Your patient is diagnosed with a latent tuberculosis infection. Select

Respiratory System NCLEX Questions

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Question 1 of 5.

Your patient is diagnosed with a latent tuberculosis infection. Select all the correct statements that reflect this condition:

A. The patient will not need treatment unless it progresses to an active tuberculosis infection.

B. The patient is not contagious and will have no signs and symptoms.

C. The patient will have a positive tuberculin skin test or IGRA test.

D. The patient will have an abnormal chest x-ray.

E. The patient's sputum will test positive for mycobacterium tuberculosis.

Explanation: Latent TB infection is characterized by no symptoms, no contagiousness , and a positive tuberculin skin test or IGRA . Treatment is often recommended to prevent progression (not A). Chest X-rays are typically normal (not D), and sputum tests are negative (not E).

Question 2 of 5.

The school nurse is presenting a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?

A. Instruct the children to always keep a tissue or handkerchief with them.

B. Explain that children current with immunizations will not get a cold.

C. Tell the children they should go to the doctor if they get a cold.

D. Demonstrate to the students how to wash hands correctly.

Explanation: Handwashing (D) is the most effective way to prevent cold transmission. Tissues (A) are secondary, immunizations (B) donâ€™t prevent colds, and doctor visits (C) are unnecessary for most colds.

Question 3 of 5.

The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine?

A. Elderly and chronically ill clients.

B. Child-care workers and children less than four (4) years of age.

C. Hospital chaplains and health-care workers.

D. Schoolteachers and students living in a dormitory.

Explanation: Elderly and chronically ill (A) are at highest risk for flu complications, prioritizing them. Child-care workers/children (B), chaplains/HCWs (C), and teachers/students (D) are secondary.

Question 4 of 5.

The nurse is developing a plan of care for a client diagnosed with laryngitis and identifies the client problem 'altered communication.' Which intervention should the nurse implement?

A. Instruct the client to drink a mixture of brandy and honey several times a day.

B. Encourage the client to whisper instead of trying to speak at a normal level.

C. Provide the client with a blank note pad for writing any communication.

D. Explain that the client's aphonia may become a permanent condition.

Explanation: A note pad (C) facilitates communication during laryngitis-related voice loss. Brandy/honey (A) is unproven, whispering (B) strains vocal cords, and permanent aphonia (D) is unlikely.

Question 5 of 5.

The nurse is planning the care of a client diagnosed with pneumonia and writes a problem of 'impaired gas exchange.' Which is an expected outcome for this problem?

A. Performs chest physiotherapy three (3) times a day.

B. Able to complete activities of daily living.

C. Ambulates in the hall several times during each shift.

D. Alert and oriented to person, place, time, and events.

Explanation: Alert/oriented status (D) indicates improved oxygenation from resolved gas exchange impairment. Physiotherapy (A) is an intervention, ADLs (B) and ambulation (C) are secondary outcomes.