Pneumonia and Tuberculosis Quiz
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Questions and Answers

A nurse is teaching a community group about pneumonia. Which pathogen is most commonly responsible for community-acquired pneumonia (CAP)?

  • Mycobacterium tuberculosis
  • Streptococcus pneumoniae (correct)
  • Influenza virus
  • Klebsiella pneumoniae
  • A patient with suspected bacterial pneumonia presents with unilateral lung involvement. The nurse recognizes this as:

  • Aspiration pneumonia
  • Viral pneumonia
  • Lobar pneumonia (correct)
  • Bronchopneumonia
  • The nurse is assessing a patient with tuberculosis (TB). What is the hallmark of a positive Mantoux test?

  • Redness at the injection site
  • Elevated WBC levels
  • Induration at the injection site (correct)
  • Presence of a rash
  • The nurse is reviewing a patient's arterial blood gas (ABG) results. Which finding is most concerning in a patient with pneumonia?

    <p>pH: 7.28, PaCO2: 50 mmHg</p> Signup and view all the answers

    A nurse is providing care for a patient with active tuberculosis. Which medication regimen is appropriate for the first two months of treatment?

    <p>Rifampin, isoniazid, ethambutol, and pyrazinamide</p> Signup and view all the answers

    The nurse is implementing interventions for a patient with pneumonia. Which intervention is a priority?

    <p>Administering antibiotics as ordered</p> Signup and view all the answers

    A patient with aspiration pneumonia is admitted to the unit. Which factor is most likely responsible for the severity of the inflammation?

    <p>pH of the aspirated material</p> Signup and view all the answers

    Which laboratory test is the gold standard for confirming a tuberculosis diagnosis?

    <p>Sputum culture</p> Signup and view all the answers

    A nurse is educating a patient about pneumococcal vaccination. Which patient statement indicates the need for further teaching?

    <p>I will only need one dose of the vaccine for lifetime immunity.</p> Signup and view all the answers

    Which clinical manifestation is most commonly associated with bacterial pneumonia?

    <p>Sudden onset of fever, chills, and productive cough</p> Signup and view all the answers

    The nurse is caring for a patient receiving treatment for latent tuberculosis. What is the expected pharmacologic regimen?

    <p>Isoniazid for 6-9 months</p> Signup and view all the answers

    Which diagnostic test is best for identifying active tuberculosis in a patient with a positive Mantoux test?

    <p>Sputum culture</p> Signup and view all the answers

    The nurse is monitoring a patient with pneumonia for sepsis. Which finding requires immediate intervention?

    <p>Lactate level of 4.2 mmol/L</p> Signup and view all the answers

    A patient with pneumonia is experiencing pleuritic chest pain during coughing. What intervention should the nurse prioritize?

    <p>Teaching the patient to splint the chest</p> Signup and view all the answers

    A nurse is caring for an immunocompromised patient with suspected opportunistic pneumonia. Which pathogen is most likely involved?

    <p>Pneumocystis jirovecii</p> Signup and view all the answers

    The nurse is planning care for a patient with bacterial pneumonia. Which intervention will help maintain airway patency?

    <p>Performing endotracheal suctioning as ordered</p> Signup and view all the answers

    The nurse is providing education to a patient newly diagnosed with tuberculosis. Which statement indicates understanding?

    <p>I must complete the full course of therapy to prevent resistance.</p> Signup and view all the answers

    Study Notes

    Pneumonia and Tuberculosis Questions & Answers

    • Question 1: Most common cause of community-acquired pneumonia (CAP) is Streptococcus pneumoniae (approximately 50%). Other causes include Mycobacterium tuberculosis (tuberculosis), Influenza virus, and Klebsiella pneumoniae, but less common.

    • Question 2: Unilateral lung involvement in suspected bacterial pneumonia points to lobar pneumonia. Bronchopneumonia is patchy and scattered, aspiration pneumonia is from inhaled substances, and viral pneumonia is often mild and scattered.

    • Question 3: The hallmark of a positive Mantoux test for tuberculosis (TB) is induration (a raised, hardened area) at the injection site, not just redness.

    • Question 4: A concerning finding in a pneumonia patient's arterial blood gas (ABG) results is a pH of 7.28 and a PaCO2 of 50 mmHg, indicating respiratory acidosis.

    • Question 5: Initial two months of active tuberculosis treatment involves a combination of rifampin, isoniazid, ethambutol, and pyrazinamide.

    • Question 6: The priority intervention for a pneumonia patient is administering antibiotics as ordered to treat the infection.

    • Question 7: Low pH of aspirated material in aspiration pneumonia is a key factor contributing to the severity of the inflammation.

    • Question 8: Sputum culture is the gold standard for confirming a tuberculosis diagnosis.

    • Question 9: Inaccurate statement about pneumococcal vaccination: Patients need multiple doses and/or revaccinations for effective lifetime immunity and prevent severe pneumonia.

    • Question 10: Sudden onset of fever, chills, productive cough is a typical symptom of bacterial pneumonia.

    • Question 11: The expected pharmacologic regimen for latent tuberculosis is isoniazid for 6-9 months.

    • Question 12: Sputum culture is the best diagnostic test for identifying active tuberculosis in a patient with a positive Mantoux test.

    • Question 13: Immediate intervention is required for a patient with pneumonia and sepsis who has a lactate level above 4 mmol/L.

    • Question 14: Intervening with a patient experiencing pleuritic chest pain during coughing involves teaching splinting.

    • Question 15: The most likely pathogen in a patient with suspected opportunistic pneumonia and immune compromise is Pneumocystis jirovecii.

    • Question 16: Maintaining airway patency in a bacterial pneumonia patient involves endotracheal suctioning as ordered.

    • Question 17: Completing the full course of tuberculosis therapy is essential to prevent resistance.

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    Description

    Test your knowledge on pneumonia and tuberculosis with this quiz covering key symptoms, causes, diagnostic tests, and treatment protocols. Each question delves into important aspects of these respiratory conditions, making it ideal for students and health professionals alike.

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