Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 39
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- 1.A client was infected with TB 10 years ago but never developed the disease. He’s now being treated for cancer. The client begins to develop signs of TB. This is known as which of the following types of infection?
- A.
Active infection
- B.
Primary infection
- C.
Superinfection
- D.
Tertiary infection
- 2.A client has active TB. Which of the following symptoms will he exhibit?
- A.
Chest and lower back pain
- B.
Chills. fever. night sweats. and hemoptysis
- C.
Fever of more than 104*F and nausea
- D.
Headache and photophobia
- 3.Which of the following diagnostic tests is definitive for TB?
- A.
Chest x-ray
- B.
Mantoux test
- C.
Sputum culture
- D.
Tuberculin test
- 4.A client with a positive Mantoux test result will be sent for a chest x-ray. For which of the following reasons is this done?
- A.
To confirm the diagnosis
- B.
To determine if a repeat skin test is needed
- C.
To determine the extent of the lesions
- D.
To determine if this is a primary or secondary infection
- 5.A chest x-ray should a client’s lungs to be clear. His Mantoux test is positive. with a 10mm if induration. His previous test was negative. These test results are possible because:
- A.
He had TB in the past and no longer has it.
- B.
He was successfully treated for TB. but skin tests always stay positive.
- C.
He’s a “seroconverter”. meaning the TB has gotten to his bloodstream.
- D.
He’s a “tuberculin converter.” which means he has been infected with TB since his last skin test.
- 6.A client with a positive skin test for TB isn’t showing signs of active disease. To help prevent the development of active TB. the client should be treated with isoniazid. 300 mg daily. for how long?
- A.
10 to 14 days
- B.
2 to 4 weeks
- C.
3 to 6 months
- D.
9 to 12 months
- 7.A client with a productive cough. chills. and night sweats is suspected of having active TB. The physician should take which of the following actions?
- A.
Admit him to the hospital in respiratory isolation
- B.
Prescribe isoniazid and tell him to go home and rest
- C.
Give a tuberculin test and tell him to come back in 48 hours and have it read.
- D.
Give a prescription for isoniazid. 300 mg daily for 2 weeks. and send him home.
- 8.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.
- 9.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.
- 10.A high level of oxygen exerts which of the following effects on the lung?
- A.
Improves oxygen uptake
- B.
Increases carbon dioxide levels
- C.
Stabilizes carbon dioxide levels
- D.
Reduces amount of functional alveolar surface area
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