HESI HIV and Tuberculosis and
Rationale Exam 2025
QUESTIONS AND DETAILED
ANSWERS | 100% VERIFIED
CORRECT | GRADE A+
1.
The nurse admits client to a private room at the end of the hall. According to
hospital protocol, the nurse puts on a mask before starting the admission
process. Client tells the nurse that their significant other is downstairs and that
they would like for them to stay in the room with them.
How should the nurse respond?
"They may stay, but they need to wear a mask."
(Client's significant other may stay in the room, but they should wear a mask to
help decrease the possibility of contracting the TB organism.)
2.
Client's significant other arrives. Client wants to know why a mask is necessary
for people entering their room. What teaching should the nurse implement?
Explain that the tuberculosis (TB) organism is most often spread through the air.
, (When an infected person coughs or sneezes, they produce infectious droplets
that can be breathed in by another person. This answer provides client with the
scientific rationale for wearing a mask.)
3.
The unlicensed assistive personnel (UAP) asks why client could not be in an
empty semi-private room closer to the nurse's station so the staff would not
have to walk so far to provide care.
What information should the nurse provide to the UAP on infection control
practices?
The implementation of airborne precautions for possible TB requires a private,
negative pressure room assignment.
(According to the Centers for Disease Control (CDC), in addition to isolating client
by using a private room, engineering controls can help to prevent the spread of
TB. Controlling the direction of the airflow can prevent contamination of air in
adjacent areas.)
4.
The nurse notices the UAP about to enter client's room to deliver a meal tray
without wearing any protective apparel. What information should the nurse
provide to the UAP?
A fit-tested HEPA mask is required for healthcare workers entering the room of
someone suspected of having active TB.
(TB is spread by airborne transmission of droplet nuclei. A specific fit tested, high-
efficiency particulate air (HEPA) mask is necessary to filter the mycobacterium
tuberculosis bacillus.)
5.
An acid-fast bacilli (AFB) stain is part of the initial admission orders. Early
morning sputum specimens will be collected for 3 consecutive days and sent to
the lab.
Rationale Exam 2025
QUESTIONS AND DETAILED
ANSWERS | 100% VERIFIED
CORRECT | GRADE A+
1.
The nurse admits client to a private room at the end of the hall. According to
hospital protocol, the nurse puts on a mask before starting the admission
process. Client tells the nurse that their significant other is downstairs and that
they would like for them to stay in the room with them.
How should the nurse respond?
"They may stay, but they need to wear a mask."
(Client's significant other may stay in the room, but they should wear a mask to
help decrease the possibility of contracting the TB organism.)
2.
Client's significant other arrives. Client wants to know why a mask is necessary
for people entering their room. What teaching should the nurse implement?
Explain that the tuberculosis (TB) organism is most often spread through the air.
, (When an infected person coughs or sneezes, they produce infectious droplets
that can be breathed in by another person. This answer provides client with the
scientific rationale for wearing a mask.)
3.
The unlicensed assistive personnel (UAP) asks why client could not be in an
empty semi-private room closer to the nurse's station so the staff would not
have to walk so far to provide care.
What information should the nurse provide to the UAP on infection control
practices?
The implementation of airborne precautions for possible TB requires a private,
negative pressure room assignment.
(According to the Centers for Disease Control (CDC), in addition to isolating client
by using a private room, engineering controls can help to prevent the spread of
TB. Controlling the direction of the airflow can prevent contamination of air in
adjacent areas.)
4.
The nurse notices the UAP about to enter client's room to deliver a meal tray
without wearing any protective apparel. What information should the nurse
provide to the UAP?
A fit-tested HEPA mask is required for healthcare workers entering the room of
someone suspected of having active TB.
(TB is spread by airborne transmission of droplet nuclei. A specific fit tested, high-
efficiency particulate air (HEPA) mask is necessary to filter the mycobacterium
tuberculosis bacillus.)
5.
An acid-fast bacilli (AFB) stain is part of the initial admission orders. Early
morning sputum specimens will be collected for 3 consecutive days and sent to
the lab.
