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Safety and Infection Prevention and Control · Multiple choice · Take action

A client is admitted with suspected pulmonary tuberculosis. Which precautions should the nurse implement?

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Correct answer: A

TB spreads by airborne droplet nuclei. Clients need an airborne infection isolation (negative-pressure) room, and staff wear a fit-tested N95 or higher respirator. Precautions start on suspicion, not after confirmation.

Source: CDC. 2007 Guideline for Isolation Precautions; CDC TB Infection Control (2005)

Keep practicing Safety and Infection Prevention and Control

This question is one of 163 Safety and Infection Prevention and Control items in NCLEXSim. On the NCLEX-RN, this category makes up 10–16% of the exam.

Study tip
  • Memorize isolation by organism: airborne (TB, measles, varicella), droplet (influenza, pertussis, mumps, meningococcus), contact (C. difficile, MRSA, scabies, RSV).
  • Drill the PPE sequences: on is gown, mask, eyewear, gloves; off is gloves, eyewear, gown, mask, then hand hygiene.

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