{"id":1195,"date":"2023-05-24T14:06:00","date_gmt":"2023-05-24T14:06:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=1195"},"modified":"2026-03-20T13:51:09","modified_gmt":"2026-03-20T21:51:09","slug":"nclex-qotd-tb-risk-factors","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tb-risk-factors","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Tuberculosis (TB) risk factors"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tb-risk-factors\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tb-risk-factors\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-tb-risk-factors\/#Incorrect_Answer_Explanation\" >Incorrect Answer Explanation<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX-RN\u00ae question of the day<\/strong> focuses on an <strong>infection control nurse<\/strong> who is reviewing the schedule of client appointments for the day. Which client(s) is\/are at <strong>high-risk for developing tuberculosis (TB)?<\/strong> Can you figure it out?<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The infection control nurse<\/strong> is reviewing the schedule of client appointments for the day. Which client(s) is\/are at <strong>high-risk for developing tuberculosis (TB)?<\/strong> Select all that apply.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. An elderly client recently diagnosed with cancer<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. A client experiencing homelessness with limited access to medical treatment<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. A nursing assistant who works in a long-term care facility<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. A client who has been taking prednisolone for two years<\/strong><strong>E. A 30-year-old client who recently had a knee replacement<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. An elderly client recently diagnosed with cancer<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:\u00a0<\/strong>Older or <strong>immunocompromised clients<\/strong> are at an <strong>increased risk<\/strong> of developing TB. As the body ages, the <strong>immune system<\/strong> is unable to fight infection as effectively as before. Clients who are immunocompromised, such as those with cancer, have an <strong>altered immune system<\/strong>, increasing the risk of infection.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. A client experiencing homelessness with limited access to medical treatment<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>\u00a0Clients who are <strong>homeless<\/strong> or those with <strong>limited access to medical treatment<\/strong> are at an <strong>increased risk<\/strong> of developing TB. The <strong>lack of medical treatment<\/strong> and <strong>living in harsh conditions<\/strong> impacts the client\u2019s <strong>immune system<\/strong>, thus increasing the risk for infection.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. A nursing assistant who works in a long-term care facility<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>\u00a0People who <strong>live or work in crowded areas<\/strong> or <strong>health care facilities<\/strong> are at an <strong>increased risk<\/strong> of developing TB. Increased numbers of clients in one area can contribute to the <strong>risk of TB infection spreading<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. A client who has been taking prednisolone for two years<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:\u00a0<\/strong>Clients who take <strong>long-term immunosuppressive medications<\/strong>, like prednisolone, are at an <strong>increased risk<\/strong> of developing TB. These medications decrease the <strong>normal inflammatory and immune response<\/strong>, increasing the likelihood of an infection spreading.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Risk factors for tuberculosis (TB)<\/strong> include <strong>close contact with an infected individual<\/strong>, as well as <strong>living in crowded areas<\/strong>, <strong>working in a healthcare facility<\/strong>, <strong>having limited access to healthcare<\/strong>; <strong>not being vaccinated<\/strong>; <strong>experiencing homelessness<\/strong>, and <strong>alcohol or intravenous (IV) drug abuse<\/strong>. In addition, <strong>children and immunocompromised individuals<\/strong> are at higher risk for TB. These individuals include clients with <strong>human immunodeficiency virus (HIV)<\/strong>, <strong>cancer<\/strong>, <strong>malnutrition<\/strong>, <strong>diabetes<\/strong>, <strong>elderly clients<\/strong>, or those taking <strong>immunosuppressant medications<\/strong>, like <strong>corticosteroids<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"688\" height=\"718\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/risk-factors-and-causes-of-tuberculosis.jpg\" alt=\"Title: Causes and Risk Factors\n* Close contact with infected individual\n* Living in crowded areas\n* Working in healthcare\n* Limited access to healthcare\n* Not being vaccinated\n* Homeless\n* Alcohol\n* IV drug abuse\n\n* Children\n* Immunocompromised\n* HIV\n* Cancer\n* Malnutrition\n* Diabetes\n* Elderly\n* Immunosuppressant meds\n- Corticosteroids\" class=\"wp-image-1197\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/risk-factors-and-causes-of-tuberculosis.jpg 688w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/risk-factors-and-causes-of-tuberculosis.jpg?resize=287,300 287w\" sizes=\"auto, (max-width: 688px) 100vw, 688px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanation\"><\/span>Incorrect Answer Explanation<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. A 30-year-old client who recently had a knee replacement<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>\u00a0A 30-year-old with a recent surgery is <strong>not at an increased risk<\/strong> of developing TB.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"498\" height=\"178\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_e326c2.png?w=498\" alt=\"\" class=\"wp-image-913\" style=\"width:620px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_e326c2.png 498w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_e326c2.png?resize=300,107 300w\" sizes=\"auto, (max-width: 498px) 100vw, 498px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Want more <strong>NCLEX<\/strong>\u00ae-style practice questions? Try <strong>Osmosis from Elsevier<\/strong> today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>free trial<\/strong><\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Learn which clients are at increased risk for tuberculosis through this NCLEX-RN\u00ae infection control question.<\/p>\n","protected":false},"author":279,"featured_media":1196,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[2137,2142,2138,2139,2134,2133,2136,516,614,244,245,499,2135,2141,2140],"class_list":["post-1195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-cancer-patients","tag-client-assessment","tag-corticosteroids-infection-risk","tag-elderly-patients","tag-healthcare-workers","tag-homelessness-and-tb","tag-immunocompromised-patients","tag-infection-control","tag-infectious-diseases","tag-nclex-rn","tag-nursing-education","tag-nursing-exam-prep","tag-tb-prevention","tag-tb-screening","tag-tuberculosis-risk"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - 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