TB NCLEX Questions
The nurse prepares educational material on the development of tuberculosis for a group of new nurses. In which order should the nurse explain the disease process develops? - (1) WBCs surround bacteria - (2)Tubercle forms and caseous necrosis occurs -(3)Droplet nuclei enter the lungs and the bacteria multiply -(4)Scar tissue forms around tubercle and the lesion calcifies -(5)Mycobacterium tuberculosis in droplet nuclei enter the air
5, 3, 1, 2, 4,
As the nurse reviews the history of a client admitted in labor, the nurse notes that the client has inactive tuberculosis. Which should the nurse include in the plan of care for this client? A. The client will be allowed to breastfeed the infant. B. Once delivered, the infant will be placed on prophylactic treatment. C. Direct contact should be avoided until the client is noninfectious. D. Pharmacologic therapy for the client should be initiated immediately.
Answer: A
The nurse is assessing a client with tuberculosis. Which should the nurse focus on during this assessment? (Select all that apply.) A. Presence of cough B. Difficulty breathing C. Skin color D. Carbon dioxide level E. Nasal congestion
Answer: A, B, C
The nurse is reviewing data collected during the assessment of a client with tuberculosis. Which nursing diagnosis should the nurse select for this client? (Select all that apply.) A. Infection, Risk for B. Health: Community, Deficient C. Resilience, Impaired D. Fatigue E. Resilience, Impaired
Answer: A, B, C, D
The nurse instructs a client with tuberculosis on prescribed medication. Which finding should the nurse instruct the client to report to the healthcare provider? (Select all that apply.) A. Yellow tint to sclera B. Sudden weight gain C. Hemoptysis D. Orange tint to sweat E. Chest pain
Answer: A, B, C, E
The nurse in a community clinic is asked to determine which clients require tuberculosis testing. Which individual should the nurse recommend for this screening? (Select all that apply.) A. An individual with close contacts who already have or are suspected to have tuberculosis B. An individual who is a resident or staff member of a long-term residential facility C. An individual who had the bacille Calmette-Guérin (BCG) vaccine D. An individual that has had PPD E. An individual infected with HIV or at high risk for HIV infection
Answer: A, B, E
The nurse is caring for a child diagnosed with tuberculosis infection. Which risk factor should the nurse identify that would greatly increase the risk for progression to disease? (Select all that apply.) A. Presence of HIV infection B. Genetic factors C. Age less than 2 years D. Virulence of the organism E. Magnitude of the infection
Answer: A, C
The nurse instructs a client with tuberculosis on the medication rifampin. Which client statement indicates teaching has been effective? (Select all that apply.) A. "I should take rifampin on an empty stomach." B. "I need to monitor my vision daily by reading a newspaper." C. "I should not take aspirin while I am taking rifampin." D. "I should not be frightened if my urine changes to an orange-red color; it is a normal side effect." E. "I need to take pyridoxine (vitamin B6) along with the rifampin."
Answer: A, C, D
The nurse is preparing teaching for a client newly diagnosed with tuberculosis. Which drug generally used in initial treatment should the nurse include in the session? (Select all that apply.) A. Isoniazid B. Amikacin C. Pyrazinamide D. Rifampin E. Ethambutol
Answer: A, C, D, E
The nurse is providing care to a client who has been diagnosed with tuberculosis. Which diagnostic test should the nurse expect to be prescribed prior to initiating antibiotic treatment? (Select all that apply.) A. Polymerase chain reaction (PCR) B. Intradermal PPD (Mantoux) test C. Sputum culture D. Tine test E. Sputum smear
Answer: A, C, E
The nurse is preparing a plan of care for a client diagnosed with tuberculosis. Which goal and outcome should the nurse identify for this client? (Select all that apply.) A. The client will demonstrate behaviors that reduce the risk of spreading the disease to others. B. The client with active tuberculosis complies with prescribed therapies, symptoms resolve, and chest x-rays improve. C. The client with latent infection completes therapy and does not develop active tuberculosis. D. The client will have the resources necessary to obtain required supplies and medications. E. The client will articulate required treatment and follow-up care.
Answer: A, D, E
An older adult client experiencing a cough, hemoptysis, night sweats, anorexia, and weakness reports being told of having tuberculosis when younger. Which reason should the nurse suspect is responsible for the client's current symptoms? A. New-onset tuberculosis B. Reactivation tuberculosis C. Skeletal tuberculosis D. Dormant tuberculosis
Answer: B
The nurse is planning care for a client who is homeless. The client is prescribed four drugs to treat tuberculosis. Which action should the nurse take to ensure compliance with this medication therapy? (Select all that apply.) A. Ask the healthcare provider to consider hospitalizing the client for initial treatment to ensure compliance. B. Work collaboratively with other healthcare team members to identify barriers or challenges. C. Tailor teaching concerning the drugs to the needs of the client. D. Assess the client's understanding of the disease process, and identify misperceptions and emotional reactions. E. Reduce the number of drugs and the duration of taking the medicine to accommodate the client's transient situation.
Answer: B, C, D
The nurse suspects that a client is at risk for tuberculosis. Which risk factor should the nurse assess in this client? (Select all that apply.) A. Sharing clothes with an infected individual B. Living in a poorly ventilated environment C. Using injection drugs D. Being an immigrant to the United States E. Having a compromised immune system
Answer: B, C, D, E
The infection control nurse is teaching the staff at a long-term care facility after a recent outbreak of tuberculosis. Which element of infection control should the nurse include in the teaching? (Select all that apply.) A. Implementation of universal screening B. Use of airborne precautions C. Treatment of clients with suspected or confirmed disease D. Administration of the bacille Calmette-Guérin (BCG) vaccine to residents E. Identification of infected individuals
Answer: B, C, E
The nurse is identifying interventions for a client with tuberculosis. Which nursing intervention should the nurse identify to address the risk of infecting others? (Select all that apply.) A. Providing verbal and written instructions about when to take the medications B. Informing all personnel who have contact with the client of the diagnosis C. Teaching the client how to avoid transmitting the disease to others D. Assessing self-care abilities and support systems E. Teaching the client why it is important to comply with prescribed treatments for the whole course of therapy
Answer: B, C, E
The public health nurse is training a nurse on tuberculin skin testing. Which information about the Mantoux test should the public health nurse include in the training? (Select all that apply.) A. "PPD (0.1 mL) is injected intradermally into the dorsal aspect of the forearm." B. "The test is read within 48 to 72 hours." C. "This test is less accurate than the T-SPOT test." D. "Ten tuberculin units are injected." E. "Diameter of induration is recorded in millimeters."
Answer: B, E
The nurse visits the home of a client with tuberculosis. Which action should the nurse teach family members to take during the first 2 weeks of treatment to prevent the spread of the infection to other family members? A. Be compliant with the medication regimen. B. Ensure that housemates of the client are tested and receive prophylactic treatment if indicated. C. Use disposable tissues to contain respiratory secretions. D. Emphasize the importance of maintaining good general health through diet and exercise.
Answer: C
A client has a 6-mm area that is slightly red and soft to the touch at the site of a PPD (Mantoux) test. Which finding should the nurse document for this client? A. Negative response B. Positive response if the client had an abnormal chest x-ray C. Positive response D. Indeterminate response
answer: A
A client with tuberculosis experiences shortness of breath, hypoxia, cyanosis, and subcutaneous emphysema. Which pathophysiologic change should the nurse suspect as causing this client's symptoms? A. Rupture of tuberculosis lesion B. Encapsulation of the bacilli C. Reactivation tuberculosis D. Miliary tuberculosis
answer: A
