NUR103 TB EXAM QUESTIONS AND 100% CORRECT ANSWERS
The following symptoms are common in clients with active tuberculosis. Choose the
correct answer below.
1. Weight loss
2. Increased appetite
3. Dyspnea on exertion.
4. Change in mental status. - ANSWER 1. Tuberculosis classically causes anorexia and
weight loss. Other symptoms can include fatigue, low-grade fever, and night sweats.
Tuberculosis does not cause increased appetite; dyspnea on exertion and change in
mental status are not symptoms of tuberculosis.
The nurse should instruct clients that the most common method of transmitting tubercle
bacilli from person to person is by contaminated:
1. Dust particles.
2. Droplet nuclei.
3. Water.
4. Eating utensils. - ANSWER 2. Tubercle bacilli are spread by droplet nuclei in the air.
Droplet nuclei represent the residue of evaporated droplets that contain the bacilli,
remaining suspended and circulating in the air. Dust particles and water do not spread
tubercle bacilli. Tuberculosis is not spread by eating utensils, dishes, or other fomites.
What is the rationale that supports the use of multiple drugs to treat clients with
tuberculosis?
1. The use of multiple drugs potentiates the drugs' actions.
2. The use of multiple drugs reduces undesirable drug adverse effects.
3. The use of multiple drugs allows reduced dosages of the drugs to be given.
4. The use of multiple drugs reduces the development of resistant strains of the
bacteria. - ANSWER 4 Use of a combination of antituberculosis drugs slows the rate at
which organisms develop drug resistance. Combination therapy also appears to be
more effective than single-drug therapy. Many drugs potentiate (or inhibit) the actions of
, other drugs; however, this is not the rationale for using multiple drugs to treat
tuberculosis. Treatment with multiple drugs does not reduce adverse effects and may
expose the client to more adverse effects. Combination therapy may allow some
medications, like antihypertensives, to be prescribed in lower doses. However, for
antibiotics and antituberculosis drugs, this is not done.
The client with tuberculosis is to be discharged home with follow-up by community
health nursing. Of the following nursing interventions, which should be the highest
priority?
1. Providing emotional support to the client.
2. Instructing the client about the disease and treatment.
3. Coordination of various agency services.
4. Assessment of client's environment for sanitation. - QUESTION 2 In a client with
tuberculosis, the priority is education of the client. The client and family should be
taught adequately so that the client is aware of the need to take the prescribed drug
therapy to treat the disease. For example, care for the client with tuberculosis might
include providing emotional support for the client, coordinating various agency services
for the client, and assessing the client's environment; however, these are all lower
priority interventions compared with educating the client about the disease process and
treatment.
Which of the following family members exposed to tuberculosis would you judge to be at
the greatest risk for acquiring the infection?
1. Mother, age 45
2. Daughter, age 17
3. Son, age 8.
4. 76-year old grandmother. - ANSWER 4. There is speculation that the elderly
population is at an increased risk of acquiring tuberculosis, possibly due to reduced
immunocompetence.
The nurse is teaching a client diagnosed with tuberculosis about measures to prevent
the spread of infection to family members. Which of the following statements by the
client demonstrates the client has understood the nurse's teaching? 1. "I will have to
get rid of my old clothes when I go home."
2. "I should always cover my mouth and nose when sneezing."
The following symptoms are common in clients with active tuberculosis. Choose the
correct answer below.
1. Weight loss
2. Increased appetite
3. Dyspnea on exertion.
4. Change in mental status. - ANSWER 1. Tuberculosis classically causes anorexia and
weight loss. Other symptoms can include fatigue, low-grade fever, and night sweats.
Tuberculosis does not cause increased appetite; dyspnea on exertion and change in
mental status are not symptoms of tuberculosis.
The nurse should instruct clients that the most common method of transmitting tubercle
bacilli from person to person is by contaminated:
1. Dust particles.
2. Droplet nuclei.
3. Water.
4. Eating utensils. - ANSWER 2. Tubercle bacilli are spread by droplet nuclei in the air.
Droplet nuclei represent the residue of evaporated droplets that contain the bacilli,
remaining suspended and circulating in the air. Dust particles and water do not spread
tubercle bacilli. Tuberculosis is not spread by eating utensils, dishes, or other fomites.
What is the rationale that supports the use of multiple drugs to treat clients with
tuberculosis?
1. The use of multiple drugs potentiates the drugs' actions.
2. The use of multiple drugs reduces undesirable drug adverse effects.
3. The use of multiple drugs allows reduced dosages of the drugs to be given.
4. The use of multiple drugs reduces the development of resistant strains of the
bacteria. - ANSWER 4 Use of a combination of antituberculosis drugs slows the rate at
which organisms develop drug resistance. Combination therapy also appears to be
more effective than single-drug therapy. Many drugs potentiate (or inhibit) the actions of
, other drugs; however, this is not the rationale for using multiple drugs to treat
tuberculosis. Treatment with multiple drugs does not reduce adverse effects and may
expose the client to more adverse effects. Combination therapy may allow some
medications, like antihypertensives, to be prescribed in lower doses. However, for
antibiotics and antituberculosis drugs, this is not done.
The client with tuberculosis is to be discharged home with follow-up by community
health nursing. Of the following nursing interventions, which should be the highest
priority?
1. Providing emotional support to the client.
2. Instructing the client about the disease and treatment.
3. Coordination of various agency services.
4. Assessment of client's environment for sanitation. - QUESTION 2 In a client with
tuberculosis, the priority is education of the client. The client and family should be
taught adequately so that the client is aware of the need to take the prescribed drug
therapy to treat the disease. For example, care for the client with tuberculosis might
include providing emotional support for the client, coordinating various agency services
for the client, and assessing the client's environment; however, these are all lower
priority interventions compared with educating the client about the disease process and
treatment.
Which of the following family members exposed to tuberculosis would you judge to be at
the greatest risk for acquiring the infection?
1. Mother, age 45
2. Daughter, age 17
3. Son, age 8.
4. 76-year old grandmother. - ANSWER 4. There is speculation that the elderly
population is at an increased risk of acquiring tuberculosis, possibly due to reduced
immunocompetence.
The nurse is teaching a client diagnosed with tuberculosis about measures to prevent
the spread of infection to family members. Which of the following statements by the
client demonstrates the client has understood the nurse's teaching? 1. "I will have to
get rid of my old clothes when I go home."
2. "I should always cover my mouth and nose when sneezing."
