1. A nurse is caring for a client with Clostridioides
difficile diarrhea. Which PPE is required for all
care activities?
o A) Gloves and gown
o B) Gloves, gown, and surgical mask
o C) Gloves, gown, and N95 respirator
o D) Gloves, gown, mask, and eye protection
Answer: A
Rationale: C. diff spores are transmitted via contact;
gloves and gown alone suffice unless there’s risk of
splash, so mask/eye protection aren’t routinely required.
2. After an inpatient fall, which intervention
addresses root causes? (Select all that apply.)
o A) Place bed in lowest position
o B) Apply limb restraints
o C) Conduct hourly toileting rounds
o D) Ensure call bell is within reach
o E) Keep client’s alarm sensor turned on
Answer: A, C, D, E
Rationale: Bed height, toileting, accessible call bell, and
alarms reduce fall risk. Restraints increase risk of injury
and are never first-line.
, 3. Which fire extinguisher is appropriate for a small
electrical fire at the nurses’ station?
o A) Class A
o B) Class B
o C) Class C
o D) Class ABC
Answer: C
Rationale: Class C extinguishers are for energized
electrical equipment.
4. A client on airborne precautions with active
tuberculosis is being transported for an X-ray.
Nurse ensures:
o A) Client wears a surgical mask
o B) Client wears an N95 respirator
o C) Client wears no mask but staff wear N95
o D) Client wears N95 and staff wear surgical mask
Answer: A
Rationale: In transport, clients wear surgical masks to
contain droplets; staff remain in N95 if in close contact.
5. Which action best breaks the chain of infection at
the portal of exit?
o A) Hand hygiene after glove removal
o B) Proper disposal of contaminated bed linens
, o C) Airborne isolation room for measles
o D) Use of alcohol-based hand rub before patient
contact
Answer: B
Rationale: Disposal of soiled linens prevents pathogens
exiting into environment; hand hygiene addresses
transmission.
6. A newly licensed nurse encounters an
unresponsive client lying supine on the bathroom
floor. First action?
o A) Check for breathing and pulse
o B) Call for help and activate the emergency
response system
o C) Roll the client onto side and assess for
bleeding
o D) Move the client back to the bed
Answer: B
Rationale: Activate help immediately (emergency
response) before assessment to ensure resources are
coming.
7. Which scenario requires incident reporting?
o A) Medication given 15 minutes early per unit
practice
o B) Fall risk client found on floor with no injury