fully solved & updated
2025
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 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 - answer 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 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 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 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 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