ATI PN Adult Medical Surgical 2020 with NGN II

Extract:

Question 1 of 5

A nurse is assisting with care for a client who received a tuberculin skin test 72 hours ago. When collecting data from the test site, which of the following findings indicates a need for further testing?

A. Palpable area of induration, greater than 10 mm (0.4 in) in diameter B. Area of ecchymosis, greater than 12 mm (0.5 in) in diameter C. Tenderness at the injection site D. Nonpalpable area of redness, less than 5 mm (0.2 in) in diameter

Correct Answer: A

Rationale: A palpable induration greater than 10 mm indicates possible tuberculosis exposure, necessitating further diagnostic testing.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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ATI PN Adult Medical Surgical 2020 with NGN II | Nurselytic

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