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 suffering from blast lung has been admitted to the hospital and is exhibiting signs and symptoms of an air embolus. What is the nurses most appropriate action?
Correct Answer: C
Rationale: Prone left lateral positioning prevents air embolus migration in blast lung, requiring urgent hyperbaric treatment. Other actions exacerbate the condition.
Question 2 of 5
A patient has been admitted to the medical unit with signs and symptoms that are suggestive of an anthrax infection. The nurse should anticipate what intervention?
Correct Answer: C
Rationale: Penicillin is the primary treatment for anthrax, a bacterial infection. Acyclovir, HSCT, and dialysis are not indicated.
Question 3 of 5
The ED staff has been notified of the imminent arrival of a patient who has been exposed to chlorine. The nurse should anticipate the need to address what nursing diagnosis?
Correct Answer: A
Rationale: Chlorine, a pulmonary agent, disrupts alveolar-capillary oxygen transport, causing impaired gas exchange. Other diagnoses are secondary or unlikely.
Question 4 of 5
The nursing supervisor at the local hospital is advised that your hospital will be receiving multiple trauma victims from a blast that occurred at a local manufacturing plant. The paramedics call in a victim of the blast with injuries including a head injury and hemorrhage. What phase of blast injury should the nurse expect to treat in this patient?
Correct Answer: A
Rationale: Head injuries and hemorrhage are characteristic of the primary blast phase, caused by the pressure wave. Other phases involve different mechanisms.
Question 5 of 5
A nurse has had contact with a patient who developed smallpox and became febrile after a terrorist attack. This nurse will require what treatment?
Correct Answer: C
Rationale: Vaccination within 4 days of smallpox exposure prevents infection in contacts. Waiting, CSFs, or antibiotics are ineffective.