NU 372 - Exam 2 Practice Questions
and Answers Updated 2025 Scored A+.
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of
ineffective airway clearance. Which information best supports this diagnosis?
a. Weak, nonproductive cough effort
b. Large amounts of greenish sputum
c. Respiratory rate of 28 breaths/minute
d. Resting pulse oximetry (SpO2) of 85% - Answer ANS: A. The weak, nonproductive cough
indicates that the patient is unable to clear the airway effectively. The other data would be used
to support diagnoses such as impaired gas exchange and ineffective breathing pattern.
During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would
expect to find:
a. vesicular breath sounds.
b. increased tactile fremitus.
c. dry, nonproductive cough.
d. hyperresonance to percussion. - Answer ANS: B. Increased tactile fremitus over the area of
pulmonary consolidation is expected with bacterial pneumonias. Dullness to percussion would
be expected. Pneumococcal pneumonia typically presents with a loose, productive cough.
Adventitious breath sounds such as crackles and wheezes are typical.
After a patient with right lower-lobe pneumonia has been treated with intravenous (IV)
antibiotics for 2 days, which assessment data obtained by the nurse indicates that the treatment
has been effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µl.
d. Increased tactile fremitus is palpable over the right chest. - Answer ANS: C. The normal WBC
count indicates that the antibiotics have been effective. All the other data suggest that a change
in treatment is needed.
The health care provider writes an order for bacteriologic testing for a patient who has a
positive tuberculosis skin test. Which action will the nurse take?
a. Repeat the tuberculin skin testing.
, M. tuberculosis. The patient should not provide all the specimens at once. Blood cultures are
not used for tuberculosis testing. Once skin testing is positive, it is not repeated.
The nurse recognizes that the goals of teaching regarding the transmission of pulmonary
tuberculosis (TB) have been met when the patient with TB
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. - Answer ANS: C. Covering the mouth and
nose will help decrease airborne transmission of TB. The other actions will not be effective in
decreasing the spread of TB.
Which information will the nurse include in the patient teaching plan for a patient who is
receiving rifampin (Rifadin) for treatment of tuberculosis?
a. "Your urine, sweat, and tears will be orange colored."
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." - Answer ANS: A. Orange-
colored body secretions are a side effect of rifampin. The other adverse effects are associated
with other antituberculosis medications.
When teaching the patient who is receiving standard multidrug therapy for tuberculosis (TB)
about possible toxic effects of the antitubercular medications, the nurse will give instructions to
notify the health care provider if the patient develops
a. yellow-tinged skin.
b. changes in hearing.
c. orange-colored sputum.
d. thickening of the fingernails. - Answer ANS: A. Noninfectious hepatitis is a toxic effect of
isoniazid (INH), rifampin, and pyrazinamide, and patients who develop hepatotoxicity will need
to use other medications. Changes in hearing and nail thickening are not expected with the four
medications used for initial TB drug therapy. Orange discoloration of body fluids is an expected
side effect of rifampin and not an indication to call the health care provider.
When caring for a patient who is hospitalized with active tuberculosis (TB), the nurse observes a
family member who is visiting the patient. The nurse will need to intervene if the family
member
and Answers Updated 2025 Scored A+.
Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of
ineffective airway clearance. Which information best supports this diagnosis?
a. Weak, nonproductive cough effort
b. Large amounts of greenish sputum
c. Respiratory rate of 28 breaths/minute
d. Resting pulse oximetry (SpO2) of 85% - Answer ANS: A. The weak, nonproductive cough
indicates that the patient is unable to clear the airway effectively. The other data would be used
to support diagnoses such as impaired gas exchange and ineffective breathing pattern.
During assessment of the chest in a patient with pneumococcal pneumonia, the nurse would
expect to find:
a. vesicular breath sounds.
b. increased tactile fremitus.
c. dry, nonproductive cough.
d. hyperresonance to percussion. - Answer ANS: B. Increased tactile fremitus over the area of
pulmonary consolidation is expected with bacterial pneumonias. Dullness to percussion would
be expected. Pneumococcal pneumonia typically presents with a loose, productive cough.
Adventitious breath sounds such as crackles and wheezes are typical.
After a patient with right lower-lobe pneumonia has been treated with intravenous (IV)
antibiotics for 2 days, which assessment data obtained by the nurse indicates that the treatment
has been effective?
a. Bronchial breath sounds are heard at the right base.
b. The patient coughs up small amounts of green mucus.
c. The patient's white blood cell (WBC) count is 9000/µl.
d. Increased tactile fremitus is palpable over the right chest. - Answer ANS: C. The normal WBC
count indicates that the antibiotics have been effective. All the other data suggest that a change
in treatment is needed.
The health care provider writes an order for bacteriologic testing for a patient who has a
positive tuberculosis skin test. Which action will the nurse take?
a. Repeat the tuberculin skin testing.
, M. tuberculosis. The patient should not provide all the specimens at once. Blood cultures are
not used for tuberculosis testing. Once skin testing is positive, it is not repeated.
The nurse recognizes that the goals of teaching regarding the transmission of pulmonary
tuberculosis (TB) have been met when the patient with TB
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. - Answer ANS: C. Covering the mouth and
nose will help decrease airborne transmission of TB. The other actions will not be effective in
decreasing the spread of TB.
Which information will the nurse include in the patient teaching plan for a patient who is
receiving rifampin (Rifadin) for treatment of tuberculosis?
a. "Your urine, sweat, and tears will be orange colored."
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." - Answer ANS: A. Orange-
colored body secretions are a side effect of rifampin. The other adverse effects are associated
with other antituberculosis medications.
When teaching the patient who is receiving standard multidrug therapy for tuberculosis (TB)
about possible toxic effects of the antitubercular medications, the nurse will give instructions to
notify the health care provider if the patient develops
a. yellow-tinged skin.
b. changes in hearing.
c. orange-colored sputum.
d. thickening of the fingernails. - Answer ANS: A. Noninfectious hepatitis is a toxic effect of
isoniazid (INH), rifampin, and pyrazinamide, and patients who develop hepatotoxicity will need
to use other medications. Changes in hearing and nail thickening are not expected with the four
medications used for initial TB drug therapy. Orange discoloration of body fluids is an expected
side effect of rifampin and not an indication to call the health care provider.
When caring for a patient who is hospitalized with active tuberculosis (TB), the nurse observes a
family member who is visiting the patient. The nurse will need to intervene if the family
member
