NUR 155 Med/Surg Test 3 Success Pack 2026 | Galen
College of Nursing | Latest Update | Exam Prep
1. If a patient with a history of TB infection develops symptoms after starting
chemotherapy for cancer, what nursing intervention should be prioritized?
Assess the patient for signs and symptoms of active TB.
Administer prophylactic antibiotics immediately.
Increase the patient's nutritional intake.
Schedule a follow-up appointment in one month.
2. Describe the role of sputum culture and sensitivity in diagnosing pneumonia.
Sputum culture and sensitivity provides a general overview of lung
health.
Sputum culture and sensitivity helps identify the specific pathogen
causing pneumonia and determines its antibiotic susceptibility.
Sputum culture and sensitivity is primarily used for tuberculosis
diagnosis.
Sputum culture and sensitivity is used to assess lung function.
3. Describe why a culture of Mycobacterium tuberculosis is considered the
gold standard for diagnosis.
A culture can be completed in a few hours.
A culture is less invasive than other tests.
A culture is the least expensive diagnostic method.
A culture allows for the direct identification of the bacteria and
provides information on drug susceptibility.
,4. Discuss how Prednisone can lead to hyperglycemia in patients with COPD.
Prednisone can increase blood glucose levels by promoting
gluconeogenesis and decreasing insulin sensitivity.
Prednisone has no effect on blood glucose levels.
Prednisone only affects blood pressure, not blood glucose.
Prednisone decreases blood glucose levels by enhancing insulin
secretion.
5. If a patient with COPD misunderstands their discharge instructions, what
potential outcome could occur?
Worsening of respiratory symptoms.
Improved lung function.
Increased physical activity.
Enhanced medication compliance.
6. Describe the rationale for administering oxygen as the first treatment for a
patient with pneumonia and dyspnea.
Oxygen is administered to improve oxygenation and alleviate
respiratory distress in patients with pneumonia.
Oxygen is provided to enhance nutritional intake during pneumonia
treatment.
Oxygen is used to promote bed rest and recovery in pneumonia
patients.
Oxygen helps to fight the infection causing pneumonia.
7. Which of the following tests is DEFINITIVE for TB?
, sputum culture
chest x ray
Mantoux test
tuberculin test
8. Describe the typical symptoms associated with active tuberculosis and
explain their significance in patient assessment.
Persistent cough without fever is a sign of a chronic respiratory
condition.
Severe headache and dizziness indicate a neurological condition.
Chills, fever, night sweats, and hemoptysis are typical symptoms of
active TB, indicating the body's immune response to the infection.
Chest pain and shortness of breath suggest a respiratory infection
unrelated to TB.
9. What is a common physical finding associated with pulmonary tuberculosis?
Cavitary lesions
Enlarged liver
Fluid accumulation
Skin rash
10. A patient with a history of latent tuberculosis presents with a persistent
cough and weight loss. How would you differentiate between secondary
tuberculosis and primary progressive tuberculosis in this case?
Treat the patient for pneumonia without further assessment.
Evaluate the patient's history for prior TB exposure and assess for
localized symptoms versus systemic symptoms.
College of Nursing | Latest Update | Exam Prep
1. If a patient with a history of TB infection develops symptoms after starting
chemotherapy for cancer, what nursing intervention should be prioritized?
Assess the patient for signs and symptoms of active TB.
Administer prophylactic antibiotics immediately.
Increase the patient's nutritional intake.
Schedule a follow-up appointment in one month.
2. Describe the role of sputum culture and sensitivity in diagnosing pneumonia.
Sputum culture and sensitivity provides a general overview of lung
health.
Sputum culture and sensitivity helps identify the specific pathogen
causing pneumonia and determines its antibiotic susceptibility.
Sputum culture and sensitivity is primarily used for tuberculosis
diagnosis.
Sputum culture and sensitivity is used to assess lung function.
3. Describe why a culture of Mycobacterium tuberculosis is considered the
gold standard for diagnosis.
A culture can be completed in a few hours.
A culture is less invasive than other tests.
A culture is the least expensive diagnostic method.
A culture allows for the direct identification of the bacteria and
provides information on drug susceptibility.
,4. Discuss how Prednisone can lead to hyperglycemia in patients with COPD.
Prednisone can increase blood glucose levels by promoting
gluconeogenesis and decreasing insulin sensitivity.
Prednisone has no effect on blood glucose levels.
Prednisone only affects blood pressure, not blood glucose.
Prednisone decreases blood glucose levels by enhancing insulin
secretion.
5. If a patient with COPD misunderstands their discharge instructions, what
potential outcome could occur?
Worsening of respiratory symptoms.
Improved lung function.
Increased physical activity.
Enhanced medication compliance.
6. Describe the rationale for administering oxygen as the first treatment for a
patient with pneumonia and dyspnea.
Oxygen is administered to improve oxygenation and alleviate
respiratory distress in patients with pneumonia.
Oxygen is provided to enhance nutritional intake during pneumonia
treatment.
Oxygen is used to promote bed rest and recovery in pneumonia
patients.
Oxygen helps to fight the infection causing pneumonia.
7. Which of the following tests is DEFINITIVE for TB?
, sputum culture
chest x ray
Mantoux test
tuberculin test
8. Describe the typical symptoms associated with active tuberculosis and
explain their significance in patient assessment.
Persistent cough without fever is a sign of a chronic respiratory
condition.
Severe headache and dizziness indicate a neurological condition.
Chills, fever, night sweats, and hemoptysis are typical symptoms of
active TB, indicating the body's immune response to the infection.
Chest pain and shortness of breath suggest a respiratory infection
unrelated to TB.
9. What is a common physical finding associated with pulmonary tuberculosis?
Cavitary lesions
Enlarged liver
Fluid accumulation
Skin rash
10. A patient with a history of latent tuberculosis presents with a persistent
cough and weight loss. How would you differentiate between secondary
tuberculosis and primary progressive tuberculosis in this case?
Treat the patient for pneumonia without further assessment.
Evaluate the patient's history for prior TB exposure and assess for
localized symptoms versus systemic symptoms.
