NUR 150 TB NCLEX Questions and Answers Graded A+
The right forearm of a client who had a purified protein C
derivative (PPD) test for tuberculosis is reddened and
raised about 3mm where the test was given. This PPD This test would be classed as negative. A 5 mm raised
would be read as having which of the following results? area would be a positive result if a client was HIV+ or
A) Indeterminate had recent close contact with someone diagnosed with
B) Needs to be redone TB. Indeterminate isn't a term used to describe results of
C) Negative a PPD test. If the PPD is reddened and raised 10mm or
D) Positive more, it's considered positive according to the CDC.
d)
A primary TB infection occurs when the bacillus has suc-
A client with primary TB infection can expect to develop cessfully invaded the entire body after entering through
which of the following conditions? the lungs. At this point, the bacilli are walled ott and
a) Active TB within 2 weeks skin tests read positive. However, all but infants and im-
b) Active TB within 1 month munosuppressed people will remain asymptomatic. The
c) A fever that requires hospitalization general population has a 10% risk of developing active
d) A positive skin test TB over their lifetime, in many cases because of a break
in the body's immune defenses. The active stage shows
the classic symptoms of TB: fever, hemoptysis, and night
sweats.
a)
A client was infected with TB 10 years ago but never
developed the disease. He's now being treated for cancer.
Some people carry dormant TB infections that may de-
The client begins to develop signs of TB. This is known as
velop into active disease. In addition, primary sites of in-
which of the following types of infection?
fection containing TB bacilli may remain inactive for years
a) active infection
and then activate when the client's resistance is lowered,
b) primary infection as when a client is being treated for cancer. There's no
c) super infection such thing as tertiary infection, and superinfection doesn't
d) tertiary infection apply in this case.
B)
1/9
, NUR 150 TB NCLEX Questions and Answers Graded A+
A client has active TB. Which of the following symptoms
Typical signs and symptoms are chills, fever, night sweats,
will he exhibit?
and hemoptysis. Chest pain may be present from cough-
A) Chest and lower back pain
ing, but isn't usual. Clients with TB typically have low-grade
B) Chills, fever, night sweats, and hemoptysis
fevers, not higher than 102*F. Nausea, headache, and
C) Fever of more than 104*F and nausea
photophobia aren't usual TB symptoms.
D) Headache and photophobia
Which of the following diagnostic tests is definitive for
TB?
A C)
Chest x-ray
B The sputum culture for Mycobacterium tuberculosis is the
Mantoux test only method of confirming the diagnosis. Lesions in the
C lung may not be big enough to be seen on x-ray. Skin tests
Sputum culture may be falsely positive or falsely negative.
D
Tuberculin test
A client with a positive Mantoux test result will be sent for
a chest x-ray. For which of the following reasons is this
done? C)
A
To confirm the diagnosis If the lesions are large enough, the chest x-ray will show
B their presence in the lungs. Sputum culture confirms the
To determine if a repeat skin test is needed diagnosis. There can be false-positive and false-negative
C skin test results. A chest x-ray can't determine if this is a
To determine the extent of the lesions primary or secondary infection.
D
To determine if this is a primary or secondary infection
A chest x-ray should a client's lungs to be clear. His Man-
toux test is positive, with a 10mm if induration. His pre-
vious test was negative. These test results are possible
because:
2/9
The right forearm of a client who had a purified protein C
derivative (PPD) test for tuberculosis is reddened and
raised about 3mm where the test was given. This PPD This test would be classed as negative. A 5 mm raised
would be read as having which of the following results? area would be a positive result if a client was HIV+ or
A) Indeterminate had recent close contact with someone diagnosed with
B) Needs to be redone TB. Indeterminate isn't a term used to describe results of
C) Negative a PPD test. If the PPD is reddened and raised 10mm or
D) Positive more, it's considered positive according to the CDC.
d)
A primary TB infection occurs when the bacillus has suc-
A client with primary TB infection can expect to develop cessfully invaded the entire body after entering through
which of the following conditions? the lungs. At this point, the bacilli are walled ott and
a) Active TB within 2 weeks skin tests read positive. However, all but infants and im-
b) Active TB within 1 month munosuppressed people will remain asymptomatic. The
c) A fever that requires hospitalization general population has a 10% risk of developing active
d) A positive skin test TB over their lifetime, in many cases because of a break
in the body's immune defenses. The active stage shows
the classic symptoms of TB: fever, hemoptysis, and night
sweats.
a)
A client was infected with TB 10 years ago but never
developed the disease. He's now being treated for cancer.
Some people carry dormant TB infections that may de-
The client begins to develop signs of TB. This is known as
velop into active disease. In addition, primary sites of in-
which of the following types of infection?
fection containing TB bacilli may remain inactive for years
a) active infection
and then activate when the client's resistance is lowered,
b) primary infection as when a client is being treated for cancer. There's no
c) super infection such thing as tertiary infection, and superinfection doesn't
d) tertiary infection apply in this case.
B)
1/9
, NUR 150 TB NCLEX Questions and Answers Graded A+
A client has active TB. Which of the following symptoms
Typical signs and symptoms are chills, fever, night sweats,
will he exhibit?
and hemoptysis. Chest pain may be present from cough-
A) Chest and lower back pain
ing, but isn't usual. Clients with TB typically have low-grade
B) Chills, fever, night sweats, and hemoptysis
fevers, not higher than 102*F. Nausea, headache, and
C) Fever of more than 104*F and nausea
photophobia aren't usual TB symptoms.
D) Headache and photophobia
Which of the following diagnostic tests is definitive for
TB?
A C)
Chest x-ray
B The sputum culture for Mycobacterium tuberculosis is the
Mantoux test only method of confirming the diagnosis. Lesions in the
C lung may not be big enough to be seen on x-ray. Skin tests
Sputum culture may be falsely positive or falsely negative.
D
Tuberculin test
A client with a positive Mantoux test result will be sent for
a chest x-ray. For which of the following reasons is this
done? C)
A
To confirm the diagnosis If the lesions are large enough, the chest x-ray will show
B their presence in the lungs. Sputum culture confirms the
To determine if a repeat skin test is needed diagnosis. There can be false-positive and false-negative
C skin test results. A chest x-ray can't determine if this is a
To determine the extent of the lesions primary or secondary infection.
D
To determine if this is a primary or secondary infection
A chest x-ray should a client's lungs to be clear. His Man-
toux test is positive, with a 10mm if induration. His pre-
vious test was negative. These test results are possible
because:
2/9
