1. Which of the following symptoms is common in clients
with TB?
a.Weight loss
b. Mental status changes
c. Increased appetite
d. Dyspnea on exertion
TB typically produces anorexia and weight loss.
Other signs and symptoms may include fatigue, low-
grade fever, and night sweats.
2. A client has a positive reaction to the PPD test. The
nurse correctly interprets this reaction to mean that the
client has:
a.Had contact with Mycobacterium
tuberculosis
b. Active TB
c. Developed passive immunity to TB
d. Developed a resistance to tubercle bacilli
A positive PPD test indicates that the client has
been exposed to tubercle bacilli. Exposure does not
necessarily mean that active disease exists.
3. The client experiencing eighth cranial nerve damage
will most likely report which of the following symptoms?
a. Facial paralysis
b.Vertigo
c. Difficulty swallowing
d. Impaired vision
The eighth cranial nerve is the vestibulocochlear
nerve, which is responsible for hearing and
equilibrium. Streptomycin can damage this nerve.
4. A client with pneumonia has a temperature ranging
between 101* and 102*F and periods of diaphoresis.
Based on this information, which of the following
nursing interventions would be a priority?
a. Provide frequent linen changes
b. Administer oxygen therapy
, c. Provide fluid intake of 3 L/day
d. Maintain complete bedrest
A fluid intake of at least 3 L/day should be provided
to replace any fluid loss occurring as a result the fever
and diaphoresis; this is a high-priority intervention.
5. A 24-year-old client comes into the clinic complaining
of right-sided chest pain and shortness of breath. He
reports that it started suddenly. The assessment should
include which of the following interventions?
a. Echocardiogram
b. Chest x-ray
c. Auscultation of breath sounds
d. Electrocardiogram (ECG)
Because the client is short of breath, listening to
breath sounds is a good idea. He may need a chest x-
ray and an ECG, but a physician must order these
tests. Unless a cardiac source for the client’s pain is
identified, he won’t need an echocardiogram.
6. A client diagnosed with active TB would be hospitalized
primarily for which of the following reasons?
a. To determine the need for antibiotic therapy
b.To prevent spread of the disease
c. To evaluate his condition
d. To determine his compliance
7. The cyanosis that accompanies bacterial pneumonia is
primarily caused by which of the following?
a.Decreased oxygenation of the blood
b. Pleural effusion
c. Inadequate peripheral circulation
d. Decreased cardiac output
A client with pneumonia has less lung surface
available for the diffusion of gases because of the
inflammatory pulmonary response that creates lung
exudate and results in reduced oxygenation of the
blood. The client becomes cyanotic because blood is
, not adequately oxygenated in the lungs before it
enters the peripheral circulation.
8. A high level of oxygen exerts which of the following
effects on the lung?
a. Increases carbon dioxide levels
b.Reduces amount of functional alveolar
surface area
c. Improves oxygen uptake
d. Stabilizes carbon dioxide levels
9. The nurse should include which of the following
instructions when developing a teaching plan for clients
receiving INH and rifampin for treatment for TB?
a.Limit alcohol intake
b. Increase intake of dairy products
c. Double the dosage if a drug dose is forgotten
d. Take the medication with antacids
INH and rifampin are hepatotoxic drugs. Clients
should be warned to limit intake of alcohol during drug
therapy. Both drugs should be taken on an empty stomach. If
antacids are needed for GI distress, they should be taken 1
hour before or 2 hours after these drugs are administered.
Clients should not double the dosage of these drugs because
of their potential toxicity. Clients taking INH should avoid
foods that are rich in tyramine, such as cheese and dairy
products, or they may develop hypertension.
10. Which of the following best describes pleural
effusion?
a. The collapse of alveoli
b. The fluid in the alveolar space
c. The accumulation of fluid between the linings
of the pleural space
d. The collapse of bronchiole
The pleural fluid normally seeps continually into the
pleural space from the capillaries lining the parietal
pleura and is reabsorbed by the visceral pleural
with TB?
a.Weight loss
b. Mental status changes
c. Increased appetite
d. Dyspnea on exertion
TB typically produces anorexia and weight loss.
Other signs and symptoms may include fatigue, low-
grade fever, and night sweats.
2. A client has a positive reaction to the PPD test. The
nurse correctly interprets this reaction to mean that the
client has:
a.Had contact with Mycobacterium
tuberculosis
b. Active TB
c. Developed passive immunity to TB
d. Developed a resistance to tubercle bacilli
A positive PPD test indicates that the client has
been exposed to tubercle bacilli. Exposure does not
necessarily mean that active disease exists.
3. The client experiencing eighth cranial nerve damage
will most likely report which of the following symptoms?
a. Facial paralysis
b.Vertigo
c. Difficulty swallowing
d. Impaired vision
The eighth cranial nerve is the vestibulocochlear
nerve, which is responsible for hearing and
equilibrium. Streptomycin can damage this nerve.
4. A client with pneumonia has a temperature ranging
between 101* and 102*F and periods of diaphoresis.
Based on this information, which of the following
nursing interventions would be a priority?
a. Provide frequent linen changes
b. Administer oxygen therapy
, c. Provide fluid intake of 3 L/day
d. Maintain complete bedrest
A fluid intake of at least 3 L/day should be provided
to replace any fluid loss occurring as a result the fever
and diaphoresis; this is a high-priority intervention.
5. A 24-year-old client comes into the clinic complaining
of right-sided chest pain and shortness of breath. He
reports that it started suddenly. The assessment should
include which of the following interventions?
a. Echocardiogram
b. Chest x-ray
c. Auscultation of breath sounds
d. Electrocardiogram (ECG)
Because the client is short of breath, listening to
breath sounds is a good idea. He may need a chest x-
ray and an ECG, but a physician must order these
tests. Unless a cardiac source for the client’s pain is
identified, he won’t need an echocardiogram.
6. A client diagnosed with active TB would be hospitalized
primarily for which of the following reasons?
a. To determine the need for antibiotic therapy
b.To prevent spread of the disease
c. To evaluate his condition
d. To determine his compliance
7. The cyanosis that accompanies bacterial pneumonia is
primarily caused by which of the following?
a.Decreased oxygenation of the blood
b. Pleural effusion
c. Inadequate peripheral circulation
d. Decreased cardiac output
A client with pneumonia has less lung surface
available for the diffusion of gases because of the
inflammatory pulmonary response that creates lung
exudate and results in reduced oxygenation of the
blood. The client becomes cyanotic because blood is
, not adequately oxygenated in the lungs before it
enters the peripheral circulation.
8. A high level of oxygen exerts which of the following
effects on the lung?
a. Increases carbon dioxide levels
b.Reduces amount of functional alveolar
surface area
c. Improves oxygen uptake
d. Stabilizes carbon dioxide levels
9. The nurse should include which of the following
instructions when developing a teaching plan for clients
receiving INH and rifampin for treatment for TB?
a.Limit alcohol intake
b. Increase intake of dairy products
c. Double the dosage if a drug dose is forgotten
d. Take the medication with antacids
INH and rifampin are hepatotoxic drugs. Clients
should be warned to limit intake of alcohol during drug
therapy. Both drugs should be taken on an empty stomach. If
antacids are needed for GI distress, they should be taken 1
hour before or 2 hours after these drugs are administered.
Clients should not double the dosage of these drugs because
of their potential toxicity. Clients taking INH should avoid
foods that are rich in tyramine, such as cheese and dairy
products, or they may develop hypertension.
10. Which of the following best describes pleural
effusion?
a. The collapse of alveoli
b. The fluid in the alveolar space
c. The accumulation of fluid between the linings
of the pleural space
d. The collapse of bronchiole
The pleural fluid normally seeps continually into the
pleural space from the capillaries lining the parietal
pleura and is reabsorbed by the visceral pleural
