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NUR 155 – FOUNDATIONS OF NURSING Exam 3 Review Guide | Latest
Fall 2026 | 2027 Questions with Detailed Rationales
Question 1
A nurse is caring for a client with Clostridium difficile (C. diff)
infection. Which hand hygiene method is most appropriate
after providing care?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer only if hands are visibly clean
D. No hand hygiene if gloves were worn
Answer: B
Rationale: C. diff spores are not killed by alcohol-based hand
rubs. Soap and water are required to mechanically remove
spores.
Question 2
Which personal protective equipment (PPE) should the nurse
wear for a client on contact precautions?
A. Gloves only
B. Gown and gloves
C. Mask and goggles
D. N95 respirator
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Answer: B
Rationale: Contact precautions require gloves and a gown for
all interactions that may involve contact with the client or
contaminated surfaces.
Question 3
A client with active tuberculosis requires which type of isolation
precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: Tuberculosis is transmitted by airborne droplets;
airborne precautions require a negative-pressure room and N95
respirator.
Question 4
Which of the following is the correct order for removing PPE?
A. Gloves, gown, mask, goggles
B. Mask, goggles, gown, gloves
C. Gloves, goggles, gown, mask
D. Gown, gloves, mask, goggles
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Answer: C
Rationale: The correct order for removing PPE is gloves,
goggles/face shield, gown, and mask, with mask/respirator
removed last outside the room.
Question 5
A 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 over the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching over the sterile field can cause
contamination from clothing or unsterile arms. Never reach
over a sterile field.
Question 6
A client with influenza requires which type of precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
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Answer: B
Rationale: Influenza is transmitted by large respiratory droplets;
droplet precautions require a surgical mask and private room.
Question 7
Which of the following is a sign of systemic infection?
A. Localized redness
B. Fever, chills, and tachycardia
C. Mild swelling at the wound
D. Warmth at the incision
Answer: B
Rationale: Systemic infection manifests with fever, chills,
tachycardia, malaise, and elevated WBC. Localized signs are
redness, swelling, warmth, and pain.
Question 8
A nurse is caring for a client on droplet precautions. Which PPE
is required within 3 feet of the client?
A. N95 respirator
B. Surgical mask
C. Goggles only
D. No mask if client wears one
NUR 155 – FOUNDATIONS OF NURSING Exam 3 Review Guide | Latest
Fall 2026 | 2027 Questions with Detailed Rationales
Question 1
A nurse is caring for a client with Clostridium difficile (C. diff)
infection. Which hand hygiene method is most appropriate
after providing care?
A. Alcohol-based hand rub
B. Soap and water
C. Hand sanitizer only if hands are visibly clean
D. No hand hygiene if gloves were worn
Answer: B
Rationale: C. diff spores are not killed by alcohol-based hand
rubs. Soap and water are required to mechanically remove
spores.
Question 2
Which personal protective equipment (PPE) should the nurse
wear for a client on contact precautions?
A. Gloves only
B. Gown and gloves
C. Mask and goggles
D. N95 respirator
, Page |2
Answer: B
Rationale: Contact precautions require gloves and a gown for
all interactions that may involve contact with the client or
contaminated surfaces.
Question 3
A client with active tuberculosis requires which type of isolation
precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: Tuberculosis is transmitted by airborne droplets;
airborne precautions require a negative-pressure room and N95
respirator.
Question 4
Which of the following is the correct order for removing PPE?
A. Gloves, gown, mask, goggles
B. Mask, goggles, gown, gloves
C. Gloves, goggles, gown, mask
D. Gown, gloves, mask, goggles
, Page |3
Answer: C
Rationale: The correct order for removing PPE is gloves,
goggles/face shield, gown, and mask, with mask/respirator
removed last outside the room.
Question 5
A 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 over the sterile field
D. Using sterile gloves to touch sterile items
Answer: C
Rationale: Reaching over the sterile field can cause
contamination from clothing or unsterile arms. Never reach
over a sterile field.
Question 6
A client with influenza requires which type of precautions?
A. Contact
B. Droplet
C. Airborne
D. Standard only
, Page |4
Answer: B
Rationale: Influenza is transmitted by large respiratory droplets;
droplet precautions require a surgical mask and private room.
Question 7
Which of the following is a sign of systemic infection?
A. Localized redness
B. Fever, chills, and tachycardia
C. Mild swelling at the wound
D. Warmth at the incision
Answer: B
Rationale: Systemic infection manifests with fever, chills,
tachycardia, malaise, and elevated WBC. Localized signs are
redness, swelling, warmth, and pain.
Question 8
A nurse is caring for a client on droplet precautions. Which PPE
is required within 3 feet of the client?
A. N95 respirator
B. Surgical mask
C. Goggles only
D. No mask if client wears one
