Page |1
NSG 3100 EXAM 2 PRACTICE TEST 100 Questions with Answers
& Rationales
SECTION 1: INFECTION CONTROL & SAFETY
1. A nurse is preparing to perform hand hygiene. Which action
is appropriate when hands are visibly soiled?
A. Use an alcohol-based hand rub
B. Wash with soap and water
C. Wipe with a dry paper towel
D. Use a disinfectant wipe
Answer: B
Rationale: Soap and water are required when hands are visibly
soiled or after contact with spore-forming organisms like C.
difficile.
2. The nurse is caring for a client with Clostridioides difficile.
Which hand hygiene method is most effective?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer foam
D. No hand hygiene needed if gloves are worn
, Page |2
Answer: B
Rationale: C. difficile spores are not killed by alcohol; soap and
water are required.
3. A client has tuberculosis. Which type of isolation precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
Rationale: Tuberculosis requires airborne precautions—
negative-pressure room and N95 respirator.
4. Which client requires droplet precautions?
A. A client with influenza
B. A client with C. difficile
C. A client with tuberculosis
D. A client with MRSA
Answer: A
Rationale: Influenza is transmitted via large respiratory
droplets; droplet precautions are needed.
, Page |3
5. A nurse is wearing personal protective equipment (PPE).
Which item should be removed first?
A. Gloves
B. Gown
C. Mask
D. Eye protection
Answer: A
Rationale: Gloves are removed first because they are most
contaminated; then gown, eye protection, mask.
6. The nurse is preparing a sterile field. Which action
contaminates the field?
A. Keeping the field above waist level
B. Opening sterile packages away from the body
C. Reaching across the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching across a sterile field can cause
contamination; always face the field.
7. A client has methicillin-resistant Staphylococcus aureus
(MRSA) in a wound. Which precautions are required?
A. Contact precautions
, Page |4
B. Airborne precautions
C. Droplet precautions
D. No precautions beyond standard
Answer: A
Rationale: MRSA is transmitted by contact; contact precautions
with gloves/gown.
8. Which of the following is the most important nursing action
to prevent the spread of infection?
A. Wearing a mask at all times
B. Hand hygiene before and after client contact
C. Using gloves for all client interactions
D. Restricting all visitors
Answer: B
Rationale: Hand hygiene is the single most effective infection
prevention measure.
9. A nurse is preparing to enter a client's room requiring
airborne precautions. Which PPE is essential?
A. Surgical mask
B. N95 respirator
C. Gown only
D. Shoe covers only
NSG 3100 EXAM 2 PRACTICE TEST 100 Questions with Answers
& Rationales
SECTION 1: INFECTION CONTROL & SAFETY
1. A nurse is preparing to perform hand hygiene. Which action
is appropriate when hands are visibly soiled?
A. Use an alcohol-based hand rub
B. Wash with soap and water
C. Wipe with a dry paper towel
D. Use a disinfectant wipe
Answer: B
Rationale: Soap and water are required when hands are visibly
soiled or after contact with spore-forming organisms like C.
difficile.
2. The nurse is caring for a client with Clostridioides difficile.
Which hand hygiene method is most effective?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer foam
D. No hand hygiene needed if gloves are worn
, Page |2
Answer: B
Rationale: C. difficile spores are not killed by alcohol; soap and
water are required.
3. A client has tuberculosis. Which type of isolation precautions
should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
Rationale: Tuberculosis requires airborne precautions—
negative-pressure room and N95 respirator.
4. Which client requires droplet precautions?
A. A client with influenza
B. A client with C. difficile
C. A client with tuberculosis
D. A client with MRSA
Answer: A
Rationale: Influenza is transmitted via large respiratory
droplets; droplet precautions are needed.
, Page |3
5. A nurse is wearing personal protective equipment (PPE).
Which item should be removed first?
A. Gloves
B. Gown
C. Mask
D. Eye protection
Answer: A
Rationale: Gloves are removed first because they are most
contaminated; then gown, eye protection, mask.
6. The nurse is preparing a sterile field. Which action
contaminates the field?
A. Keeping the field above waist level
B. Opening sterile packages away from the body
C. Reaching across the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching across a sterile field can cause
contamination; always face the field.
7. A client has methicillin-resistant Staphylococcus aureus
(MRSA) in a wound. Which precautions are required?
A. Contact precautions
, Page |4
B. Airborne precautions
C. Droplet precautions
D. No precautions beyond standard
Answer: A
Rationale: MRSA is transmitted by contact; contact precautions
with gloves/gown.
8. Which of the following is the most important nursing action
to prevent the spread of infection?
A. Wearing a mask at all times
B. Hand hygiene before and after client contact
C. Using gloves for all client interactions
D. Restricting all visitors
Answer: B
Rationale: Hand hygiene is the single most effective infection
prevention measure.
9. A nurse is preparing to enter a client's room requiring
airborne precautions. Which PPE is essential?
A. Surgical mask
B. N95 respirator
C. Gown only
D. Shoe covers only
