TB NCLEX QUESTIONS WITH CORRECT ANSWERS GRADED A+

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 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, 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 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 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 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 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 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 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 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 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 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 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