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Guide and Practice Questions
1. A nurse is preparing to care for a client on contact precautions. Which PPE is
required before entering the room?
A. Gloves only
B. Gown and gloves
C. Mask and goggles
D. Gloves, gown, and mask
Answer: B
Rationale: Contact precautions require a gown and gloves for any contact with
the client or contaminated surfaces. A mask is only required if there's a risk of
splashes or the client has a respiratory infection requiring droplet/airborne
precautions.
2. Which action best demonstrates proper hand hygiene?
A. Using alcohol-based rub when hands are visibly soiled
B. Washing hands for 5 seconds with cold water
C. Using soap and water when hands are visibly soiled
D. Wearing gloves instead of washing hands
Answer: C
Rationale: Soap and water are required when hands are visibly soiled or after
caring for a client with C. difficile. Alcohol rub is used when hands are not visibly
soiled.
,3. A client is on airborne precautions. Which room assignment is appropriate?
A. Any semi-private room
B. A negative-pressure room with the door closed
C. A room with the door open for airflow
D. A positive-pressure room
Answer: B
Rationale: Airborne precautions (TB, measles, varicella) require a negative-
pressure room with the door closed and an N95 respirator for staff.
4. The nurse is removing PPE after caring for a client on droplet precautions.
What is removed first?
A. Mask
B. Gown
C. Gloves
D. Goggles
Answer: C
Rationale: Gloves are removed first because they are the most contaminated. The
mask is removed last, after leaving the room.
5. Which client is at greatest risk for falls?
A. A 30-year-old with a fractured arm
B. A 78-year-old taking a diuretic and a sedative
C. A 45-year-old post-appendectomy
D. A 22-year-old with a sprained ankle
Answer: B
Rationale: Advanced age, diuretics (increased urination/orthostatic hypotension),
and sedatives all increase fall risk.
, 6. A nurse finds a client on the floor after a fall. What is the first action?
A. Help the client back to bed
B. Check the client for injuries and vital signs
C. Notify the provider
D. Document the fall
Answer: B
Rationale: Assess the client first — never move a client who may have a spinal
injury or fracture. Assessment comes before notification and documentation.
7. Which action prevents catheter-associated urinary tract infection (CAUTI)?
A. Irrigating the catheter daily
B. Keeping the drainage bag below the level of the bladder
C. Changing the catheter every 48 hours
D. Disconnecting the tubing to check urine
Answer: B
Rationale: Keeping the bag below bladder level prevents backflow of urine.
Routine irrigation, frequent changes, and disconnecting the system increase
infection risk.
8. A nurse is teaching a client about fire safety. Which acronym guides fire
response?
A. ABC
B. RACE
C. SBAR
D. PASS
Answer: B
Rationale: RACE = Rescue, Alarm, Contain, Extinguish/Evacuate. PASS is for using
a fire extinguisher.
9. Which finding requires the nurse to intervene immediately?
A. A client using a walker correctly