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EXAM INSTRUCTIONS
Course: NSG 3100 – Fundamental Concepts and Skills for Nursing Practice I
Institution: Galen College of Nursing
Exam: Exam 2
Academic Year: 2026/2027
Prerequisites: CLS 2405; PHL 2205; PSY 2305
Co-requisite: NSG 3000
Format: Multiple Choice
Content Areas: Infection Control & Standard Precautions, Vital Signs & Assessment,
Wound Care & Pressure Injuries, Sterile Technique & Asepsis, Medication
Administration, Safety & Patient Positioning, Delegation
SECTION 1: INFECTION CONTROL & STANDARD PRECAUTIONS
(Questions 1-30)
1. A patient is admitted with Clostridium difficile. Which type of precautions is
appropriate?
a) Airborne precautions
b) Droplet precautions
c) Contact precautions
d) Protective isolation
Rationale: C. difficile is transmitted via the fecal-oral route and can survive on
environmental surfaces. Contact precautions require a private room, gown, and gloves for
all interactions .
,2. What is the recommended length of time for hand hygiene with soap and
water?
a) 5-10 seconds
b) 15-20 seconds
c) 20-30 seconds
d) 45-60 seconds
Rationale: The CDC and WHO recommend washing hands with soap and water for 20-30
seconds to effectively remove pathogens .
3. Which patient requires droplet precautions?
a) Patient with tuberculosis
b) Patient with influenza
c) Patient with MRSA wound infection
d) Patient with C. difficile
Rationale: Influenza is transmitted via respiratory droplets and requires droplet
precautions including a surgical mask and eye protection within 3 feet of the patient .
4. What is the correct order for donning PPE?
a) Mask, gown, gloves, goggles
b) Gown, mask, goggles, gloves
c) Gloves, gown, mask, goggles
d) Goggles, mask, gown, gloves
Rationale: The correct sequence for donning PPE is: gown first, then mask, then goggles or
face shield, and finally gloves .
5. A patient with chickenpox requires which type of isolation?
a) Standard precautions only
b) Droplet precautions
c) Airborne precautions
d) Contact precautions
Rationale: Varicella (chickenpox) is transmitted via airborne particles. Airborne precautions
require an N95 respirator and a negative pressure room .
6. Which PPE is required for airborne precautions?
a) Surgical mask
b) N95 respirator or higher level
c) Gloves only
d) Gown and gloves
, Rationale: Airborne precautions require an N95 respirator (or higher level) to filter out
small airborne particles. This is used for TB, measles, and varicella .
7. A patient with active pulmonary tuberculosis requires which type of room?
a) Standard patient room
b) Airborne infection isolation room (negative pressure)
c) Contact isolation room
d) Droplet precautions room
Rationale: TB requires an airborne infection isolation room (AIIR) with negative pressure
and at least 6-12 air exchanges per hour .
8. A patient with a wound infected with MRSA requires:
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Rationale: MRSA is transmitted through direct contact with infected wounds or
contaminated surfaces. Contact precautions include wearing a gown and gloves for all
interactions .
9. Which statement about transmission-based precautions is correct?
a) They replace standard precautions
b) They are used in addition to standard precautions
c) They are only needed in intensive care units
d) They only apply to airborne infections
Rationale: Transmission-based precautions are used in addition to standard precautions
for patients with known or suspected infections. Standard precautions always apply .
10. Which part of the chain of infection is the target for hand hygiene?
a) Infectious agent
b) Reservoir
c) Portal of exit
d) Mode of transmission
Rationale: Hand hygiene interrupts the mode of transmission, which is the way the
infectious agent moves from the reservoir to the susceptible host. This is one of the most
effective infection prevention measures .