Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 43

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Questions: 10 | Attempts: 2,595 | Updated: May 22, 2024

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Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 43 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

The nurse obtains a sputum specimen from a client with suspected TB for laboratory study. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum?
- A.
  
  Acid-fast staining
- B.
  
  Sensitivity testing
- C.
  
  Agglutination testing
- D.
  
  Dark-field illumination
Correct Answer
A. Acid-fast staining

Explanation
The most commonly used technique to identify tubercle bacilli is acid-fast staining. The bacilli have a waxy surface. which makes them difficult to stain in the lab. However. once they are stained. the stain is resistant to removal. even with acids. Therefore. tubercle bacilli are often called acid-fast bacilli.

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2.

Which of the following antituberculous drugs can cause damage to the eighth cranial nerve?
- A.
  
  Streptomycin
- B.
  
  Isoniazid
- C.
  
  Para-aminosalicylic acid
- D.
  
  Ethambutol hydrochloride
Correct Answer
A. Streptomycin

Explanation
Streptomycin is an aminoglycoside. and eight cranial nerve damage (ototoxicity) is a common side effect from aminoglycosides.

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3.

The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms?
- A.
  
  Vertigo
- B.
  
  Facial paralysis
- C.
  
  Impaired vision
- D.
  
  Difficulty swallowing
Correct Answer
A. Vertigo

Explanation
The eighth cranial nerve is the vestibulocochlear nerve. which is responsible for hearing and equilibrium. Streptomycin can damage this nerve.

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4.

Which of the following family members exposed to TB would be at highest risk for contracting the disease?
- A.
  
  45-year-old mother
- B.
  
  17-year-old daughter
- C.
  
  8-year-old son
- D.
  
  76-year-old grandmother
Correct Answer
D. 76-year-old grandmother

Explanation
Elderly persons are believed to be at higher risk for contracting TB because of decreased immunocompetence. Other high-risk populations in the US include the urban poor. AIDS. and minority groups.

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5.

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Select all that apply.
- A.
  
  “I will need to dispose of my old clothing when I return home.”
- B.
  
  “I should always cover my mouth and nose when sneezing.”
- C.
  
  “It is important that I isolate myself from family when possible.”
- D.
  
  “I should use paper tissues to cough in and dispose of them properly.”
- E.
  
  “I can use regular plate and utensils whenever I eat.”
Correct Answer(s)
B. “I should always cover my mouth and nose when sneezing.”
D. “I should use paper tissues to cough in and dispose of them properly.”
E. “I can use regular plate and utensils whenever I eat.”

Explanation
The client's statement "I should always cover my mouth and nose when sneezing" indicates that he understands the importance of practicing respiratory hygiene to prevent the spread of TB. The statement "I should use paper tissues to cough in and dispose of them properly" shows that the client is aware of the need to contain respiratory secretions and dispose of them appropriately. The statement "I can use regular plate and utensils whenever I eat" suggests that the client understands that TB is not transmitted through food or utensils, indicating a good understanding of how the disease spreads.

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6.

A client has a positive reaction to the PPD test. The nurse correctly interprets this reaction to mean that the client has:
- A.
  
  Active TB
- B.
  
  Had contact with Mycobacterium tuberculosis
- C.
  
  Developed a resistance to tubercle bacilli
- D.
  
  Developed passive immunity to TB.
Correct Answer
B. Had contact with Mycobacterium tuberculosis

Explanation
A positive PPD test indicates that the client has been exposed to tubercle bacilli. Exposure does not necessarily mean that active disease exists.

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7.

INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?
- A.
  
  Adhere to a low cholesterol diet
- B.
  
  Supplement the diet with pyridoxine (vitamin B6)
- C.
  
  Get extra rest
- D.
  
  Avoid excessive sun exposure.
Correct Answer
B. Supplement the diet with pyridoxine (vitamin B6)

Explanation
INH competes with the available vitamin B6 in the body and leaves the client at risk for development of neuropathies related to vitamin deficiency. Supplemental vitamin B6 is routinely prescribed.

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8.

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.
  
  Take the medication with antacids
- B.
  
  Double the dosage if a drug dose is forgotten
- C.
  
  Increase intake of dairy products
- D.
  
  Limit alcohol intake
Correct Answer
D. Limit alcohol intake

Explanation
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.

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9.

The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client?
- A.
  
  Ask the client’s spouse to supervise the daily administration of the medications.
- B.
  
  Visit the clinic weekly to ask him whether he is taking his medications regularly.
- C.
  
  Notify the physician of the client’s non-compliance and request a different prescription.
- D.
  
  Remind the client that TB can be fatal if not taken properly.
Correct Answer
A. Ask the client’s spouse to supervise the daily administration of the medications.

Explanation
Directly observed therapy (DOT) can be implemented with clients who are not compliant with drug therapy. In DOT. a responsible person. who may be a family member or a health care provider. observes the client taking the medication. Visiting the client. changing the prescription. or threatening the client will not ensure compliance if the client will not or cannot follow the prescribed treatment.

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10.

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. Mycobacterium Tuberculosis

Explanation
The correct answer is Mycobacterium Tuberculosis. Tuberculosis is caused by the bacteria Mycobacterium tuberculosis, which primarily affects the lungs but can also affect other parts of the body. Hansen's Bacilli is another term for Mycobacterium leprae, the bacteria that causes leprosy. Bacillus anthracis is the causative agent of anthrax. Group A Beta Hemolytic Streptococcus is responsible for various infections such as strep throat and skin infections, but it is not the causative agent of tuberculosis.

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Current Version
May 22, 2024

Quiz Edited by
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Sep 27, 2017

Quiz Created by
Santepro

Respiratory System | Pneumonia & Tuberculosis NCLEX Quiz 43

The nurse obtains a sputum specimen from a client with suspected TB for laboratory study. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum?

Which of the following antituberculous drugs can cause damage to the eighth cranial nerve?

The client experiencing eighth cranial nerve damage will most likely report which of the following symptoms?

Which of the following family members exposed to TB would be at highest risk for contracting the disease?

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Select all that apply.

A client has a positive reaction to the PPD test. The nurse correctly interprets this reaction to mean that the client has:

INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?

The nurse should include which of the following instructions when developing a teaching plan for clients receiving INH and rifampin for treatment for TB?

The public health nurse is providing follow-up care to a client with TB who does not regularly take his medication. Which nursing action would be most appropriate for this client?

The Causative agent of Tuberculosis is said to be: