TB Quiz PDF

#### TB Quiz: **Pathophysiology and Etiology of Tuberculosis** 1. **What is the primary cause of tuberculosis?** - A\) Mycoplasma pneumoniae - B\) Mycobacterium tuberculosis - C\) Streptococcus pneumoniae - D\) Haemophilus influenzae 2. **Which response best describes...

#### TB Quiz: **Pathophysiology and Etiology of Tuberculosis** 1. **What is the primary cause of tuberculosis?** - A\) Mycoplasma pneumoniae - B\) Mycobacterium tuberculosis - C\) Streptococcus pneumoniae - D\) Haemophilus influenzae 2. **Which response best describes the formation of a granulomatous lesion in tuberculosis?** - A\) Inflammation with pus formation - B\) Formation of a tubercle through phagocytosis - C\) Accumulation of lymphocytes in the alveoli - D\) Diffuse fibrosis of lung tissue 3. **In latent tuberculosis, the bacteria are:** - A\) Completely eliminated from the body - B\) Dormant but not infectious - C\) Rapidly multiplying in the blood - D\) Infectious but asymptomatic **Risk Factors for Tuberculosis** 4. **Which of the following is the greatest risk factor for developing active TB?** - A\) History of asthma - B\) Recent travel to a high-incidence country - C\) Family history of diabetes - D\) Occupation as a school teacher 5. **A nurse is assessing a client for TB risk. Which factors are most relevant?** *(Select all that apply.)* - A\) Compromised immune system - B\) Using injection drugs - C\) Living in a well-ventilated environment - D\) Being an immigrant from a high-risk area - E\) Sharing clothes with an infected person **Diagnosis and Testing** 6. **A tuberculin skin test (TST) is considered positive in a healthy adult with no risk factors when the induration is:** - A\) \>5mm - B\) \>10mm - C\) \>15mm - D\) \>20mm 7. **What is the gold standard for confirming tuberculosis diagnosis?** - A\) Chest X-ray - B\) Interferon-gamma release assay - C\) Sputum culture - D\) Tuberculin skin test **Medications and Treatment** 8. **Which antitubercular drug requires vitamin B6 supplementation?** - A\) Rifampin - B\) Isoniazid - C\) Pyrazinamide - D\) Ethambutol 9. **A client taking rifampin should be educated about:** - A\) Avoiding high-fat meals - B\) Permanent staining of contact lenses - C\) Weekly blood glucose checks - D\) Restricting sun exposure 10. **Which side effect of ethambutol requires immediate attention?** - A\) Optic neuritis - B\) Hepatitis - C\) Peripheral neuropathy - D\) Skin rash **Nursing Care and Management** 11. **A nurse is educating a client about TB medications. Which statement indicates understanding?** - A\) \"I will stop the medication once symptoms improve.\" - B\) \"I need to take all doses as prescribed to prevent resistance.\" - C\) \"Once my fever resolves, I can discontinue isolation.\" - D\) \"I only need treatment if my skin test is positive.\" 12. **What is a primary nursing intervention for a patient with active TB in the hospital?** - A\) Placing the patient in a private room with standard precautions - B\) Initiating airborne precautions immediately - C\) Assigning a roommate with similar symptoms - D\) Using droplet precautions for 48 hours **Prevention and Public Health** 13. **What should the nurse teach a client to prevent TB transmission at home?** - A\) Wear a surgical mask when in public - B\) Disinfect shared utensils daily - C\) Avoid close contact until non-infectious - D\) Use gloves for personal hygiene 14. **Which population is at the highest risk for TB reactivation?** - A\) Healthy teenagers - B\) Elderly individuals - C\) Patients with hypertension - D\) Nurses in outpatient clinics #### Pathophysiology and Risk Factors 15. **A client has a positive Mantoux test but no symptoms of tuberculosis. What does this indicate?** - A\) Active TB infection - B\) Latent TB infection - C\) Exposure to another mycobacterium - D\) Immune system dysfunction 16. **Which clinical manifestation is most concerning for active TB?** - A\) Persistent dry cough - B\) Hemoptysis and night sweats - C\) Fever lasting two days - D\) Shortness of breath after exercise #### Diagnosis and Testing 17. **A client's PPD test shows a 6-mm induration with no risk factors. What is the nurse's best interpretation?** - A\) Positive - B\) Negative - C\) Indeterminate - D\) Requires further testing 18. **A nurse is interpreting an IGRA test for a client with suspected TB. Which statement is accurate?** - A\) IGRA results are affected by prior BCG vaccination. - B\) IGRA can confirm latent TB infection. - C\) IGRA testing requires a 72-hour follow-up. - D\) IGRA testing replaces sputum culture. #### Pharmacologic Therapy 19. **A nurse is teaching a client about side effects of pyrazinamide. What should the nurse emphasize?** - A\) Monitoring for vision changes - B\) Avoiding foods high in tyramine - C\) Recognizing signs of hepatotoxicity - D\) Expecting red-orange urine discoloration 20. **Why is directly observed therapy (DOT) often used for TB treatment?** - A\) To ensure early symptom resolution - B\) To confirm proper medication dosing - C\) To improve adherence and prevent resistance - D\) To reduce healthcare costs 21. **Which medication should be withheld if a client experiences vision changes during TB treatment?** - A\) Rifampin - B\) Isoniazid - C\) Pyrazinamide - D\) Ethambutol 22. **A client asks why they need to take multiple medications for TB. What is the nurse's best response?** - A\) \"It shortens the duration of treatment.\" - B\) \"It prevents bacterial resistance.\" - C\) \"It reduces the cost of treatment.\" - D\) \"It decreases the risk of side effects.\" #### Nursing Care 23. **When is a client with TB no longer considered infectious?** - A\) After two weeks of treatment - B\) When symptoms resolve completely - C\) Following a negative sputum culture - D\) After three negative skin tests 24. **What is the priority nursing diagnosis for a client with active TB?** - A\) Risk for imbalanced nutrition - B\) Ineffective airway clearance - C\) Impaired gas exchange - D\) Risk for infection #### Public Health and Prevention 25. **What teaching should the nurse provide about the BCG vaccine?** - A\) \"It provides lifelong immunity to TB.\" - B\) \"It is not recommended for high-risk populations.\" - C\) \"It may cause a positive tuberculin skin test.\" - D\) \"It eliminates the need for IGRA testing.\" 26. **Which environmental factor contributes most to TB transmission?** - A\) Low temperatures - B\) Poor ventilation - C\) High humidity - D\) Direct contact with skin 27. **What personal protective equipment (PPE) is essential for a nurse caring for a client with active TB?** - A\) Surgical mask - B\) N95 respirator - C\) Face shield - D\) Sterile gloves #### Miscellaneous 28. **Which client is most likely to develop multi-drug resistant TB (MDR-TB)?** - A\) A client adhering to DOT - B\) A client with incomplete TB treatment history - C\) A client receiving latent TB treatment - D\) A client living in a low-incidence area 29. **Why are routine liver function tests essential during TB treatment?** - A\) To monitor for medication-induced hepatitis - B\) To assess TB progression - C\) To screen for concurrent infections - D\) To evaluate immune response 30. **What symptom should a nurse prioritize during TB treatment?** - A\) Weight gain - B\) Persistent cough with blood - C\) Increased appetite - D\) Improved exercise tolerance