NCLEX · General

A nurse is caring for a client with active tuberculosis (TB). Which type of precaution and personal protective equipment is required?

Correct answer

Airborne precautions with a fit-tested N95 respirator and a negative-pressure room

  1. A Standard precautions only
  2. B Airborne precautions with a fit-tested N95 respirator and a negative-pressure room
  3. C Contact precautions with gown and gloves
  4. D Droplet precautions with a surgical mask

Why this is the answer

AIRBORNE PRECAUTIONS are required for tuberculosis. TB spreads via small airborne droplet nuclei that remain suspended in air, so the nurse needs: a fit-tested N95 RESPIRATOR (or higher); a NEGATIVE-PRESSURE (airborne infection isolation) room with the door closed; the client wears a surgical mask if transported. NCLEX safe and effective care/infection control. THE THREE TRANSMISSION-BASED PRECAUTIONS: AIRBORNE (TB, measles/rubeola, varicella/chickenpox — N95, negative-pressure room — mnemonic 'My Chicken Hez TB'); DROPLET (influenza, pertussis, meningitis — surgical mask, private room); CONTACT (MRSA, C. diff, scabies — gown and gloves). Selecting the correct precaution type is a high-priority NCLEX safety concept.
Source: NCLEX Safe Care — Transmission-Based Precautions, TB