Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
Question 1 — PPE sequencing (donning)
A nurse is preparing to enter the room of a patient on contact
precautions for Clostridioides difficile with visible diarrhea.
Which is the correct sequence for donning PPE before
entering?
A. Mask → Gloves → Gown → Hand hygiene
B. Hand hygiene → Gown → Mask/respirator → Gloves
C. Gown → Mask/respirator → Hand hygiene → Gloves
D. Gloves → Gown → Mask → Hand hygiene
Answer: B
Rationale: Standard guidance emphasizes performing hand
hygiene first, then donning gown to cover torso and arms, then
mask/respirator or eye protection if indicated, and gloves last
(over cuff of gown) to maintain a protected interface. This
sequence reduces contamination risk when entering a
contact/droplet environment. CDC+1
,Question 2 — PPE sequencing (doffing)
After caring for the same patient, which doffing (removal) step
should the nurse perform first to minimize self-contamination?
A. Remove gloves → Hand hygiene → Remove gown → Remove
mask
B. Remove gown (untie and roll away) → Remove gloves →
Hand hygiene → Remove mask
C. Remove gloves → Remove gown → Hand hygiene → Remove
mask
D. Remove mask → Remove gown → Remove gloves → Hand
hygiene
Answer: C
Rationale: The prioritized principle is to remove the most
contaminated items first. Removing gloves first (since they are
usually most contaminated), then gown (carefully rolled away
from body), then hand hygiene, then mask/eye protection is a
commonly taught sequence; hand hygiene immediately after
removal of gloves and gown reduces contamination risk before
touching the face or removing mask. Local procedures may vary
slightly, but this order follows CDC/NIOSH recommendations to
prevent self-contamination. CDC+1
Question 3 — Isolation precautions
,A patient has suspected tuberculosis. Which isolation is
indicated while awaiting confirmatory testing?
A. Contact precautions in a private room with gloves and gown
B. Droplet precautions with surgical mask for staff and visitors
C. Airborne precautions with placement in an airborne infection
isolation room (AIIR) and N95/respirator for staff
D. Standard precautions only
Answer: C
Rationale: Tuberculosis is transmitted via airborne particles;
while awaiting confirmatory testing, airborne precautions and
placement in an AIIR (negative pressure room) are indicated
and staff should use appropriate respirators (N95 or higher). If
an AIIR is unavailable, masking the patient and placing in a
private room with door closed is an interim measure. CDC+1
Question 4 — Standard precautions and hand hygiene
Which statement best reflects Standard Precautions?
A. Standard Precautions are used only for patients with known
infections.
B. Standard Precautions are applied for all patient care and
include hand hygiene, respiratory hygiene, and use of PPE
based on risk assessment.
C. Standard Precautions mean gloves only for all patient
contact.
, D. Standard Precautions replace transmission-based
precautions.
Answer: B
Rationale: Standard Precautions are the baseline infection-
prevention practices applied to all patient care, based on risk
assessment, and include hand hygiene, respiratory
hygiene/cough etiquette, appropriate PPE, and safe injection
practices; they do not replace transmission-based precautions
for known/suspected infections. CDC+1
Question 5 — Oral hygiene for an unconscious client
A client is unconscious and can’t swallow. Which action is most
important when providing oral hygiene to reduce aspiration
risk?
A. Use a toothbrush and large amounts of water to flush the
mouth.
B. Place the client supine with head turned to one side and use
small amounts of water with suction available.
C. Elevate the head of the bed to 90° and give oral swabs with
alcohol.
D. Place a bite block and use an electric toothbrush.
Answer: B
Rationale: For an unconscious client, positioning (head turned
to the side) and using minimal water with suction ready reduces
aspiration risk. The head of bed elevated is helpful when
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
Question 1 — PPE sequencing (donning)
A nurse is preparing to enter the room of a patient on contact
precautions for Clostridioides difficile with visible diarrhea.
Which is the correct sequence for donning PPE before
entering?
A. Mask → Gloves → Gown → Hand hygiene
B. Hand hygiene → Gown → Mask/respirator → Gloves
C. Gown → Mask/respirator → Hand hygiene → Gloves
D. Gloves → Gown → Mask → Hand hygiene
Answer: B
Rationale: Standard guidance emphasizes performing hand
hygiene first, then donning gown to cover torso and arms, then
mask/respirator or eye protection if indicated, and gloves last
(over cuff of gown) to maintain a protected interface. This
sequence reduces contamination risk when entering a
contact/droplet environment. CDC+1
,Question 2 — PPE sequencing (doffing)
After caring for the same patient, which doffing (removal) step
should the nurse perform first to minimize self-contamination?
A. Remove gloves → Hand hygiene → Remove gown → Remove
mask
B. Remove gown (untie and roll away) → Remove gloves →
Hand hygiene → Remove mask
C. Remove gloves → Remove gown → Hand hygiene → Remove
mask
D. Remove mask → Remove gown → Remove gloves → Hand
hygiene
Answer: C
Rationale: The prioritized principle is to remove the most
contaminated items first. Removing gloves first (since they are
usually most contaminated), then gown (carefully rolled away
from body), then hand hygiene, then mask/eye protection is a
commonly taught sequence; hand hygiene immediately after
removal of gloves and gown reduces contamination risk before
touching the face or removing mask. Local procedures may vary
slightly, but this order follows CDC/NIOSH recommendations to
prevent self-contamination. CDC+1
Question 3 — Isolation precautions
,A patient has suspected tuberculosis. Which isolation is
indicated while awaiting confirmatory testing?
A. Contact precautions in a private room with gloves and gown
B. Droplet precautions with surgical mask for staff and visitors
C. Airborne precautions with placement in an airborne infection
isolation room (AIIR) and N95/respirator for staff
D. Standard precautions only
Answer: C
Rationale: Tuberculosis is transmitted via airborne particles;
while awaiting confirmatory testing, airborne precautions and
placement in an AIIR (negative pressure room) are indicated
and staff should use appropriate respirators (N95 or higher). If
an AIIR is unavailable, masking the patient and placing in a
private room with door closed is an interim measure. CDC+1
Question 4 — Standard precautions and hand hygiene
Which statement best reflects Standard Precautions?
A. Standard Precautions are used only for patients with known
infections.
B. Standard Precautions are applied for all patient care and
include hand hygiene, respiratory hygiene, and use of PPE
based on risk assessment.
C. Standard Precautions mean gloves only for all patient
contact.
, D. Standard Precautions replace transmission-based
precautions.
Answer: B
Rationale: Standard Precautions are the baseline infection-
prevention practices applied to all patient care, based on risk
assessment, and include hand hygiene, respiratory
hygiene/cough etiquette, appropriate PPE, and safe injection
practices; they do not replace transmission-based precautions
for known/suspected infections. CDC+1
Question 5 — Oral hygiene for an unconscious client
A client is unconscious and can’t swallow. Which action is most
important when providing oral hygiene to reduce aspiration
risk?
A. Use a toothbrush and large amounts of water to flush the
mouth.
B. Place the client supine with head turned to one side and use
small amounts of water with suction available.
C. Elevate the head of the bed to 90° and give oral swabs with
alcohol.
D. Place a bite block and use an electric toothbrush.
Answer: B
Rationale: For an unconscious client, positioning (head turned
to the side) and using minimal water with suction ready reduces
aspiration risk. The head of bed elevated is helpful when
