Practice Question
A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first
Answer Choices:
Correct Answer:
Nucleic acid amplification test (NAAT)
Rationale:
🔷 NAAT is the fastest and most sensitive test for detecting Mycobacterium tuberculosis directly from sputum samples.
🔷 It detects genetic material (DNA/RNA) of TB, providing results in less than 24 hours.
🔷 Early detection is critical for preventing further transmission, especially in high-risk exposure cases.
🔷 Unlike chest X-rays or AFB smears, NAAT provides confirmatory molecular evidence even before cultures are positive.
🔷 NAAT is recommended by CDC as the first-line diagnostic test when TB is suspected in high-risk exposures.
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This question is from Custom Adult Health 2EX1 which contains 61 questions.
More Questions from This Exam
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
Answer Choices:
A. Assess pulse and respirations.
B. Assess characteristics of her sputum.
C. Auscultate lung fields.
D. Instruct to slowly exhale with pursed lips.
A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?
Answer Choices:
A. "Drink at least 8 ounces of water when you take the pyrazinamide tablet."
B. "Expect your sputum cultures to be negative after 6 months of therapy."
C. "Provide a sputum specimen every 2 weeks to the clinic for testing."
D. Take isoniazid with an antacid."
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Answer Choices:
A. Provide the client with a low-protein diet.
B. Restrict the client's fluid intake to less than 2 L/day.
C. Instruct the client to use pursed-lip breathing
D. Have the client use the early-moming hours for exercise and activity.
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Answer Choices:
A. Remove the dressing to inspect the wound.
B. Administer oxygen via nasal cannula.
C. Raise the foot of the bed to a 90° angle.
D. Prepare to insert a central line. Q6
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Answer Choices:
A. Fluctuation of the fluid level within the water seal chamber
B. Equal amounts of fluid drainage in each collection chamber
C. Absence of fluid in the drainage tubing
D. Continuous bubbling within the water seal chamber
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Adult Health
- Answer Choices: 4
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