Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE donning sequence (multiple choice)
A nurse is preparing to enter the room of a patient on Contact
plus Droplet precautions who has a draining wound and is
coughing. Which is the correct initial item to put on when
donning PPE for entry?
A. N95 respirator
B. Gloves
C. Gown
D. Face shield
Answer: C. Gown
CJMM step: Recognize cues / Analyze cues
Rationale: For many transmission-based precautions, the
recommended donning sequence begins with the gown to fully
cover torso/arms and tie at the back, then mask/respirator,
goggles/face shield if indicated, and gloves last — gloves should
cover gown cuffs. Choosing the gown first reduces
,contamination of clothing and allows proper fit before
gloves/mask. (CDC PPE sequence guidance). CDC+1
2 — PPE doffing priority (multiple choice)
After providing bedside care, which item should the nurse
remove first to minimize self-contamination?
A. Gloves
B. Goggles
C. Gown
D. Mask/respirator
Answer: A. Gloves
CJMM step: Take action
Rationale: Gloves are typically the most contaminated item and
should be removed first (or promptly at the point of care) using
glove-in-glove technique to avoid contamination. After glove
removal, perform hand hygiene, then remove gown and eye
protection, and mask last — doffing order depends on facility
policy but removing gloves first is fundamental to reduce
pathogen transfer. CDC+1
3 — Isolation precautions (SATA)
Which of the following are appropriate components of Droplet
precautions? (Select all that apply.)
A. Place patient in single room or cohort with same pathogen
B. Use an N95 respirator for routine care of coughing patients
,C. Wear a surgical mask when within 3 feet of the patient
D. Patient should wear a mask if transported outside room
E. Apply airborne infection isolation room (negative pressure)
Answers: A, C, D
CJMM step: Analyze cues / Prioritize hypotheses
Rationale: Droplet precautions require a single room or
cohorting, surgical mask for close contact (within ~3 feet) and
having the patient wear a mask during transport. N95
respirators and negative-pressure AIIR are indicated for
airborne precautions, not routine droplet precautions unless
aerosol-generating procedures are planned. Spatial separation
and eye protection are considerations depending on procedure
and pathogen. CDC+1
4 — Isolation type selection (multiple choice)
A patient with suspected measles (rubeola) is admitted. Which
isolation category is most appropriate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions
CJMM step: Prioritize hypotheses
Rationale: Measles is transmitted via airborne route; place the
patient in an airborne infection isolation room (AIIR) and
, caregivers should wear an N95 (or higher) respirator. Droplet or
contact alone are insufficient for measles. Standard precautions
are always baseline but not adequate alone. CDC+1
5 — Hand hygiene timing (multiple choice)
When is hand hygiene required? Choose the best answer.
A. Only after touching body fluids
B. Before donning gloves, after glove removal, and when soiled
C. Only when caring for isolation patients
D. Only after patient contact
Answer: B. Before donning gloves, after glove removal, and
when soiled
CJMM step: Recognize cues
Rationale: Hand hygiene is required before donning gloves,
before and after patient contact, after glove removal, after
contact with body fluids or contaminated surfaces, and anytime
hands are visibly soiled. It is a foundational standard precaution
to prevent transmission. CDC
6 — Oral care for an unconscious client (multiple choice)
A patient is unconscious with poor oral secretions. Which
nursing action is highest priority?
A. Offer sips of water every hour
B. Provide oral suctioning and perform oral care with suction
toothbrush
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE donning sequence (multiple choice)
A nurse is preparing to enter the room of a patient on Contact
plus Droplet precautions who has a draining wound and is
coughing. Which is the correct initial item to put on when
donning PPE for entry?
A. N95 respirator
B. Gloves
C. Gown
D. Face shield
Answer: C. Gown
CJMM step: Recognize cues / Analyze cues
Rationale: For many transmission-based precautions, the
recommended donning sequence begins with the gown to fully
cover torso/arms and tie at the back, then mask/respirator,
goggles/face shield if indicated, and gloves last — gloves should
cover gown cuffs. Choosing the gown first reduces
,contamination of clothing and allows proper fit before
gloves/mask. (CDC PPE sequence guidance). CDC+1
2 — PPE doffing priority (multiple choice)
After providing bedside care, which item should the nurse
remove first to minimize self-contamination?
A. Gloves
B. Goggles
C. Gown
D. Mask/respirator
Answer: A. Gloves
CJMM step: Take action
Rationale: Gloves are typically the most contaminated item and
should be removed first (or promptly at the point of care) using
glove-in-glove technique to avoid contamination. After glove
removal, perform hand hygiene, then remove gown and eye
protection, and mask last — doffing order depends on facility
policy but removing gloves first is fundamental to reduce
pathogen transfer. CDC+1
3 — Isolation precautions (SATA)
Which of the following are appropriate components of Droplet
precautions? (Select all that apply.)
A. Place patient in single room or cohort with same pathogen
B. Use an N95 respirator for routine care of coughing patients
,C. Wear a surgical mask when within 3 feet of the patient
D. Patient should wear a mask if transported outside room
E. Apply airborne infection isolation room (negative pressure)
Answers: A, C, D
CJMM step: Analyze cues / Prioritize hypotheses
Rationale: Droplet precautions require a single room or
cohorting, surgical mask for close contact (within ~3 feet) and
having the patient wear a mask during transport. N95
respirators and negative-pressure AIIR are indicated for
airborne precautions, not routine droplet precautions unless
aerosol-generating procedures are planned. Spatial separation
and eye protection are considerations depending on procedure
and pathogen. CDC+1
4 — Isolation type selection (multiple choice)
A patient with suspected measles (rubeola) is admitted. Which
isolation category is most appropriate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions
CJMM step: Prioritize hypotheses
Rationale: Measles is transmitted via airborne route; place the
patient in an airborne infection isolation room (AIIR) and
, caregivers should wear an N95 (or higher) respirator. Droplet or
contact alone are insufficient for measles. Standard precautions
are always baseline but not adequate alone. CDC+1
5 — Hand hygiene timing (multiple choice)
When is hand hygiene required? Choose the best answer.
A. Only after touching body fluids
B. Before donning gloves, after glove removal, and when soiled
C. Only when caring for isolation patients
D. Only after patient contact
Answer: B. Before donning gloves, after glove removal, and
when soiled
CJMM step: Recognize cues
Rationale: Hand hygiene is required before donning gloves,
before and after patient contact, after glove removal, after
contact with body fluids or contaminated surfaces, and anytime
hands are visibly soiled. It is a foundational standard precaution
to prevent transmission. CDC
6 — Oral care for an unconscious client (multiple choice)
A patient is unconscious with poor oral secretions. Which
nursing action is highest priority?
A. Offer sips of water every hour
B. Provide oral suctioning and perform oral care with suction
toothbrush
