ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 73 : Terrorism, Mass Casualty, and Disaster Nursing Questions
Question 1 of 5
A patient is being treated in the ED following a terrorist attack. The patient is experiencing visual disturbances, nausea, vomiting, and behavioral changes. The nurse suspects this patient has been exposed to what chemical agent?
Correct Answer: A
Rationale: Nerve agents cause neurological symptoms like visual disturbances, nausea, and behavioral changes due to acetylcholinesterase inhibition.
Question 2 of 5
A patient is admitted to the ED who has been exposed to a nerve agent. The nurse should anticipate the STAT administration of what drug?
Correct Answer: D
Rationale: Atropine counteracts nerve agent effects by blocking acetylcholine, alleviating hyperstimulation symptoms. Other drugs are for different agents or ineffective.
Question 3 of 5
A patient was exposed to a dose of more than 5,000 rads of radiation during a terrorist attack. The patients skin will eventually show what manifestation?
Correct Answer: D
Rationale: High radiation doses (>5,000 rads) cause skin necrosis within days to months. Lower doses cause erythema or desquamation, and ecchymosis is unrelated.
Question 4 of 5
There has been a radiation-based terrorist attack and a patient is experiencing vomiting, diarrhea, and shock after the attack. How will the patients likelihood of survival be characterized?
Correct Answer: C
Rationale: Symptoms like vomiting, diarrhea, and shock indicate high radiation exposure (>800 rads), making survival improbable due to severe systemic damage.
Question 5 of 5
A 44-year-old male patient has been exposed to severe amount of radiation after a leak in a reactor plant. When planning this patients care, the nurse should implement what action?
Correct Answer: B
Rationale: Radiation damages the hematopoietic system, increasing infection risk, so infection prevention is critical. Alcohol/iodine, hair removal, or immunization checks are not relevant.