The nurse is working in an outpatient clinic. The clinic has been alerted that there is an outbreak of tuberculosis (TB). Which of the following clients entering the clinic today are most likely to have TB?

A 33-year-old daycare worker at a high-risk center.

A 54-year-old nurse working in a nursing home.

A 16-year-old female high school student.

A 43-year-old homeless man with a history of alcoholism.

Answer and Explanation

The Correct Answer is D

A.   While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B.   This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C.   High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D.   This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. In roseola (also known as exanthem subitum or sixth disease), a child typically develops a rash that is characterized by small, rose-colored spots (maculopapular rash) after the fever resolves. However, it is not primarily described as a "red papular rash" at the onset, which can lead to some confusion.
B. Koplik spots are small, white lesions that appear inside the mouth and are characteristic of measles, not roseola. They do not occur in roseola.
C. A severe cough is not a symptom of roseola. While respiratory symptoms can be present in many viral infections, roseola is primarily characterized by a high fever followed by a rash, with minimal respiratory involvement.
D. Inflammation of the parotid gland is associated with mumps, not roseola. Roseola does not typically involve swelling of the salivary glands.

A. Cool extremity B. Absence of pedal pulses C. Misalignment D. Hypotension

Correct Answer is C

Explanation

A. This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B. Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C. Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D. Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is working in an outpatient clinic. The clinic has been alerted that there is an outbreak of tuberculosis (TB). Which of the following clients entering the clinic today are most likely to have TB?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child with roseola will have which symptom?

Correct Answer is A

Explanation

The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

Correct Answer is C

Explanation

A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?

A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?

Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

The nurse is aware the early indicator of hypoxia in the unconscious client is:

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?