NSG 123 EXAM ONE: STUDY GUIDE QUESTIONS WITH COMPLETE
SOLUTIONS
1) What medication is given for prevention of TB for those exposed to a positive
patient? -- Answer ✔✔ Isoniazid
2) Plan of Care for TB -- Answer ✔✔ Nursing management includes promoting
airway clearance, advocating adherence to the treatment regimen, promoting
activity and nutrition, and preventing transmission
3) What type of isolation precautions is TB? What is worn for PPE? -- Answer ✔✔
Airborne Precautions- N95 or Respirator Mask, Gloves, Gown, & Negative
Pressure Room
4) What test is done to confirm TB diagnosis? -- Answer ✔✔ Sputum Culture
5) Risk Factors for TB: -- Answer ✔✔ Risk Factors of TB: Close contact with
someone who has TB, immunocompromised, people with preexisting conditions,
substance abuse, people who do not have access to proper medical care,
immigration, healthcare worker, living is overcrowded areas.
, 6) CAP: Pneumonia -- Answer ✔✔ CAP: Community-acquired pneumonia (CAP):
Pneumonia occurring in the community or ≤48 hours after hospital admission or
institutionalization of patients who do not meet the criteria for health care-
associated pneumonia (HCAP)
7) HAP: Pneumonia -- Answer ✔✔ HAP: Hospital acquired pneumonia develops 48
hours or more after admission and does not appear to be incubating at the time
of admission
8) VAP: Pneumonia -- Answer ✔✔ VAP: VAP can be thought of as a subtype of
HAP; however, in such cases, the patient has been endotracheally intubated and
has received mechanical ventilatory support for at least 48 hours. VAP is a
complication in as many as 28% of patient who require mechanical ventilation
9) HCAP: Pneumonia -- Answer ✔✔ HCAP: Health care-associated pneumonia
(HCAP): Pneumonia occurring in a non- hospitalized patient with extensive health
care contact with one or more of the following: acute care facility, nursing home,
long-term care facility, chemotherapy, wound care, dialysis
10) What is found during percussion of the lungs in a patient with pneumonia? --
Answer ✔✔ Percussion Assessment Findings: Dullness. Dullness replaces
resonance when fluid or solid tissue replaces air-containing lung tissues, such as
occurs with pneumonia, pleural effusions, or tumors
11) Reason for Peak Flow Meter and What results mean: -- Answer ✔✔ Use of Peak
Flow Meter Monitoring: Used to monitor severity of asthma. Peak flow meters
measure the highest airflow during a forced expiration. The patient takes a deep
breath and places lips around the mouthpiece, and then exhales hard and fast.
Volume may be measured in color-coded zones: the green zone signifies 80% to
100% of personal best; yellow, 60% to 80%; and red, less than 60%. If peak flow
falls below the red zone, the patient should take the appropriate actions
prescribed by their primary provider.
SOLUTIONS
1) What medication is given for prevention of TB for those exposed to a positive
patient? -- Answer ✔✔ Isoniazid
2) Plan of Care for TB -- Answer ✔✔ Nursing management includes promoting
airway clearance, advocating adherence to the treatment regimen, promoting
activity and nutrition, and preventing transmission
3) What type of isolation precautions is TB? What is worn for PPE? -- Answer ✔✔
Airborne Precautions- N95 or Respirator Mask, Gloves, Gown, & Negative
Pressure Room
4) What test is done to confirm TB diagnosis? -- Answer ✔✔ Sputum Culture
5) Risk Factors for TB: -- Answer ✔✔ Risk Factors of TB: Close contact with
someone who has TB, immunocompromised, people with preexisting conditions,
substance abuse, people who do not have access to proper medical care,
immigration, healthcare worker, living is overcrowded areas.
, 6) CAP: Pneumonia -- Answer ✔✔ CAP: Community-acquired pneumonia (CAP):
Pneumonia occurring in the community or ≤48 hours after hospital admission or
institutionalization of patients who do not meet the criteria for health care-
associated pneumonia (HCAP)
7) HAP: Pneumonia -- Answer ✔✔ HAP: Hospital acquired pneumonia develops 48
hours or more after admission and does not appear to be incubating at the time
of admission
8) VAP: Pneumonia -- Answer ✔✔ VAP: VAP can be thought of as a subtype of
HAP; however, in such cases, the patient has been endotracheally intubated and
has received mechanical ventilatory support for at least 48 hours. VAP is a
complication in as many as 28% of patient who require mechanical ventilation
9) HCAP: Pneumonia -- Answer ✔✔ HCAP: Health care-associated pneumonia
(HCAP): Pneumonia occurring in a non- hospitalized patient with extensive health
care contact with one or more of the following: acute care facility, nursing home,
long-term care facility, chemotherapy, wound care, dialysis
10) What is found during percussion of the lungs in a patient with pneumonia? --
Answer ✔✔ Percussion Assessment Findings: Dullness. Dullness replaces
resonance when fluid or solid tissue replaces air-containing lung tissues, such as
occurs with pneumonia, pleural effusions, or tumors
11) Reason for Peak Flow Meter and What results mean: -- Answer ✔✔ Use of Peak
Flow Meter Monitoring: Used to monitor severity of asthma. Peak flow meters
measure the highest airflow during a forced expiration. The patient takes a deep
breath and places lips around the mouthpiece, and then exhales hard and fast.
Volume may be measured in color-coded zones: the green zone signifies 80% to
100% of personal best; yellow, 60% to 80%; and red, less than 60%. If peak flow
falls below the red zone, the patient should take the appropriate actions
prescribed by their primary provider.
