1. A person who harbors the microorganism but does not 7.

In order to prevent ventilator associated/acquired

manifest the signs and symptoms of the disease is called: pneumonia (VAP) in an intubated patient, the healthcare
provider should:
a. Contact
b. Infected a. Give prophylactic antibiotics
c. Suspect b. Maintain intubation for no more than 72 hours
c. Discourage patient visitors
d. Carrier
d. Provide oral care and suctioning to the patient
2. Which of the following term refers to the degree of 8. A patient has been diagnosed with right lower lobe
pathogenicity of a microbe, or in other words the relative pneumonia. Upon auscultation of this lung field, the
ability of a microbe to cause disease? healthcare provider would expect to hear which breath
sound?
a. Susceptibility
b. Virulence a. Stridor
c. Infection b. Crackles
d. None of the above c. Rhonchi
d. Wheezes
3. A client with TB who is taking anti-TB drugs who calls the
nurse because of urine discoloration. According to the 9. The day-shift healthcare provider is receiving report on her
client his urine turned reddish-orange. The nurse told the patient assignments for the day. It would be most
client that the reddish-orange discoloration of urine is the important for her to see which patient first?
side effect of which anti-TB drug?
a. The patient with serosanguinous chest tube drainage
a. Isoniazid b. The patient who has documented bilateral wheezes
b. Rifampicin c. The patient complaining of pain 7 on a 10 point scale
c. Pyrazinamide d. The patient who is complaining of shortness of breath
d. Ethambutol
10. You are providing care to a patient with a chest tube. On
4. Prevention of TB includes the following measures: assessment of the drainage system, you note continuous
bubbling in the water seal chamber and oscillation. Which
a. BCG vaccination of newborns of the following is the CORRECT nursing intervention for
b. Public education about TB and it's mode of transmission, this type of finding?
methods of control and early diagnosis.
c. Availability and accessibility of medical, laboratory, and x- a. Reposition the patient because the tubing is kinked
ray facilities for examination b. Continue to monitor the drainage system
d. All of the above c. Increase the suction to the drainage system until the
bubbling stops
5. One of your patients, a 32-year-old man has been d. Check the drainage system for an air leak
complaining of chest pains, shortness of breath and a
fever. Upon assessment, the healthcare provider notes the 11. You're assessing a patient who is post-operative from a
patient has a productive cough with pus-like sputum. chest tube insertion. On assessment, you note there is
What is the most appropriate conclusion/diagnosis a 50cc of serosangeuinous fluid in the drainage chamber,
healthcare provider can infer from this data? fluctuation of water in the water seal chamber when the
patient breathes in and out, and bubbling in the suction
a. Ineffective breathing related to pleural effusion control chamber. Which of the following is the most
b. Decreased appetite related to pneumonia appropriate nursing intervention?
c. Impaired gas exchange related to pulmonary abscess
d. Chest pain related to pneumonitis a. Document your findings as normal
b. Assess for an air leak due to bubbling noted in the suction
6. A new healthcare provider is working on the chamber
communicable disease ward of a hospital and notes in a c. Notify the physician about the drainage
patient's chart that he has cyanosis. When asking the d. Milk the tubing to ensure patency of the tubes
senior healthcare provider what cyanosis means, the
senior's best response would be:

a. "Cyanosis is the blue coloring of skin and mucous

membranes in the presence of highly oxygenated blood"
b. "Cyanosis is the blue coloring of the skin and mucous
membranes in the presence of poorly oxygenated blood"
c. "Cyanosis indicates that the patient has pneumonia"
d. "Cyanosis means the patient's skin was cold due to his
illness"