1. A client admitted for pneumonia has been tachypneic for several days. When
the nurse starts an IV to give fluids, the client questions this action, saying “I
have been drinking tons of water. How am I dehydrated?” What response by the
nurse is best?
Breathing so quickly can be dehydrating
Everyone with pneumonia is dehydrated
This is really just to administer your antibiotics Why
do you think you are so dehydrated?
2. A nurse admitting a client who has active tuberculosis to a room on a medical-
surgical unit. Which of the following room assignments should the nurse make
for the client?
A room that is within view of the nurses’ station A
room with another nonsurgical client
A room in the ICU
A room with air exhaust directly to the outdoor
environment
3. A nurse in a community health center is assessing the results of a tuberculin
skin test she performed for a client. Which of the following results indicates
exposure or a possible infection with tuberculosis (TB)?
10 mm wheal
5 mm induration 4
mm erythema 15
mm induration
4. A nurse is caring for a client who is hospitalized with active pulmonary
tuberculosis and is started on ethambutol therapy. The nurse should understand
that which of the following should be monitored?
Urine output
Skin color
Visual acuity
Cardiac rhythm
5. What finding on the nursing assessment would be associated with a
diagnosis of pneumonia in the older adult?
Hypertension
Hematemesis in the morning
Dry hacking cough at night
Acute confusion
, 6. A nurse is teaching a client who has tuberculosis and is to start medication
therapy with isoniazid, rifampin, and pyrazinamide. Which of the following
instructions should the nurse include?
Provide a sputum specimen every 2 weeks for 6 months to the clinic
for testing
Drink at least 8 ounces of water when you take the
pyrazinamide tablet
Take isoniazid with an antiacid
Expect your cultures to be negative after 6 months of therapy
7. A nurse is preparing to administer hydrocortisone sodium succinate 250 mg via
IV bolus every 6 hr. Available is hydrocortisone sodium succinate 1000 mg/8
mL. How many mL should the nurse administer?
2 mL
8. A patient taking isoniazid (INH) should be monitored for what
deficiency?
Potassium
Vitamin C
Calcium
Vitamin B6
9. Client has been prescribed Chlorpheniramine by the health care provider. The
nurse is preparing discharge instructions for this client. Which of the following
statements made by the nurse is most important while teaching about this
drug?
Take this drug early in the morning
This drug does not cause anticholinergic effects like dry mouth,
palpitations, etc
Using alcohol with this drug is completely safe
Do not operate any heavy machinery like forklifts, etc. after
taking this medication
10. A nurse is implementing a plan of care for a client who has AIDS with recurring
pneumonia. Which of the following actions should the nurse take?
Obtain sputum culture
Encourage fluid intake of 1500 mL/day
Cough and deep breathe every 8 hr
Position head of bed at 10 degrees
11. A nurse is instructing an assistive personnel (AP) about caring for a client who
has a low platelet count as a result of chemotherapy. Which of the following
instructions is the priority for measuring vital signs for this client?
Do not measure the client’s temperature rectally
Let the client rest for 5 minutes before you measure her blood
pressure