Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
20 NCLEX / NGN Fundamentals Questions (with answers &
rationales)
1 — Donning PPE (single best answer)
A patient with known pulmonary tuberculosis (airborne
precautions) is admitted. Which sequence should the nurse use
to don PPE before entering the patient room?
A. Gloves → Goggles → Gown → N95 respirator
B. Gown → N95 respirator → Goggles/face shield → Gloves
C. N95 respirator → Gown → Gloves → Goggles
D. Goggles → Gown → N95 respirator → Gloves
Correct answer: B. Gown → N95 respirator → Goggles/face
shield → Gloves
Rationale: Evidence-based infection control teaching (CDC/APIC
fundamentals) recommends donning in the order of gown first,
then mask/respirator, then eye protection, and finally gloves so
,gloves goes over gown cuffs. For airborne precautions a
properly fitted N95 (or higher) respirator is required prior to
room entry. This ordering minimizes contamination risk during
donning.
2 — Doffing PPE (single best answer)
After caring for an airborne-precaution patient, which sequence
for removing PPE best reduces self-contamination?
A. Gloves → Goggles → Gown → N95 respirator → Hand
hygiene
B. Gown → Gloves → Goggles → N95 respirator → Hand
hygiene
C. N95 respirator → Gloves → Gown → Goggles → Hand
hygiene
D. Gloves → Gown → Goggles → N95 respirator → Hand
hygiene
Correct answer: A. Gloves → Goggles → Gown → N95
respirator → Hand hygiene
Rationale: Doffing priorities are to remove the most
contaminated items (gloves) first, then eye protection, then
gown, and mask/respirator last, performing hand hygiene
immediately afterward. This sequence aligns with CDC/APIC
guidance to minimize contact between contaminated PPE
surfaces and the face/skin.
,3 — Isolation precautions (multiple choice — select all that
apply)
Which actions are required for a patient placed on contact
precautions for multidrug-resistant organism (MDRO)
colonization? (Select all that apply.)
A. Place patient in a single room or cohort with same MDRO
B. Staff must wear gown and gloves when entering the room
C. Use a surgical mask unless performing an aerosol-generating
procedure
D. Dedicate noncritical patient care equipment to that patient
when possible
E. Use alcohol-based hand rub for visibly soiled hands after
leaving the room
Correct answers: A, B, D
Rationale: Contact precautions require single room/cohorting,
gown and gloves for room entry, and ideally dedicated
equipment to reduce transmission (CDC/APIC). A surgical mask
(C) is not required for contact precautions (it’s for droplet). For
visibly soiled hands, soap and water should be used rather than
alcohol (E) — alcohol is acceptable when hands are not visibly
soiled but not for spore-forming organisms like C. difficile.
4 — C. difficile specific care (single best answer)
, A patient tests positive for Clostridioides difficile. Which
infection control action is most important for hand hygiene
after providing care?
A. Use alcohol-based hand rub at room exit
B. Wash hands with soap and water at room exit
C. Use antiseptic hand wipe then alcohol rub
D. Wear two pairs of gloves and remove outer pair only
Correct answer: B. Wash hands with soap and water at room
exit
Rationale: C. difficile forms spores that are resistant to alcohol;
handwashing with soap and water mechanically removes
spores and is recommended after caring for patients with C.
difficile. Alcohol rubs are NOT sufficient for spore removal per
infection prevention standards.
5 — Oral care for unconscious client (single best answer)
An unconscious adult client is receiving enteral nutrition via
nasogastric tube. Which nursing action is highest priority for
oral care?
A. Provide full mouth swab with water every 12 hours
B. Roll the client to the prone position for oral drainage
C. Provide frequent oral suctioning and keep head elevated at
least 30°
D. Offer sips of water and easy foods when awake
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
20 NCLEX / NGN Fundamentals Questions (with answers &
rationales)
1 — Donning PPE (single best answer)
A patient with known pulmonary tuberculosis (airborne
precautions) is admitted. Which sequence should the nurse use
to don PPE before entering the patient room?
A. Gloves → Goggles → Gown → N95 respirator
B. Gown → N95 respirator → Goggles/face shield → Gloves
C. N95 respirator → Gown → Gloves → Goggles
D. Goggles → Gown → N95 respirator → Gloves
Correct answer: B. Gown → N95 respirator → Goggles/face
shield → Gloves
Rationale: Evidence-based infection control teaching (CDC/APIC
fundamentals) recommends donning in the order of gown first,
then mask/respirator, then eye protection, and finally gloves so
,gloves goes over gown cuffs. For airborne precautions a
properly fitted N95 (or higher) respirator is required prior to
room entry. This ordering minimizes contamination risk during
donning.
2 — Doffing PPE (single best answer)
After caring for an airborne-precaution patient, which sequence
for removing PPE best reduces self-contamination?
A. Gloves → Goggles → Gown → N95 respirator → Hand
hygiene
B. Gown → Gloves → Goggles → N95 respirator → Hand
hygiene
C. N95 respirator → Gloves → Gown → Goggles → Hand
hygiene
D. Gloves → Gown → Goggles → N95 respirator → Hand
hygiene
Correct answer: A. Gloves → Goggles → Gown → N95
respirator → Hand hygiene
Rationale: Doffing priorities are to remove the most
contaminated items (gloves) first, then eye protection, then
gown, and mask/respirator last, performing hand hygiene
immediately afterward. This sequence aligns with CDC/APIC
guidance to minimize contact between contaminated PPE
surfaces and the face/skin.
,3 — Isolation precautions (multiple choice — select all that
apply)
Which actions are required for a patient placed on contact
precautions for multidrug-resistant organism (MDRO)
colonization? (Select all that apply.)
A. Place patient in a single room or cohort with same MDRO
B. Staff must wear gown and gloves when entering the room
C. Use a surgical mask unless performing an aerosol-generating
procedure
D. Dedicate noncritical patient care equipment to that patient
when possible
E. Use alcohol-based hand rub for visibly soiled hands after
leaving the room
Correct answers: A, B, D
Rationale: Contact precautions require single room/cohorting,
gown and gloves for room entry, and ideally dedicated
equipment to reduce transmission (CDC/APIC). A surgical mask
(C) is not required for contact precautions (it’s for droplet). For
visibly soiled hands, soap and water should be used rather than
alcohol (E) — alcohol is acceptable when hands are not visibly
soiled but not for spore-forming organisms like C. difficile.
4 — C. difficile specific care (single best answer)
, A patient tests positive for Clostridioides difficile. Which
infection control action is most important for hand hygiene
after providing care?
A. Use alcohol-based hand rub at room exit
B. Wash hands with soap and water at room exit
C. Use antiseptic hand wipe then alcohol rub
D. Wear two pairs of gloves and remove outer pair only
Correct answer: B. Wash hands with soap and water at room
exit
Rationale: C. difficile forms spores that are resistant to alcohol;
handwashing with soap and water mechanically removes
spores and is recommended after caring for patients with C.
difficile. Alcohol rubs are NOT sufficient for spore removal per
infection prevention standards.
5 — Oral care for unconscious client (single best answer)
An unconscious adult client is receiving enteral nutrition via
nasogastric tube. Which nursing action is highest priority for
oral care?
A. Provide full mouth swab with water every 12 hours
B. Roll the client to the prone position for oral drainage
C. Provide frequent oral suctioning and keep head elevated at
least 30°
D. Offer sips of water and easy foods when awake
