NCLEX · General

A nurse is caring for a client diagnosed with active pulmonary tuberculosis (TB). Which PPE is required when entering the room?

Correct answer

N95 respirator (or higher) — TB requires AIRBORNE PRECAUTIONS; standard surgical masks do not filter the small droplet nuclei that carry Mycobacterium tuberculosis; the room must be under negative pressure (air flows in, not out); the door must remain closed

  1. A Standard surgical mask and gown
  2. B N95 respirator (or higher) — TB requires AIRBORNE PRECAUTIONS; standard surgical masks do not filter the small droplet nuclei that carry Mycobacterium tuberculosis; the room must be under negative pressure (air flows in, not out); the door must remain closed
  3. C N95 plus full face shield at all times
  4. D Only gloves — TB is bloodborne

Why this is the answer

TUBERCULOSIS — AIRBORNE PRECAUTIONS: TB spreads via AIRBORNE transmission — tiny droplet nuclei (<5 microns) that remain suspended in air for hours; REQUIRED PPE: N95 respirator (minimum) — must be properly fit-tested for the individual nurse; surgical masks do NOT provide adequate filtration; NEGATIVE PRESSURE ROOM: Air flows INTO the room from the hallway (negative pressure relative to corridor); exhaust air goes outside or through HEPA filtration; door kept CLOSED; SURGICAL MASK ON PATIENT: TB patients wear a surgical mask when transported outside their negative pressure room (to contain droplet nuclei they produce); ADDITIONAL PRECAUTIONS: Gown and gloves if contact with respiratory secretions; RELATED AIRBORNE PATHOGENS: Measles, varicella (chickenpox), disseminated herpes zoster — all require N95 and negative pressure; REMEMBER: AIRBORNE → N95 + negative pressure room; DROPLET → surgical mask + standard room; CONTACT → gown + gloves.
Source: NCLEX-PN Safe Care — Airborne Precautions, Tuberculosis PPE

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