Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1) Donning sequence — single best answer
A nurse preparing to enter a room for airborne precautions
should don PPE in which order?
A. Gloves → Eye protection → Gown → Respirator
B. Gown → Respirator → Eye protection → Gloves
C. Respirator → Gown → Gloves → Eye protection
D. Gown → Gloves → Respirator → Eye protection
Answer: B. Gown → Respirator → Eye protection → Gloves
Rationale:
Recognize cues: airborne precautions require a respirator plus
protective barrier. Evidence-based PPE donning order
(CDC/standard fundamentals practice) is gown first (create
barrier), then mask/respirator (fit before face protection), then
eye protection, then gloves (last) so gloves cover gown cuffs.
This reduces contamination of the face and ensures respiratory
,protection is in place before exposure. (CJMM: Recognize →
Generate solution: correct donning order → Take action.)
2) Doffing (removal) sequence — single best answer
After providing care for a patient on contact and droplet
precautions, which is the correct sequence for removing PPE to
minimize self-contamination?
A. Mask → Gloves → Gown → Eye protection
B. Gloves → Eye protection → Gown → Mask
C. Eye protection → Gloves → Mask → Gown
D. Gown → Gloves → Eye protection → Mask
Answer: B. Gloves → Eye protection → Gown → Mask
Rationale:
Recognize cues: PPE surfaces most contaminated are gloves and
gown. Evidence-based doffing order: gloves off first, then eye
protection (handle by straps), then gown (avoid contact with
outer surface), then mask/respirator last and remove outside
patient room when indicated. This minimizes transfer of
contaminants to wearer’s face/clothes. (CJMM: Recognize cues
→ Take action with safe doffing sequence → Evaluate outcomes
by hand hygiene afterwards.)
3) C. difficile precautions — single best answer
,A patient with Clostridioides difficile diarrhea is on isolation.
Which of the following is the most appropriate hand-hygiene
method after contact with the patient?
A. Use alcohol-based hand rub after glove removal.
B. Wash hands with plain soap and water for at least 20
seconds.
C. Use an antiseptic hand rub with chlorhexidine.
D. No hand hygiene required if gloves were worn.
Answer: B. Wash hands with plain soap and water for at least
20 seconds.
Rationale:
Recognize cues: C. difficile spores are resistant to alcohol.
Evidence-based fundamental practice: soap and water
physically remove spores; alcohol rubs do not reliably inactivate
them. Always perform handwashing after glove removal when
caring for C. difficile patients and follow contact precautions
(gown and gloves). (CJMM: Recognize → Generate solution:
soap & water → Take action.)
4) Isolation type for suspected pulmonary TB — single best
answer
A client is admitted with productive cough, night sweats, and a
positive acid-fast sputum smear pending confirmation. The
nurse should place the client on which precautions?
A. Contact precautions with private room.
, B. Droplet precautions with surgical mask when outside room.
C. Airborne precautions in a negative-pressure room with N95
respirator for staff.
D. Standard precautions only.
Answer: C. Airborne precautions in a negative-pressure room
with N95 respirator for staff.
Rationale:
Recognize cues: suspected tuberculosis → airborne
transmission. Evidence-based practice: airborne precautions
include negative-pressure room, fit-tested N95 (or higher)
respirator for staff, and patient masking during transport. This
prevents airborne spread. (CJMM applied when recognizing
transmission route and initiating appropriate isolation.)
5) Bed bath procedure — single best answer
When giving a complete bed bath, which action should the
nurse perform first?
A. Cleanse the perineal area first to reduce infection risk.
B. Begin with the face and eyes using plain water and no soap.
C. Wash the axillae with antiseptic solution first.
D. Apply lotion to extremities before washing.
Answer: B. Begin with the face and eyes using plain water and
no soap.
Rationale:
Recognize cues: skin integrity and comfort. Evidence-based
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1) Donning sequence — single best answer
A nurse preparing to enter a room for airborne precautions
should don PPE in which order?
A. Gloves → Eye protection → Gown → Respirator
B. Gown → Respirator → Eye protection → Gloves
C. Respirator → Gown → Gloves → Eye protection
D. Gown → Gloves → Respirator → Eye protection
Answer: B. Gown → Respirator → Eye protection → Gloves
Rationale:
Recognize cues: airborne precautions require a respirator plus
protective barrier. Evidence-based PPE donning order
(CDC/standard fundamentals practice) is gown first (create
barrier), then mask/respirator (fit before face protection), then
eye protection, then gloves (last) so gloves cover gown cuffs.
This reduces contamination of the face and ensures respiratory
,protection is in place before exposure. (CJMM: Recognize →
Generate solution: correct donning order → Take action.)
2) Doffing (removal) sequence — single best answer
After providing care for a patient on contact and droplet
precautions, which is the correct sequence for removing PPE to
minimize self-contamination?
A. Mask → Gloves → Gown → Eye protection
B. Gloves → Eye protection → Gown → Mask
C. Eye protection → Gloves → Mask → Gown
D. Gown → Gloves → Eye protection → Mask
Answer: B. Gloves → Eye protection → Gown → Mask
Rationale:
Recognize cues: PPE surfaces most contaminated are gloves and
gown. Evidence-based doffing order: gloves off first, then eye
protection (handle by straps), then gown (avoid contact with
outer surface), then mask/respirator last and remove outside
patient room when indicated. This minimizes transfer of
contaminants to wearer’s face/clothes. (CJMM: Recognize cues
→ Take action with safe doffing sequence → Evaluate outcomes
by hand hygiene afterwards.)
3) C. difficile precautions — single best answer
,A patient with Clostridioides difficile diarrhea is on isolation.
Which of the following is the most appropriate hand-hygiene
method after contact with the patient?
A. Use alcohol-based hand rub after glove removal.
B. Wash hands with plain soap and water for at least 20
seconds.
C. Use an antiseptic hand rub with chlorhexidine.
D. No hand hygiene required if gloves were worn.
Answer: B. Wash hands with plain soap and water for at least
20 seconds.
Rationale:
Recognize cues: C. difficile spores are resistant to alcohol.
Evidence-based fundamental practice: soap and water
physically remove spores; alcohol rubs do not reliably inactivate
them. Always perform handwashing after glove removal when
caring for C. difficile patients and follow contact precautions
(gown and gloves). (CJMM: Recognize → Generate solution:
soap & water → Take action.)
4) Isolation type for suspected pulmonary TB — single best
answer
A client is admitted with productive cough, night sweats, and a
positive acid-fast sputum smear pending confirmation. The
nurse should place the client on which precautions?
A. Contact precautions with private room.
, B. Droplet precautions with surgical mask when outside room.
C. Airborne precautions in a negative-pressure room with N95
respirator for staff.
D. Standard precautions only.
Answer: C. Airborne precautions in a negative-pressure room
with N95 respirator for staff.
Rationale:
Recognize cues: suspected tuberculosis → airborne
transmission. Evidence-based practice: airborne precautions
include negative-pressure room, fit-tested N95 (or higher)
respirator for staff, and patient masking during transport. This
prevents airborne spread. (CJMM applied when recognizing
transmission route and initiating appropriate isolation.)
5) Bed bath procedure — single best answer
When giving a complete bed bath, which action should the
nurse perform first?
A. Cleanse the perineal area first to reduce infection risk.
B. Begin with the face and eyes using plain water and no soap.
C. Wash the axillae with antiseptic solution first.
D. Apply lotion to extremities before washing.
Answer: B. Begin with the face and eyes using plain water and
no soap.
Rationale:
Recognize cues: skin integrity and comfort. Evidence-based
