NCLEX Question Mantoux test

NCLEX Review Question

When interpreting the results of a Mantoux test, the nurse explains to the patient that a reaction occurs when the intradermal injection site shows

a.redness and induration.
b.drainage.
c.tissue sloughing.
d.bruising.

Correct Answer: A
redness and induration.
Rationale: The site is inspected for redness and palpated for hardening.

drainage.
Rationale: Drainage at the site does not indicate a reaction to the tubercle bacillus.

tissue sloughing.
Rationale: Sloughing of tissue at the site of injection does not indicate a reaction to the tubercle bacillus.

bruising.
Rationale: Bruising of tissue at the site may occur from the injection, but does not indicate a reaction to the tubercle bacillus.

Posted in: MSN NCLEX