1. A nurse is admitting a client who has pulmonary tuberculosis. Which of

the followingtransmission-based precautions should the nurse initiate?

• Airborne

• Rationale: Pulmonary tuberculosis is an infection that is transmitted

by airbornedroplets smaller than 5 microns in diameter. Therefore,

this client requires airborne precautions to prevent communicating

this infection to others

2. A nurse in a mental health facility is preparing an educational program

for a group ofstaff nurses about the proper use of restraints. Which of the

following information should the nurse plan to include?

• An adult client may be in a mechanical restraint for up to 4 hours

• Rational: The nurse should specify that a client who is 18 years or

older may be ina restraint for no more than 4 hr. Children who are 9

to 17 years old are limited to 2 hr and children who are younger than 9

years old are limited to 1 hr

3. A nurse is teaching sleep hygiene to a client who has insomnia. Which of

the followingstatements should the nurse make?

• Exercise in the morning after arising

• Rationale: Daily exercise has many benefits, including enhancing

cardiovascular, psychological, and musculoskeletal health. The nurse

should recommend that theclient avoid exercising within 2 hr of

bedtime to limit stimulation and enhance sleep

4. A nurse is preparing to leave the room of a client who is on isolation

precautions. Whichof the following actions should the nurse take when

removing a tied surgical mask?

• Remove the mask by securely holding the ties and moving it away from

the face

• Rationale: The nurse should untie the bottom strings and then the top