1
NURSING CARE IN BIOCHEMICAL TERRORISM EXAM
WITH REAL TEST QUESTIONS AND ANSWERS 2026 JUST
RELEASED VERSION
I.Biochemical Terrorism
1. nurse is caring for patients exposed to a terrorist attack involving chemicals. The nurse
has been advised that personal protective equipment must be worn in order to five the
highest level of respiratory protection with a lesser level of skin and eye protection. What
level is this considered?
A. Level A
B. Level B
C. Level C
D. Level D
2. A client with suspected inhalation anthrax is admitted to the emergency department.
Which action by the nurse takes the highest priority?
A. Monitor vital signs and oxygen saturation every 15 to 30 minutes
B. Suction the client as needed to obtain a sputum specimen for culture and
sensitivity
C. Assess intake and output and maintain adequate hydration
D. Reassure the client that intubation and mechanical ventilation will be temporary
3. Several clients come to the emergency department with suspected contamination by the
Ebola virus. Which nursing action is not necessary in this situation?
A. Isolate all the suspected clients in the emergency department in one area
B. Call housekeeping for diluted household bleach.
C. Restrict visitors from the emergency department.
D. Quarantine all contacts.
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4. Which of the following Category A diseases does not require contact isolation?
A. Smallpox
B. Tularemia
C. Anthrax
D. Ebola
E. Plague
5. A patient has been exposed to a nerve agent in a biochemical terrorist attack. This type of
agent bonds with acetylcholinesterase, so that acetylcholine is not inactivated. What is the
pathologic effect of this type of agent?
A. Temporary deactivation of the nerve endings
B. Hyperstimulation of the nerve endings
C. Destruction of the nerve endings
D. Binding of the nerve endings
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6. After the return of spontaneous circulation following the resuscitation of a patient who
had a cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse
include in the plan of care?
A. Rewarm if temperature is <91 F (32.8°C).
B. Check mental status every 15 minutes.
C. Apply external cooling devices.
D. Avoid the use of sedative medications
7. 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?
A. Amyl nitrate
B. Atropine
C. Erythromycin
D. Dimercaprol
8. 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
A. Nerve agent
B. Blood agent
C. Vesicant
D. Pulmonary agent
9. The type of chemical agents that do not act within seconds (latency period)
A. Cyanide-based.
B. nerve agents.
C. sulfur mustards.
D. Vesicants.
10. A riverfront community builds a retaining wall to divert flood water away from the town.
Which term describes what has happened?
A. Rapid needs assessment
B. Mitigation
C. A natural disaster
D. Community resilience
11. In natural disasters, what percentage of trapped victims survive up to 6 hours?
A. 80%
B. 60%
C. Less than 50%
D. Greater than 80%
, 4
12. Acts of bioterrorism or natural disasters, such as earthquakes, will often have more
casualties because:
A. Those with chronic conditions cannot escape in time
B. Victims have little time to make evacuation preparations
C. They cause the most widespread destruction
D. The early warning systems are not effective
13. Which signs/symptoms should the nurse assess in the client who has been exposed to the
anthrax bacillus via the skin?
A. A scabby, clear fluid-filled vesicle
B. Tiny purple spots flush with the surface of the skin
C. Irregular brownish-pink spots around the hairline
D. Edema, pruritus, and a 2-mm ulcerated vesicle
14. A suspected outbreak of anthrax has been transmitted by skin exposure. A client is
admitted to the ED with lesions on the hands. The physician prescribes antibiotics and
send the client home. Which home instruction is the least important?
A. Expect the skin lesions to clear up within 1-2 weeks
B. Wash hands frequently
C. Avoid contact with other members of the family during the treatment period
D. Take the prescribed antibiotics for 60 days
15. Which of the following is considered an internal disaster?
A. A tornado that has touched down on the healthcare facility
B. An act of bioterrorism in a nearby factory
C. A massive train accident that brings victims to your facility
D. A severe cyclone that has destroyed nearby homes
16. A group of military nurses are reviewing the care of victims of biochemical terrorist
attacks. The nurses should identify what agents is having the shortest latency?
A. Blood agents
B. Pulmonary agents
C. Viral agents
D. Nerve agents
17. Community preparedness is being used to plan for a disaster. Which of the following tasks
is being implemented?
A. Taking a disaster training course
B. Understanding the workplace disaster plan
C. Assembling emergency supplies
D. Developing an evacuation plan to remove individuals from danger
NURSING CARE IN BIOCHEMICAL TERRORISM EXAM
WITH REAL TEST QUESTIONS AND ANSWERS 2026 JUST
RELEASED VERSION
I.Biochemical Terrorism
1. nurse is caring for patients exposed to a terrorist attack involving chemicals. The nurse
has been advised that personal protective equipment must be worn in order to five the
highest level of respiratory protection with a lesser level of skin and eye protection. What
level is this considered?
A. Level A
B. Level B
C. Level C
D. Level D
2. A client with suspected inhalation anthrax is admitted to the emergency department.
Which action by the nurse takes the highest priority?
A. Monitor vital signs and oxygen saturation every 15 to 30 minutes
B. Suction the client as needed to obtain a sputum specimen for culture and
sensitivity
C. Assess intake and output and maintain adequate hydration
D. Reassure the client that intubation and mechanical ventilation will be temporary
3. Several clients come to the emergency department with suspected contamination by the
Ebola virus. Which nursing action is not necessary in this situation?
A. Isolate all the suspected clients in the emergency department in one area
B. Call housekeeping for diluted household bleach.
C. Restrict visitors from the emergency department.
D. Quarantine all contacts.
,2
4. Which of the following Category A diseases does not require contact isolation?
A. Smallpox
B. Tularemia
C. Anthrax
D. Ebola
E. Plague
5. A patient has been exposed to a nerve agent in a biochemical terrorist attack. This type of
agent bonds with acetylcholinesterase, so that acetylcholine is not inactivated. What is the
pathologic effect of this type of agent?
A. Temporary deactivation of the nerve endings
B. Hyperstimulation of the nerve endings
C. Destruction of the nerve endings
D. Binding of the nerve endings
,3
6. After the return of spontaneous circulation following the resuscitation of a patient who
had a cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse
include in the plan of care?
A. Rewarm if temperature is <91 F (32.8°C).
B. Check mental status every 15 minutes.
C. Apply external cooling devices.
D. Avoid the use of sedative medications
7. 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?
A. Amyl nitrate
B. Atropine
C. Erythromycin
D. Dimercaprol
8. 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
A. Nerve agent
B. Blood agent
C. Vesicant
D. Pulmonary agent
9. The type of chemical agents that do not act within seconds (latency period)
A. Cyanide-based.
B. nerve agents.
C. sulfur mustards.
D. Vesicants.
10. A riverfront community builds a retaining wall to divert flood water away from the town.
Which term describes what has happened?
A. Rapid needs assessment
B. Mitigation
C. A natural disaster
D. Community resilience
11. In natural disasters, what percentage of trapped victims survive up to 6 hours?
A. 80%
B. 60%
C. Less than 50%
D. Greater than 80%
, 4
12. Acts of bioterrorism or natural disasters, such as earthquakes, will often have more
casualties because:
A. Those with chronic conditions cannot escape in time
B. Victims have little time to make evacuation preparations
C. They cause the most widespread destruction
D. The early warning systems are not effective
13. Which signs/symptoms should the nurse assess in the client who has been exposed to the
anthrax bacillus via the skin?
A. A scabby, clear fluid-filled vesicle
B. Tiny purple spots flush with the surface of the skin
C. Irregular brownish-pink spots around the hairline
D. Edema, pruritus, and a 2-mm ulcerated vesicle
14. A suspected outbreak of anthrax has been transmitted by skin exposure. A client is
admitted to the ED with lesions on the hands. The physician prescribes antibiotics and
send the client home. Which home instruction is the least important?
A. Expect the skin lesions to clear up within 1-2 weeks
B. Wash hands frequently
C. Avoid contact with other members of the family during the treatment period
D. Take the prescribed antibiotics for 60 days
15. Which of the following is considered an internal disaster?
A. A tornado that has touched down on the healthcare facility
B. An act of bioterrorism in a nearby factory
C. A massive train accident that brings victims to your facility
D. A severe cyclone that has destroyed nearby homes
16. A group of military nurses are reviewing the care of victims of biochemical terrorist
attacks. The nurses should identify what agents is having the shortest latency?
A. Blood agents
B. Pulmonary agents
C. Viral agents
D. Nerve agents
17. Community preparedness is being used to plan for a disaster. Which of the following tasks
is being implemented?
A. Taking a disaster training course
B. Understanding the workplace disaster plan
C. Assembling emergency supplies
D. Developing an evacuation plan to remove individuals from danger
