WorksheetsCh. 11 Pharm
Total questions: 30
Worksheet time: 8hrs 30mins
1) 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 statements? (SATA)
"The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours."
"Our local hospital is supposed to be stockpiling antibiotics."
"The push package can reach any community within 12 hours of an attack."
"The Strategic National Stockpile is located at the Centers for Disease Control and Prevention (CDC) in Atlanta."
"Our country's drug stockpile is managed by the Centers for Disease Control and Prevention (CDC)."
2) The nurse works for the Centers for Disease Control and Prevention (CDC). In planning for a bioterrorist attack, what will the best plan of the nurse include? (SATA)
Learn the signs and symptoms of chemical and biological agents.
Obtain a listing of health and law enforcement contacts.
Assist in the stockpiling of medications.
Obtain current knowledge of emergency management.
Assist in triage at local hospitals.
3) The patient comes to the emergency department with an anxiety attack. He tells the nurse he heard that there was another anthrax attack in the capitol and is concerned about running out of medications. What is the best response by the nurse?
"You don't need to worry about another attack at all; I think our government can take care of us."
"Your health is in danger due to the anxiety; we really need to focus on reducing your anxiety now."
"The Centers for Disease Control and Prevention (CDC) maintains a large stockpile of medications for us in case that occurs."
"I'm sure the Centers for Disease Control and Prevention (CDC) has contingency plans in the event of an anthrax attack."
4) The nurse is teaching a class on anthrax to a group of emergency response workers. What is the best instruction to include?
Anthrax is a deadly bacterium; the most common and deadly form is gastrointestinal anthrax.
Cutaneous anthrax is the most common form, but inhaled anthrax is the most lethal form.
Anthrax most commonly affects wild rodents such as mice, rats, squirrels, and chipmunks.
Cutaneous anthrax is serious because it quickly spreads by person-to-person contact.
5) The patient has been exposed to anthrax. What treatment will the nurse plan to administer?
Penicillin (Bicillin LA) and vancomycin (Vancocin).
Tetracycline (Sumycin) and erythromycin (Erythrocin).
Ampicillin (Principen) and cefepime (Maxipime).
Ciprofloxacin (Cipro) and doxycycline (Vibramycin).
6) The patient was exposed to cutaneous anthrax 2 weeks ago. What will the nurse see when assessing the patient's skin?
Large pustules, and later, reddish scabs
Small, fluid-filled vesicles, and later, small skin erosions
Ulcerated areas, and later, keloids
Small skin lesions, and later, black scabs
7) The nursing instructor is teaching student nurses about the use of viruses in a bioterrorism attack. The nurse determines that learning has occurred when the students make which statement?
"The Centers for Disease Control and Prevention (CDC) has a plan to vaccinate Americans against most viruses."
"Actually, a bigger concern is a nuclear weapon exploding in a city."
"Most Americans have already been vaccinated against the lethal viruses."
"A bioterrorist attack with viruses is a real threat to Americans."
8) The patient tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse?
"The vaccine has side effects, which are serious and could kill many people."
"I really do not think our country has enough vaccine to do this."
"Don't be so concerned; if an attack comes, we will immunize people then."
"The vaccine has some serious side effects, but this is probably a good idea."
8) A nurse who is presenting community education states, “Drugs are among our most powerful weapons for emergency preparedness.” What additional statements, made by the nurse, would support this statement? (SATA)
“Drugs help us treat the diseases that could be caused by bioterrorism.”
“We can use drugs to neutralize our enemies.”
“If we control the manufacture and distribution of drugs, we will control global politics.”
“Without drugs, we might be quickly overwhelmed by a bioterrorist attack.”
“Drugs can be used in chemical or nuclear attacks.”
10) The patient has been exposed to a nerve agent. For which symptoms will the nurse most likely assess?
Salivation, involuntary urination, and convulsions
Dilated pupils and increased blood pressure and heart rate
Pinpoint pupils, decreased blood pressure, and increased heart rate
Rapid breathing and cold, clammy skin
11) The patient has been exposed to a nerve agent. Which antidote will the nurse plan to administer?
Apomorphine
Atropine
Acetate of ammonia
Hydroxyzine (Vistaril)
12) A small nuclear weapon has been detonated in a nearby city. For which immediate symptoms of radiation sickness will the nurse assess in patients who have been exposed?
Dilated pupils and aggression
Nausea, vomiting, and diarrhea
Weight loss and fatigue
Anorexia and fatigue
13) The nurse administers potassium iodide (KI) tablets to a patient who has been exposed to radiation from a nuclear weapon. What is the rationale for administering potassium iodide (KI) to this patient?
It was administered to prevent thyroid cancer.
It was administered to prevent brain cancer.
It was administered to prevent liver cancer.
It was administered to prevent renal cancer.
14) The nurse conducts a seminar in a local community center on how Americans can be affected by radiation from a nuclear attack. The nurse determines that the education is effective when the patients make which statement?
"I can protect myself from cancers by taking potassium iodide (KI)."
"I need to stay inside my house for at least 2 days after the attack to be safe."
"I need to take at least four showers every day or I will develop skin ulcers."
"I am at risk to develop leukemia as a result of radiation exposure."
15) The nurse is preparing an educational plan for parents about how to protect their children if a bioterrorist attack occurs. What is the best information to include?
“Don't worry, the Centers for Disease Control and Prevention (CDC) has everything under control.”
“Plan to call the Centers for Disease Control and Prevention (CDC) if an attack occurs.”
“Follow the Centers for Disease Control and Prevention (CDC) guidelines for immunizations.”
“Realistically, there is nothing that can be done.”
16) Which of the following correctly and completely identifies the items found within the Strategic National Stockpile (SNS)?
Bandages, airway devices, and IV supplies
Antibiotics and IV fluids
Emergency equipment
Antibiotics, vaccines, and support supplies
17) A nurse presenting information regarding anthrax should include which information? (SATA)
Anthrax can spread easily.
There are three basic types of anthrax.
Anthrax is killed by heat.
The main area affected by inhalation anthrax is the lung periphery.
Anthrax causes disease by the emission of multiple toxins, each affecting a different part of the body.
18) Following a bioterrorism attack, the nurse finds that the victims are suffering from small, black lesions on their forearms. The nurse collaborates with the physician to treat exposure to which agent?
Cutaneous anthrax
Phosgene gas
Gastrointestinal anthrax
Hydrogen cyanide
19) A nurse is planning a discussion of emergency preparedness with newly hired nurses. Which events would this nurse use as historical examples of terrorism? (SATA)
The death of a patient in a Dallas, Texas, hospital was confirmed to be due to the Ebola virus.
Many people died as a result of sarin gas exposure in a Tokyo subway.
Twenty-two confirmed or suspected cases of anthrax infection occurred as a result of the bacillus being sent through U.S. mail.
There is typically a marked increase in overdoses during winter holidays.
More people are contracting H1N1 avian influenza.
20) What would be most effective for the treatment of a person infected with anthrax?
Anthrax vaccination
Atropine
Ciprofloxacin
Antiviral agents
21) Atropine would be most useful for a victim of bioterrorism who experienced exposure to
ionizing radiation.
nerve gas.
bacterial agents.
viral agents.
22) Victims of a bioterrorism attack experienced initial nausea and vomiting followed by weight loss and eventual thyroid cancer. What was the most likely causative agent?
Chemical agent
Viral agent
Bacterial agent
Ionizing radiation
23) What is the best choice for preventing thyroid cancer in persons exposed to ionizing radiation?
Potassium-iodine tablets
Calcium tablets
Antibiotics
Salt tablets
24) Which of the following antidotes would be indicated for a patient who overdosed on a benzodiazepine?
Acetylcysteine (Acetadote)
Digibind
Romazicon
Acetaminophen
25) Notice has been received that smallpox virus was aerosolized at a parade attended by thousands of people. The nurse working in the emergency department explains that the vaccine for this virus provides a high level of protection if given within (a) days of exposure.
26) The nurse is reviewing the components of the Strategic National Stockpile (SNS), which include (SATA)
intravenous administration equipment.
antibiotics.
life-support medications.
chemical antidotes.
hospital beds.
27) The danger from radiation exposure arises primarily from (SATA)
the amount of exposure.
the long-lasting effects.
the amount of cellular death.
the gender of the patient exposed.
the amount of naloxone (Narcan) ingested after exposure.
28) A patient has been received in the emergency department for treatment of poison ingestion. Gastric lavage and placement of activated charcoal has been prescribed. The nurse would withhold this treatment and collaborate with the prescriber if which instances occur? (SATA)
The patient vomits.
The patient becomes unconscious.
The patient discloses that lithium was the drug taken.
Paramedics report that it has been 2 hours since the drug was taken.
The patient begins to pass copious amounts of watery diarrhea.
29) Which interventions will the nurse include when planning care to enhance the removal of poison from a patient who has overdosed on drugs? (SATA)
Administering activated charcoal
Changing pH of urine
Preparing the patient for enemas
Inserting a nasogastric tube
Preparing corticosteroids for administration
30) A patient who has traveled to an area when Ebola is present is hospitalized with fever and malaise. The nurse anticipates this patient will be considered potentially infected for the length of the (a) day incubation period.
