answers
A nurse manager is educating a group of nurses on biological agents that do
not have a chemoprophylaxis therapy and only allows for the nurse to provide
supportive care. The manager judges the teaching to be effective when the
nurses can state:
a."Anthrax is one of these biological agents."
b."The plague is one of these biological agents."
c."Smallpox is one of these biological agents."
d."Botulism is one of these biological agents."
ANS: D
Botulism is the only CDC Level A biological agent that has no known therapy or
treatment. Because of the toxin that is released from the bacterium, there is
methodology known to minimize or reduce the activation and metabolism of the toxin
that causes flaccid paralysis within the patient. Standard isolation precautions are
used for anthrax. Plague can be treated with antibiotics and droplet isolation
precautions. For smallpox, droplet precautions are recommended, especially if pocks
develop outside the buccal cavity.
A nursing professor is educating students on nerve agents. The nursing
professor judges teaching to be effective when one of students states:
a."Sarin gas is a chemical agent that is classified as a nerve agent."
b."Mustard gas is a chemical agent that is classified as a nerve agent."
c."Ricin is a chemical agent that is classified as a nerve agent." d."Chlorine
gas is a chemical agent that is classified as a nerve agent."
ANS: A
Sarin gas is an organophosphate ester classified under nerve agents. The nerve
agents inhibit the
uptake of acetylcholine. Mustard gas is classified as a vesicating (skin) agent. Ricin
is a
biological agent. Chlorine gas is classified as a choking agent.
, The nurse has an adequate understanding of phosgene gas when stating
which of the following?
a."Phosgene gas smells like bleach."
b."Phosgene gas smells like fresh cut grass."
c."Phosgene gas smells like almonds."
d."Phosgene gas smells like rotting fruit."
ANS: B
The residue from the choking agent known as phosgene gas on the clothes or skin
of an affected patient has the distinct odor of freshly cut grass. Chlorine gas has
been described as smelling like bleach. Cyanide gas has been described as smelling
like almonds. VX gas has been described as smelling like Vicks VapoRub or rotting
fruit.
A public health nurse is giving a presentation on the recovery stage of a
disaster to a group of nursing managers. The teaching has been effective
when one of the nurse managers states:
a."The recovery stage deals with operations that occur after the disaster."
b."The recovery stage deals with operations during a disaster."
c."The recovery stage deals with operations before a disaster."
d."The recovery stage involves the process of dealing with disasters."
ANS: A
The recovery mode of a disaster deals with operations that occur after the disaster.
During the recovery stage, the nurse may be confronted with unexpected or sudden
loss of key personnel, patients, and the management of mental health issues related
to the disaster. The preparedness mode of a disaster deals with operations done
before a disaster. The response mode of a disaster deals with operations during a
disaster.
Which of the following represents a Level II disaster?
a.A building collapse that fills the local emergency room with patients.
b.A freeway accident that involves multiple vehicles.
c.Flooding of a three-state area affecting food and water resources.
d.Earthquake that destroys homes and transportation facilities.
ANS: A
Level II disasters require the community health nurse to respond in a greater
capacity using larger casualty practices in coordination with regional response
