NUR 114 EXAM 2 – FUNDAMENTALS OF NURSING PRACTICE 200 Questions with Rationales

NUR 114 EXAM 2 – FUNDAMENTALS OF
NURSING PRACTICE

200 Questions with Rationales



Infection Control & Safety (1–25)
1. A nurse is caring for a patient
with Clostridioides difficile. Which type of
precaution should be implemented?

• A. Standard precautions only
• B. Airborne precautions
• C. Droplet precautions
• D. Contact precautions
Rationale: C. diff spreads via spores on
contaminated surfaces and hands. Contact
precautions (gloves, gown, dedicated equipment,
hand hygiene with soap and water) are required
because alcohol-based hand rubs do not kill
spores.

,2. Whichsequencedemonstratescorrectdonningof
personalprotectiveequipment(PPE)?

• A.Gown,mask,goggles,gloves
• B.Mask,goggles,gown,gloves
• C.Gloves,gown,mask,goggles
• D.Gown,mask,gloves,goggles
Rationale:Gownfirst,thenmask/respirator,then
goggles/faceshield,thengloveslasttoensurefull
coverageandminimizecontamination.
3. Anurseneedstoirrigateawound.Which
techniquemaintainssurgicalasepsis?

• A.Cleanglovesandcleanirrigationsolution
• B.Sterileglovesandsterile solution,usinga
sterilecontainer
• C.Sterileglovesandtapwater
• D.Cleanglovesandsterilesolution
Rationale:Woundirrigationthatpenetratesdeep
tissuerequiressteriletechnique(surgicalasepsis)to
preventinfection.
4. Apatientonairborneprecautionsforactive
pulmonarytuberculosis.Whichmask shouldthe
k




nursewear?

, • A.Surgicalmask
• B.N95respirator
• C.Faceshield
• D.Nomaskifpatientwearsamask
*Rationale:N95respiratorsfilter95%ofairborne
particles(1–5microns)andmustbefit-tested.
Tuberculosisrequiresairborneisolation.*
5. Anurse’shandsarevisiblysoiledwithblood.What
handhygienemethodisrequired?

• A.Alcohol-basedhandrubfor15seconds
• B.Washwithsoapandwaterforatleast20
seconds
• C.Usehandwipesonly
• D.Weargloveswithoutwashing
Rationale:Alcohol-basedhandrubisineffectiveon
visiblesoil,blood,proteinaceousmaterial.Soapand
waterphysicallyremovedebris.
6. Whichpatientrequiresdropletprecautions?

• A.Tuberculosis
• B.Pertussis
• C.C.diff

, • D.Scabies
Answer:B.Pertussis.Rationale:Dropletprecautions
fordiseasesspreadbylargedroplets(flu,pertussis,
meningitis).AirborneforTB;contactforC.diff,
scabies.
7. ThenurseremovesPPEafterleavingacontact
precautionroom.Whichstepiscorrect?

• A.Removeglovesfirst,thengown,thenmask
• B.Removemaskfirsttobreatheeasier
• C.Removegownfirst,thengloves,thenmask
• D.RemoveallPPEtogether
Answer:A.Removeglovesfirst(mostcontaminated),
thengown,thenmask.Rationale:Sequenceprevents
contaminatingface/head.
8. Apatienthasacentralline.Thenurseshould
changethetransparentdressingevery:

• A.24hours
• B.48hours
• C.7days
• D.Whensoiledorloose
Answer:C.7days.Rationale:Transparentdressings