,NR 224 FuNdameNtals – skills | ChambeRlaiN College oF NuRsiNg
| aCademiC YeaR 2026/2027 | examiNatioN 1 CompReheNsive
examiNatioN | 50 veRiFied QuestioNs aNd CoRReCt aNsweR
RatioNales | | just Released .
Section 1: Infection Control & Asepsis (Questions 1–10)
Question 1: A nurse is caring for a patient with Clostridium difficile infection. Which action is
most effective in preventing the spread of this organism?
A. Using alcohol-based hand sanitizer before and after patient contact
B. Performing hand hygiene with soap and water
C. Wearing gloves only during direct patient care
D. Placing the patient in a negative-pressure room
CoRReCt aNsweR: B. Performing hand hygiene with soap and water
RatioNale: C. difficile spores are resistant to alcohol. Soap and water physically removes the
spores from the hands and is the required method of hand hygiene for this organism.
Question 2: A nurse is preparing to don personal protective equipment (PPE) to enter a
patient's room on droplet precautions. Which sequence is correct?
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, gloves, gown, eye protection
D. Eye protection, mask, gown, gloves
CoRReCt aNsweR: B. Gown, mask, eye protection, gloves
RatioNale: The correct sequence for donning PPE is gown first, then mask/respirator, eye
protection, and gloves last. Gloves are the outermost layer and should be donned last.
Question 3: A nurse is removing PPE after caring for a patient on contact precautions. Which
piece of PPE should be removed first?
A. Mask
B. Gown
C. Gloves
D. Eye protection
, CoRReCt aNsweR: C. Gloves
RatioNale: Gloves are the most contaminated piece of PPE and should be removed first.
The mask/respirator should be removed last, after leaving the patient's room.
Question 4: A nurse is preparing a sterile field. Which action indicates correct technique?
A. Placing sterile items on the outer edge of the sterile field
B. Opening sterile packages toward the body
C. Keeping the sterile field within the line of sight at all times
D. Placing the sterile field on a wet surface
CoRReCt aNsweR: C. Keeping the sterile field within the line of sight at all times
RatioNale: A sterile field must always be kept in direct line of sight; if the nurse turns away or
the field goes below waist level, it is considered contaminated.
Question 5: A nurse is preparing to perform a sterile procedure. Which action breaks the
principles of surgical asepsis?
A. Keeping the sterile field above waist level
B. Turning the back toward the sterile field to grab a trash can
C. Opening the outermost flap of a sterile kit away from the body
D. Maintaining a 1-inch border around the edge as contaminated
CoRReCt aNsweR: B. Turning the back toward the sterile field to grab a trash can
RatioNale: Turning your back on a sterile field breaks the principle of visual monitoring; any
field out of direct line of sight is considered contaminated.
Question 6: A nurse enters the room of a client on contact precautions for MRSA. Which action
is performed first?
A. Apply a clean gown and gloves
B. Perform hand hygiene with alcohol-based rub
C. Perform hand hygiene with soap and water
D. Don an N95 respirator
CoRReCt aNsweR: C. Perform hand hygiene with soap and water
RatioNale: Contact precautions require hand hygiene with soap and water before donning
PPE to remove spores; alcohol does not kill MRSA spores.
Question 7: Which statement by the UAP indicates understanding of standard precautions?
| aCademiC YeaR 2026/2027 | examiNatioN 1 CompReheNsive
examiNatioN | 50 veRiFied QuestioNs aNd CoRReCt aNsweR
RatioNales | | just Released .
Section 1: Infection Control & Asepsis (Questions 1–10)
Question 1: A nurse is caring for a patient with Clostridium difficile infection. Which action is
most effective in preventing the spread of this organism?
A. Using alcohol-based hand sanitizer before and after patient contact
B. Performing hand hygiene with soap and water
C. Wearing gloves only during direct patient care
D. Placing the patient in a negative-pressure room
CoRReCt aNsweR: B. Performing hand hygiene with soap and water
RatioNale: C. difficile spores are resistant to alcohol. Soap and water physically removes the
spores from the hands and is the required method of hand hygiene for this organism.
Question 2: A nurse is preparing to don personal protective equipment (PPE) to enter a
patient's room on droplet precautions. Which sequence is correct?
A. Gloves, gown, mask, eye protection
B. Gown, mask, eye protection, gloves
C. Mask, gloves, gown, eye protection
D. Eye protection, mask, gown, gloves
CoRReCt aNsweR: B. Gown, mask, eye protection, gloves
RatioNale: The correct sequence for donning PPE is gown first, then mask/respirator, eye
protection, and gloves last. Gloves are the outermost layer and should be donned last.
Question 3: A nurse is removing PPE after caring for a patient on contact precautions. Which
piece of PPE should be removed first?
A. Mask
B. Gown
C. Gloves
D. Eye protection
, CoRReCt aNsweR: C. Gloves
RatioNale: Gloves are the most contaminated piece of PPE and should be removed first.
The mask/respirator should be removed last, after leaving the patient's room.
Question 4: A nurse is preparing a sterile field. Which action indicates correct technique?
A. Placing sterile items on the outer edge of the sterile field
B. Opening sterile packages toward the body
C. Keeping the sterile field within the line of sight at all times
D. Placing the sterile field on a wet surface
CoRReCt aNsweR: C. Keeping the sterile field within the line of sight at all times
RatioNale: A sterile field must always be kept in direct line of sight; if the nurse turns away or
the field goes below waist level, it is considered contaminated.
Question 5: A nurse is preparing to perform a sterile procedure. Which action breaks the
principles of surgical asepsis?
A. Keeping the sterile field above waist level
B. Turning the back toward the sterile field to grab a trash can
C. Opening the outermost flap of a sterile kit away from the body
D. Maintaining a 1-inch border around the edge as contaminated
CoRReCt aNsweR: B. Turning the back toward the sterile field to grab a trash can
RatioNale: Turning your back on a sterile field breaks the principle of visual monitoring; any
field out of direct line of sight is considered contaminated.
Question 6: A nurse enters the room of a client on contact precautions for MRSA. Which action
is performed first?
A. Apply a clean gown and gloves
B. Perform hand hygiene with alcohol-based rub
C. Perform hand hygiene with soap and water
D. Don an N95 respirator
CoRReCt aNsweR: C. Perform hand hygiene with soap and water
RatioNale: Contact precautions require hand hygiene with soap and water before donning
PPE to remove spores; alcohol does not kill MRSA spores.
Question 7: Which statement by the UAP indicates understanding of standard precautions?
