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This document, "NUR 6111 Exam 2," covers various medical and nursing topics,
including tuberculosis diagnosis, lung cancer prevention, respiratory health,
smoking cessation, bacterial infections, pneumonia treatment, allergic rhinitis, and
ear infections. The document provides 48 questions with correct answers and
detailed explanations, serving as a comprehensive review resource for exam
preparation. By utilizing this document, students can study, review, and gain a
deeper understanding of these concepts, which can aid in their preparation for
exams and improve their knowledge in these areas.
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EXAM QUESTIONS
QUESTION 1
When reading a TST(PPD) all of the following indicate a positive test except
CORRECT ANSWER
Healthy
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, RATIONALE: A positive TST(PPD) result is indicated by a significant induration (swelling) of the
skin, usually 5-15 mm or more in diameter, at the site of the tuberculin injection. "Healthy" is
the correct answer because it suggests a person with a healthy immune system would mount a
positive response to the test, whereas a person with a positive test result might actually be
someone with or previously exposed to tuberculosis.
QUESTION 2
In the employee health office, you have diagnosed latent TB in an employee who
has a
positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and
a
chest x-ray that shows no active disease. What other diagnostic test would you
order
before starting this employee on INH therapy?
CORRECT ANSWER
LFT
RATIONALE: The LFT (Liver Function Tests) is the correct test to order because INH (Isoniazid)
therapy can cause liver damage, and monitoring liver function is essential to prevent this
adverse effect. This is a crucial step in managing latent TB to ensure the employee is safe while
being treated with INH.
QUESTION 3
The estimated attributed cause of lung cancer from active cigarette smoking is?
CORRECT ANSWER
90%
RATIONALE: According to the US Centers for Disease Control and Prevention (CDC),
approximately 90% of lung cancer deaths in the United States are attributed to smoking, as
smoking is the leading cause of lung cancer and is responsible for the majority of lung cancer-
related deaths. This high percentage is due to the well-established link between tobacco smoke
and the development of lung cancer, as well as the prevalence of smoking in the population.
QUESTION 4
Assessment finding of greatest concern in an individual who smokes with a chronic
cough that warrants CT scan
CORRECT ANSWER
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, Persistent cough or change
RATIONALE: A persistent cough or change in a smoker is a significant concern because it can be
an early symptom of lung cancer, a potentially life-threatening condition, and warrants further
investigation with a CT scan to rule out malignancy. The combination of smoking history and
chronic cough increases the risk of lung cancer, making it essential to assess for this symptom
promptly and thoroughly.
QUESTION 5
As a primary care clinician, recommendations you would give a patient for smoking
cessation would be all the following except?
CORRECT ANSWER
Recommend against e-cigs
RATIONALE: As a primary care clinician, recommending against e-cigs for smoking cessation is
appropriate because there is limited long-term evidence of their effectiveness and safety,
whereas other methods like medications and counseling have more substantial scientific
backing. This stance prioritizes the patient's health and well-being by advocating for evidence-
based treatments that have a proven track record of success in helping individuals quit smoking.
QUESTION 6
Bacterial causes of acute bronchitis include all of the following except:
CORRECT ANSWER
Pneumonia
RATIONALE: Pneumonia is often caused by the same bacteria that cause acute bronchitis, such
as Streptococcus pneumoniae and Haemophilus influenzae. However, pneumonia typically
affects the lungs' alveoli, causing an infection that fills the air sacs, whereas acute bronchitis
primarily affects the bronchial tubes, causing inflammation and excess mucus production.
QUESTION 7
All of the following are expected symptoms of pneumonia EXCEPT:
CORRECT ANSWER
read the question
carefully-altered mental status is not an answer
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