NUR 150: TB NCLEX QUESTIONS WITH ACCURATE
SOLUTIONS
The Causative agent of Tuberculosis is said to be:
A) Mycobacterium Tuberculosis
B) Hansen's Bacilli
C) Bacillus Anthracis
D) Group A Beta Hemolytic Streptococcus -- Correct Answer ✔✔ A)
A client is diagnosed with active TB and started on triple antibiotic therapy. What signs
and symptoms would the client show if therapy is inadequate?
A) Decreased shortness of breath
B) Improved chest x-ray
C) Nonproductive cough
D) Positive acid-fast bacilli in a sputum sample after 2 months of treatment --
Correct Answer ✔✔ D)
Continuing to have acid-fast bacilli in the sputum after 2 months indicated continued
infection.
A client diagnosed with active TB would be hospitalized primarily for which of the
following reasons?
A) To evaluate his condition
B) To determine his compliance
C) To prevent spread of the disease
D) To determine the need for antibiotic therapy -- Correct Answer ✔✔ C)
The client with active TB is highly contagious until three consecutive sputum cultures
are negative, so he's put in respiratory isolation in the hospital.
, A community health nurse is conducting an educational session with community
members regarding TB. The nurse tells the group that one of the first symptoms
associated with TB is:
A) A bloody, productive cough
B) A cough with the expectoration of mucoid sputum
C) Chest pain
D) Dyspnea -- Correct Answer ✔✔ B)
One of the first pulmonary symptoms includes a slight cough with the expectoration of
mucoid sputum.
Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. A nurse
reviews the medical record of the client. Which of the following, if noted in the client's
history, would require physician notification?
A) Heart disease
B) Allergy to penicillin
C) Hepatitis B
D) Rheumatic fever -- Correct Answer ✔✔ C)
Isoniazid and rafampin are contraindicated in clients with acute liver disease or a history
of hepatic injury.
A client who is HIV+ has had a PPD skin test. The nurse notes a 7-mm area of
induration at the site of the skin test. The nurse interprets the results as:
A) Positive
B) Negative
C) Inconclusive
D) The need for repeat testing -- Correct Answer ✔✔ A)
The client with HIV+ status is considered to have positive results on PPD skin test with
an area greater than 5-mm of induration. The client with HIV is immunosuppressed,
making a smaller area of induration positive for this type of client.
A nurse is caring for a client diagnosed with TB. Which assessment, if made by the
nurse, would not be consistent with the usual clinical presentation of TB and may
indicate the development of a concurrent problem?
A) Nonproductive or productive cough
SOLUTIONS
The Causative agent of Tuberculosis is said to be:
A) Mycobacterium Tuberculosis
B) Hansen's Bacilli
C) Bacillus Anthracis
D) Group A Beta Hemolytic Streptococcus -- Correct Answer ✔✔ A)
A client is diagnosed with active TB and started on triple antibiotic therapy. What signs
and symptoms would the client show if therapy is inadequate?
A) Decreased shortness of breath
B) Improved chest x-ray
C) Nonproductive cough
D) Positive acid-fast bacilli in a sputum sample after 2 months of treatment --
Correct Answer ✔✔ D)
Continuing to have acid-fast bacilli in the sputum after 2 months indicated continued
infection.
A client diagnosed with active TB would be hospitalized primarily for which of the
following reasons?
A) To evaluate his condition
B) To determine his compliance
C) To prevent spread of the disease
D) To determine the need for antibiotic therapy -- Correct Answer ✔✔ C)
The client with active TB is highly contagious until three consecutive sputum cultures
are negative, so he's put in respiratory isolation in the hospital.
, A community health nurse is conducting an educational session with community
members regarding TB. The nurse tells the group that one of the first symptoms
associated with TB is:
A) A bloody, productive cough
B) A cough with the expectoration of mucoid sputum
C) Chest pain
D) Dyspnea -- Correct Answer ✔✔ B)
One of the first pulmonary symptoms includes a slight cough with the expectoration of
mucoid sputum.
Isoniazid (INH) and rifampin (Rifadin) have been prescribed for a client with TB. A nurse
reviews the medical record of the client. Which of the following, if noted in the client's
history, would require physician notification?
A) Heart disease
B) Allergy to penicillin
C) Hepatitis B
D) Rheumatic fever -- Correct Answer ✔✔ C)
Isoniazid and rafampin are contraindicated in clients with acute liver disease or a history
of hepatic injury.
A client who is HIV+ has had a PPD skin test. The nurse notes a 7-mm area of
induration at the site of the skin test. The nurse interprets the results as:
A) Positive
B) Negative
C) Inconclusive
D) The need for repeat testing -- Correct Answer ✔✔ A)
The client with HIV+ status is considered to have positive results on PPD skin test with
an area greater than 5-mm of induration. The client with HIV is immunosuppressed,
making a smaller area of induration positive for this type of client.
A nurse is caring for a client diagnosed with TB. Which assessment, if made by the
nurse, would not be consistent with the usual clinical presentation of TB and may
indicate the development of a concurrent problem?
A) Nonproductive or productive cough
