Forensic Science Final Exam 79 Questions with Verified Answers
Disaster - CORRECT ANSWER Any event that causes a level of destruction, death, or injury
... [Show More] that affects the abilities of the community to respond to the incident using available resources
Emergency - CORRECT ANSWER Occurs at a personal level. The person, family, and/or community can mange the event with their own resources.
Mass casualty - CORRECT ANSWER 100 or more individuals are involved
Multiple casualty - CORRECT ANSWER Between 2 and <100 individuals are involved
Displaced person - CORRECT ANSWER Have had to evacuate their home, school, or business as a result of a disaster
Refugee - CORRECT ANSWER Groups of people who have fled their country or home as a result of famine, drought, natural disaster, war or civil unrest.
NA-TECH disaster - CORRECT ANSWER A a natural disaster that creates or results in a widespread technological problem
Bioterrorism - CORRECT ANSWER The unlawful use of force and or violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives
Identify the group who is responsible to assure the safety and welfare of a community?
A. Local Government
B. State Government
C. Federal Government
D. Federal Emergency Management Agency - CORRECT ANSWER A
Identify the agency responsible to create a community disaster plan, carry out an emergency drill to determine effectiveness of the plan, and determine appropriate response time?
A. State's Disaster Office
B. FEMA
C. Local Office of Emergency Management
D. the Red Cross - CORRECT ANSWER c
Identify when a disaster plan should be developed
A During a disaster
B After a disaster
C Plans are a waste of time
D Before a disaster occurs - CORRECT ANSWER D
Identify the questions asked during the "1 minute disaster triage."
A Are you bleeding? Do you need help?
B What do you need me to do for you?
C What do you remember about this disaster?
D Who are you? Are you hurt? - CORRECT ANSWER D
Disasters and emergencies are handled at the highest possible organizational and jurisdictional level.
True
False - CORRECT ANSWER False
A nurse was triaging a victim after a car ran into a crowd of people. The victim was a senior female lying on the ground with severe leg pain and light-headedness. She was able to answer questions. Her RR was 24, pulse bounding at 120. Her left leg was deformed with a open wound and a bone sticking out. There was evidence of bleeding, identify the colored tag you would place on her shirt:
A. Place a green tag on her shirt, she can wait to be seen
B. Put a yellow tag on her shirt, she needs to be transported to a medical facility for care
C. Put a black tag on her shirt, there are many more pressing issues to attend
D. Put a green tag on her shirt, tell her to wrap her sleeve around the open wound and walk to the staging area. - CORRECT ANSWER B
Local office of Emergency Management - CORRECT ANSWER is responsible to develop a community disaster plan, have emergency drills to test the plan, and determine the proper response.
Department of Homeland Security - CORRECT ANSWER Prevention, Protection, Mitigation, Response, and Recovery
National Incident Management System (NIMS) - CORRECT ANSWER Provides a systematic, proactive approach for all levels of governmental and nongovernmental agencies to work seamlessly to prevent, protect against, respond to, recover from, and prevent the effects of disasters.
Federal Emergency Management Association (FEMA) - CORRECT ANSWER Mission is to support citizens and first responders to ensure that, as a nation, everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all hazards.
American Red Cross (ARC) - CORRECT ANSWER Though chartered by Congress to provide disaster relief, is not a government agency. Primarily a volunteer organization
Heroic phase - CORRECT ANSWER Everyone feels the need to rush to help people survive the disaster.
Honeymoon phase - CORRECT ANSWER Individuals who have survived the disaster gather together with others who have simultaneously experienced the same event. Bonds are formed between victims, between health care workers, and between victims and health care workers who have shared experiences.
Disillusionment Phase - CORRECT ANSWER When time has elapsed and a delay in receiving help or failure to receive the promised aid has not occurred, feelings of despair occur. Depression may set in.
Reconstruction Phase - CORRECT ANSWER Once the community has restored some of the buildings, businesses, homes and services, and some sense of normalcy is occurring, feelings of despair will subside. Counseling support for victims and helpers may need to be initiated to help people to recover.
Kate Johnson is a client at your clinic. Kate is dressed in basketball shorts and a loose shirt. After you bring Kate back to the exam room, what question would be most important to ask?
A. What brings you in today?
B. What is your preferred name and what are your preferred pronouns?
C. What gender do you most identify with right now?
D. When was your last menstrual period? - CORRECT ANSWER B
John Robinson is a client at your clinic. John tells you to call him "Jay" and you should use gender neutral pronouns. Select the answer that reflects understanding of the client's preferences.
A. Jay Robinson is a client in room 10. He is asking for his labs to be drawn today.
B. John Robinson is a client in room 10. They are asking for their labs to be drawn today.
C. John Robinson, who goes by Jay, is a client in room 10 who is here alone today. They are asking for their labs to be drawn today.
D. John or Jay Robinson is a client in room 10. She is asking for her labs to be drawn today. - CORRECT ANSWER C
Based on your knowledge of health issues that are more prevalent in the transgender community compared to the general population, what types of education or screening would be most appropriate to include in the care plan for a transgender patient?
1. Screening and Support for Anorexia and/or Bulimia
2. Healthy Eating and Physical Activity to prevent/treat Morbid Obesity
3. Prevention and Screening for HIV - CORRECT ANSWER 1 & 3
Which of the following is an intervention that the nurse can do to advocate for access to care for the transgender population?
A. Volunteer at a free clinic downtown
B. Write to policy makers in the state to include the care of transgender individuals more completely in health insurance plans
C. Hand out brochures about health promotion for the LGBTQ+ community
D. Give patients who are transgender the phone number for a transgender crisis hotline - CORRECT ANSWER B
Select the set of socioeconomic factors that might inhibit an LGBTQ+ patient from getting care.
A. Homelessness, chronic illness, discrimination
b. Lack of adequate insurance coverage, distrust in the healthcare system
c. Substance abuse, lack of transportation, proximity of healthcare services
D. Lack of understanding about health issues, substance abuse, homelessness - CORRECT ANSWER b
Which of the following tests would you expect the provider to order for a client who identifies as a transgender woman and has not been seen in the clinic for over a year?
1. Pap Smear
2. HIV Screening
3. Prostate exam - CORRECT ANSWER 2 & 3
A nurse is administering variola vaccine in response to a pox outbreak. The nurse knows the vaccine must be given?
1. Before exposure
2. immediately after exposure
3. Up to 3 days after exposure
4. the variola vaccine does not protect against smallpox - CORRECT ANSWER 3
Smallpox has been eradicated since which year?
1. 1949
2. 1977
3. 1912
4. 1886 - CORRECT ANSWER 2. 1977
a patient presents to a clinic with a rash and fluid blisters.
Which assessment finding could indicate smallpox?
A. the rash and blisters originated in the mouth and throat
B. The patient recently traveled to Sub-Saharan Africa
C. the patient has a slow progression of the rash
D. the patient has not received their varicella vaccine - CORRECT ANSWER A
A group of passengers enters the ED with complaints of cough, tightness in the throat, and extreme periorbital swelling. There is a strong odor exuding from their clothes. They reported exposure to a "gas bomb" that was placed in the bus terminal. What is the priority action?
A. Readily transfer clients and visitors from the area
B. check vital signs and auscultate lung sounds
C. Assist clients in the decontaminated area
D. Direct clients to the cold or clean zone for immediate treatment - CORRECT ANSWER C
A community health nurse is conducting a teaching session about terrorism with members of the community and discussing information regarding anthrax. The nurse tells those attending that anthrax can be transmitted via which route (select all that apply).
A. Skin
B. kissing
C. inhalation
D. Gastrointestinal
E. direct contact with an infected individual
F. sexual contact with an infected individual - CORRECT ANSWER a, c, d
Which of the following are primary prevention strategies for Ebola? (select all that apply)
A. ebola vaccine (Ervebo)
B. Hand washing
C. symptom monitoring
D. RT-PCT-test - CORRECT ANSWER A, B
Which of the following is the correct treatment for Ricin?
A. epinephrine
B. Ricin vaccine
C. no antidote available
d. High-dose steroids - CORRECT ANSWER c
Which of the following symptoms would the nurse not expect to see in a patient that just ingested ricin?
A. Vomiting
B. diarrhea
C. seizures
D. high blood pressure - CORRECT ANSWER High Blood pressure
The most common/chronic school aged health condition, treated by a school nurse, is
Obesity
ADD
Ashtma
Heart disease - CORRECT ANSWER asthma
Identify the category of medications administered most often in a school setting.
Anti-diarrheal
Anti-pyretics
Antacids
Antitussives
Anticonvulsants
Antifungal
Attention-deficit hyperactivity disorder (ADHD) medications
Antibiotics
Antihistamines - CORRECT ANSWER Attention-deficit hyperactivity disorder (ADHD) medications
1840 - CORRECT ANSWER Rhode Island passed the first law regarding mandatory education for children
1850 - CORRECT ANSWER Shattuck Report - proposed that health education was a vital component in the prevention of disease
1870 - CORRECT ANSWER Small pox vaccination required in New York Schools
1902 - CORRECT ANSWER First school nurses hired in New York City
1946-National School Lunch Program - CORRECT ANSWER First entry of the federal government into school health programs
Public Law 99-142 (1976) - CORRECT ANSWER The right to a public education in the least restrictive environment possible regardless of mental or physical disability.
1966 - CORRECT ANSWER Drug Free Schools & Communities Act
2001 - CORRECT ANSWER No Child Left Behind
Which of the following is one of the most frequent health complaints of school aged children.
Headache
Dental pain
Stomach ache
Coughing - CORRECT ANSWER Dental pain
Identify the health problem that has been significantly reduced by Public Health efforts.
Tooth decay
Asthma
Noro virus
Vaccine preventable contagious diseases - CORRECT ANSWER Vaccine preventable contagious diseases
Identify the service included in Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) that might not be routinely included in a typical private physician preschool physical?
Lead screening
Laboratory testing
Physical exam
Comprehensive developmental and health history
Immunizations - CORRECT ANSWER lead screening
Penelope a 7-year-old came to the school nurse's office with unclear complaints, but it seemed as if the child needed someone to listen to her. The challenge was, the 7 year old took at least 10-15 minutes every day of the nurses time. How should the nurse handle this situation?
Ask the school secretary to meet with the child daily to discuss concerns
Tell the teacher that she should only allow the child to visit for obvious illness symptoms (i.e., fever, diarrhea, coughing, vomiting)
Call the parents and ask them to take the child in for a physical
Continue to share your time with the child, carefully listening for underlying issues - CORRECT ANSWER Continue to share your time with the child, carefully listening for underlying issues
According to the nurse practice act, a nurse is not allowed to delegate 4 areas of his/her practice. - CORRECT ANSWER 1.Assessments
2.Diagnosis
3.Goal setting
4.Evaluation
As a nurse, in order to delegate medication administration the nurse must provide the following: - CORRECT ANSWER appropriate education
Written procedures
Ongoing supervision and evaluation of the caregivers for tasks delegated to others
Identify key practice areas in Occupational Health Nursing (remember to select the best response).
Improving worker productivity by the management of substance abuse and creating anti-smoking policies
Cost containment
Elimination of Workers Compensation Claims
Encourage correct use of health care services
Health promotion & prevention, assessment for health hazards, provision of primary care & case management - CORRECT ANSWER Health promotion & prevention, assessment for health hazards, provision of primary care & case management
Identify the governmental agency that an occupational health nurse can contact when he/she has questions r/t personal protective equipment that employees should have access to, but plant management refuses to purchase, due to cost.
National Institute for Occupational Safety and Health (NIOSH)
Environmental Protection Agency (EPA
Civil Rights Commission
Occupational Health and Safety Administration (OSHA)
Vocational Rehabilitation Administration - CORRECT ANSWER Occupational Health and Safety Administration (OSHA)
Ergonomics - CORRECT ANSWER Adaptation of the work site to the worker to establish the best "fit" between the human and the job conditions to maximize health and well-being is
American's with Disabilities Act (1990) - CORRECT ANSWER Employers must make "reasonable accommodations" to enhance opportunities for individuals with disabilities; prohibits discrimination on the basis of disability.
Occupational Safety and Health Adminstration (OSHA) - CORRECT ANSWER Determines and sets standards for hazardous exposure in the workplace (hazardous chemicals, blood borne pathogens, fork life safety, noise exposure, etc.), does not engage in reserach
National Institute for Occupational Safety and Health (NIOSH) - CORRECT ANSWER A research agency focused on the study of worker safety and health, and empowering employers and workers to create safe and healthy workplaces.
Workers' Compensation Acts (state based) - CORRECT ANSWER Provide income replacement and health care to workers who sustain a work-related injury, temporary or permanent disability, or death.
Identify the level of prevention an Occupational Health Nurse engages in when he conducts a "walk through".
Primordial
Primary
Secondary
Tertiary - CORRECT ANSWER Primary
An Occupational Health nurse may struggle with an ethical dilemma as a result of (remember - choose the best answer)
Loyalty to the workers
Loyalty to managment
The challenge to balance the needs of workers and the needs of management
A desire to keep everyone happy - CORRECT ANSWER The challenge to balance the needs of workers and the needs of management
Identify the entity most responsible for creating change in alternative health care delivery approaches.
Corporations
State legislators
Consumers
Health care professionals - CORRECT ANSWER Corporations
An ER nurse was working with a client who had been raped and beaten. Identify the specific duties of a forensic nurse.
a. Remain with the client while a physical exam is performed.
b. Share, verbatim with the police officer, what the client had shared regarding the incident.
c. Tell the victim how sorry you are that this has happened to her.
d. Begin by correctly collecting, preserving, and following chain of custody protocol when handling evidence, also follow documentation guidelines. - CORRECT ANSWER d
A forensic nurse examiner was just elected as county coroner. Identify the skill sets an nurse brings to this role when compared to other professionals.
A. Legal knowledge
B. An ability to testify in court
C. Empathy & is a skilled communicator.
D. A vast knowledge of medical conditions - CORRECT ANSWER C
The National Association of Medical Examiners (NAME) identifies five acceptable options for recording the way someone died, all of the following are correct, except.
A. Natural
B. Unknown
C. Suicide
D. Homicide
E. Accident
F. Undetermined - CORRECT ANSWER B
A forensic nurse has many responsibilities, and include all of the following, except.
A. Screening
B. Assessing and collecting evidence from both the perpetrator and victim
C. Documentation and expert testimony
D. Involvement in paternity disputes
E. Death resulting from medical equipment defect
F. Providing security - CORRECT ANSWER F
Forensic - CORRECT ANSWER legal
minimum standard of care for all clients - CORRECT ANSWER violence screening
Forensic Nursing - CORRECT ANSWER combines nursing, science, forensic science, medical science, sociology and psychology with law enforcement and the criminals justice system
nurses primary goal in correctional facility - CORRECT ANSWER safety and security
Sane - CORRECT ANSWER collects forensic evidence related to a reported crime and frequently testifies as a witness at subsequent trails
Forensic Nurse death investigator - CORRECT ANSWER evaluates the death scene from a holistic nursing perspective
Nurse coroner - CORRECT ANSWER responsible for ensuring that appropriate measures were taken to perform death investigations and certify death certificates
Legal nurse consultant - CORRECT ANSWER Reviews and interprets medical records/charts
Nurse attorney - CORRECT ANSWER often involved in malpractice cases
Pediatric Forensic Nurse examiner - CORRECT ANSWER often need to observe a Childs appearance and behavior and how the child interacted with other children and adults
Forensic psychiatric Nurse examiner - CORRECT ANSWER focuses on intent and diminished capacity
correctional nurses - CORRECT ANSWER primary focus is on safety and security [Show Less]