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A client returns to the clinic 48 hours after receiving a
Mantoux skin test. The area of induration at the injection
A client with an initial positive reaction to a Mantoux test
site measures 18 mm. The client hasn't previously had a
is at higher risk for active tuberculosis. Before taking him
reaction to this test. The nurse's first action is to:
to another room or for a procedure such as a chest X-ray,
1. move the client to a negative pressure room.
he should be fitted with a mask to decrease the risk of
2. have the client put on a face mask.
disease transmission to others. Drawing blood for a CBC
3. prepare the client to have a chest X-ray.
isn't necessary at this time.
4. draw a blood sample to check the client's complete
blood count (CBC) for an elevated white blood cell count.
A client with clinically active pulmonary tuberculosis is or-
4. A change in sputum culture from positive to negative is
dered isoniazid, rifampin, pyrazinamide, and ethambutol.
the best indication of the ettectiveness of antitubercular
Which findings best indicate ettectiveness of drug thera-
medication. Cavities disappearing from the chest X-ray
py?
aren't a reliable indicator of drug ettectiveness. Tuber-
culin skin tests don't convert from positive to negative.
1. Cavities are no longer evident on chest X-ray.
Disappearance of symptoms isn't the best indicator of the
2. Tuberculin skin test is negative.
treatment's ettectiveness because the causative organism
3. The client is afebrile and no longer coughing.
may still be present.
4. The sputum culture converts to negative.
A nurse working in a rural county's Public Health De-
partment has been alerted that there is an outbreak of
3. Clients who are economically disadvantaged, malnour- tuberculosis (TB) in the area. The client most at risk for
ished, and have reduced immunity, such as a client with developing TB would be?
a history of alcoholism, are at extremely high risk for
developing TB. A high school student, day-care worker, 1. A 16-year-old female high school student
and businessman probably have a much lower risk of 2. A 33-year-old day-care worker
contracting TB. 3. A 43-year-old homeless man with a history of alco-
holism
4. A 54-year-old businessman
The nurse is conducting a class for family members of
4. The TB bacillus is airborne and carried in droplets
clients diagnosed with tuberculosis (TB). The nurse deter-
exhaled by an infected person who is coughing, sneezing,
mines that teaching is ettective when the family member
,NUR 211 Test 2- Practice Questions Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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laughing, or singing. Sexual contact and contaminated states:
needles don't spread the TB bacillus but may spread other 1. "The disease is transmitted by sexual contact."
communicable diseases. It's never advisable to use cont- 2. "The disease is transmitted by contaminated needles."
aminated utensils, but if they're cleaned normally, it isn't 3. "The disease is transmitted through contaminated eat-
necessary to dispose of eating utensils used by someone ing utensils." 4. "The disease is transmitted by droplets
infected with TB. exhaled from an infected person."
3. This test would be classed as negative. A 3-mm raised
area would be a positive result if the client had recent close A client received a purified protein derivative (PPD) test
contact with someone diagnosed with or suspected of for tuberculosis (TB) on the right forearm. The site is
having infectious TB. Follow-up should be done with this reddened and raised about 3 mm. The nurse interprets
client, and a chest X-ray should be ordered. Indeterminate this result as:
isn't a term used to describe results of a PPD test. The test 1. indeterminate.
can be redone in 6 months to see if the client's test results 2. needs to be redone.
change. If the PPD test is reddened and raised 10 mm or 3. negative.
more, it's considered positive according to the Centers for 4. positive.
Disease Control and Prevention.
4. A primary TB infection occurs when the bacillus has suc-
A client has recently been diagnosed with tuberculosis
cessfully invaded the entire body after entering through
(TB). The nurse caring for the client anticipates that the
the lungs. At this point, the bacilli are walled ott and skin
client will develop:
tests read positive. The general population has a 10%
1. active TB within 2 weeks.
risk of developing active TB over their lifetime, in many
2. active TB within 1 month.
cases because of a break in the body's immune defenses.
3. a fever that requires hospitalization.
The active stage shows the classic symptoms of TB: fever,
4. a positive skin test.
hemoptysis, and night sweats.
A client was infected with tuberculosis (TB) bacillus 10
1. Some people carry dormant TB infections that may de-
years ago but never developed the disease. He's now be-
velop into active disease. If there's no active infection, it's
ing treated for cancer. The client begins to develop signs
called a latent infection. The TB bacilli may remain latent
of TB. The nurse suspects the client is exhibiting:
for years and then activate when the client's resistance
1. active infection.
is lowered, as when a client is being treated for cancer.
2. latent infection.
, NUR 211 Test 2- Practice Questions Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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Superinfection doesn't apply in this case, and there's no 3. superinfection.
such thing as tertiary infection. 4. tertiary infection.
2. Typical signs and symptoms are chills, fever, night A client has been diagnosed with active tuberculosis (TB).
sweats, and hemoptysis. Chest pain may be present from The nurse should assess the client for:
coughing but isn't usual. Clients with TB typically have 1. chest and lower back pain.
low-grade fevers, not higher than 102.7° F (38.97° C). 2. chills, fever, night sweats, and hemoptysis.
Nausea, headache, and photophobia aren't usual TB 3. fever of more than 104.7° F (40.7° C) and nausea.
symptoms. 4. headache and photophobia.
A client has received a preliminary diagnosis of tubercu-
losis. In order to obtain a definitive diagnosis, the nurse
3. The sputum culture for Mycobacterium tuberculosis is
anticipates that the physician will order which test?
the only method of confirming the diagnosis. Lesions in
1. Chest X-ray
the lung may not be big enough to be seen on X-ray. Skin
2. Mantoux test
tests may be falsely positive or falsely negative.
3. Sputum culture
4. Tuberculin test
A client has a positive Mantoux test, and a chest X-ray is
3. If the lesions are large enough, the chest X-ray will show ordered. The client asks the nurse the reason for the X-ray.
their presence in the lungs. Sputum culture confirms the What is the best response by the nurse?
diagnosis. There can be false-positive and false-negative 1. To confirm the diagnosis
skin test results. A chest X-ray can't determine if this is a 2. To determine if a repeat skin test is needed
primary or secondary infection. 3. To determine the extent of lesions
4. To determine if this is a primary or secondary infection
A chest X-ray shows a client's lungs to be clear; however,
4. A tuberculin converter's skin test will be positive, mean-
the Mantoux test is positive with 10 mm of induration, and
ing he has been exposed to and infected with TB and
the previous test was negative. The nurse explains to the
now has a cell-mediated immune response to the skin
client that these test results are possible because:
test. The client's blood and X-ray results may stay neg-
1. he had tuberculosis (TB) in the past and no longer has
ative. It doesn't mean the infection has advanced to the
it.
active stage. Because his X-ray is negative, he should be
2. he was successfully treated for TB, but skin tests always
monitored every 6 months to see if he develops changes
stay positive.