Adult Health II Textbook 80 Questions and
Answers 2025\2026 update
The health care provider writes a prescription for bacteriological testing for a client who has a
positive tuberculosis skin test. Which of the following actions should the nurse take?
a. Repeat the tuberculin skin testing.
b. Teach about the reason for the blood tests.
c. Obtain consecutive sputum specimens from the client for 3 days.
d. Instruct the client to expectorate three specimens as soon as possible. - ANS>>c. Obtain
consecutive sputum specimens from the client for 3 days.
Which of the following information about a client who has a recent history of tuberculosis (TB)
indicates that the nurse can discontinue airborne isolation precautions?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Three sputum smears for acid-fast bacilli are negative. - ANS>>d. Three sputum smears for acid-
fast bacilli are negative.
The nurse is providing teaching to a client with pulmonary tuberculosis (TB) regarding the
transmission of TB. Which of the following client actions indicates that the teaching has been
effective?
a. Demonstrates correct use of a nebulizer
b. Washes dishes and personal items after use
c. Covers the mouth and nose when coughing
d. Reports daily to the public health department - ANS>>c. Covers the mouth and nose when
coughing
Which of the following information should the nurse include in the teaching plan for a client who is
receiving rifampin for treatment of tuberculosis?
a. "Your urine, sweat, and tears will be orange coloured."
b. "Read a newspaper daily to check for changes in vision."
c. "Take vitamin B6 daily to prevent peripheral nerve damage."
d. "Call the health care provider if you notice any hearing loss." - ANS>>a. "Your urine, sweat, and
, b. Changes in hearing
c. Orange-coloured sputum
d. Thickening of the fingernails - ANS>>a. Yellow-tinged skin
The nurse is caring for clients with active tuberculosis (TB) who misuse alcohol and/or are
homeless. Which of the following interventions by the nurse will be most effective in ensuring
adherence with the treatment regimen?
a. Educating the client about the long-term impact of TB on health
b. Giving the client written instructions about how to take the medications
c. Teaching the client about the high risk for infecting others unless treatment is followed
d. Arranging for a daily noontime meal at a community centre and giving the medication then -
ANS>>d. Arranging for a daily noontime meal at a community centre and giving the medication then
After 2 months of tuberculosis (TB) treatment with a standard four-drug regimen, a client continues
to have positive sputum smears for acid-fast bacilli (AFB). Which of the following actions should the
nurse take next?
a. Ask the client whether medications have been taken as directed.
b. Discuss the need to use some different medications to treat the TB.
c. Schedule the client for directly observed therapy three times weekly.
d. Educate about using a 2-drug regimen for the last 4 months of treatment. - ANS>>a. Ask the client
whether medications have been taken as directed.
A staff nurse has a tuberculosis (TB) skin test of 16-mm induration. A chest radiograph is negative,
and the nurse has no symptoms of TB. Which of the following information should the occupational
health nurse provide to the staff nurse?
a. Use and adverse effects of isoniazid (INH)
b. Standard four-drug therapy for TB
c. Need for annual repeat TB skin testing
d. Bacille Calmette-Guérin (BCG) vaccine - ANS>>a. Use and adverse effects of isoniazid (INH)
The nurse is caring for a client who is hospitalized with active tuberculosis (TB) and the nurse
observes a family member who is visiting the client. Which of the following actions by the visitor
should cause the nurse to intervene?
a. Washes hands before entering the client's room
b. Hands the client a tissue from the box at the bedside
c. Puts on a surgical face mask before visiting the client
d. Brings food from a "fast-food" restaurant to the client - ANS>>c. Puts on a surgical face mask
before visiting the client
Which of the following information obtained by the nurse about a client who has human
immunodeficiency virus (HIV) and active tuberculosis (TB) disease is most important to
communicate to the health care provider?
Answers 2025\2026 update
The health care provider writes a prescription for bacteriological testing for a client who has a
positive tuberculosis skin test. Which of the following actions should the nurse take?
a. Repeat the tuberculin skin testing.
b. Teach about the reason for the blood tests.
c. Obtain consecutive sputum specimens from the client for 3 days.
d. Instruct the client to expectorate three specimens as soon as possible. - ANS>>c. Obtain
consecutive sputum specimens from the client for 3 days.
Which of the following information about a client who has a recent history of tuberculosis (TB)
indicates that the nurse can discontinue airborne isolation precautions?
a. Chest x-ray shows no upper lobe infiltrates.
b. TB medications have been taken for 6 months.
c. Mantoux testing shows an induration of 10 mm.
d. Three sputum smears for acid-fast bacilli are negative. - ANS>>d. Three sputum smears for acid-
fast bacilli are negative.
The nurse is providing teaching to a client with pulmonary tuberculosis (TB) regarding the
transmission of TB. Which of the following client actions indicates that the teaching has been
effective?
a. Demonstrates correct use of a nebulizer
b. Washes dishes and personal items after use
c. Covers the mouth and nose when coughing
d. Reports daily to the public health department - ANS>>c. Covers the mouth and nose when
coughing
Which of the following information should the nurse include in the teaching plan for a client who is
receiving rifampin for treatment of tuberculosis?
a. "Your urine, sweat, and tears will be orange coloured."
b. "Read a newspaper daily to check for changes in vision."
c. "Take vitamin B6 daily to prevent peripheral nerve damage."
d. "Call the health care provider if you notice any hearing loss." - ANS>>a. "Your urine, sweat, and
, b. Changes in hearing
c. Orange-coloured sputum
d. Thickening of the fingernails - ANS>>a. Yellow-tinged skin
The nurse is caring for clients with active tuberculosis (TB) who misuse alcohol and/or are
homeless. Which of the following interventions by the nurse will be most effective in ensuring
adherence with the treatment regimen?
a. Educating the client about the long-term impact of TB on health
b. Giving the client written instructions about how to take the medications
c. Teaching the client about the high risk for infecting others unless treatment is followed
d. Arranging for a daily noontime meal at a community centre and giving the medication then -
ANS>>d. Arranging for a daily noontime meal at a community centre and giving the medication then
After 2 months of tuberculosis (TB) treatment with a standard four-drug regimen, a client continues
to have positive sputum smears for acid-fast bacilli (AFB). Which of the following actions should the
nurse take next?
a. Ask the client whether medications have been taken as directed.
b. Discuss the need to use some different medications to treat the TB.
c. Schedule the client for directly observed therapy three times weekly.
d. Educate about using a 2-drug regimen for the last 4 months of treatment. - ANS>>a. Ask the client
whether medications have been taken as directed.
A staff nurse has a tuberculosis (TB) skin test of 16-mm induration. A chest radiograph is negative,
and the nurse has no symptoms of TB. Which of the following information should the occupational
health nurse provide to the staff nurse?
a. Use and adverse effects of isoniazid (INH)
b. Standard four-drug therapy for TB
c. Need for annual repeat TB skin testing
d. Bacille Calmette-Guérin (BCG) vaccine - ANS>>a. Use and adverse effects of isoniazid (INH)
The nurse is caring for a client who is hospitalized with active tuberculosis (TB) and the nurse
observes a family member who is visiting the client. Which of the following actions by the visitor
should cause the nurse to intervene?
a. Washes hands before entering the client's room
b. Hands the client a tissue from the box at the bedside
c. Puts on a surgical face mask before visiting the client
d. Brings food from a "fast-food" restaurant to the client - ANS>>c. Puts on a surgical face mask
before visiting the client
Which of the following information obtained by the nurse about a client who has human
immunodeficiency virus (HIV) and active tuberculosis (TB) disease is most important to
communicate to the health care provider?
