AND PRACTICE EXAM NEWEST EDITION
Question 1
A nurse is preparing to care for a client who requires airborne
precautions. Which of the following pieces of personal protective
equipment (PPE) is required?
• A. Surgical mask
• B. Face shield
• ✓ CORRECT: C. N95 respirator
• D. Gown and gloves only
RaTiOnalE: Airborne precautions require the use of
an N95 respirator to filter out small droplet nuclei
suspended in the air. Surgical masks are used for
droplet precautions, not airborne.
Question 2
A nurse is orienting a newly licensed nurse on how to use a fire
extinguisher using the PASS mnemonic. Which of the following
instructions should the nurse include?
• ✓ CORRECT: A. Pull the pin, Aim at the base of the fire,
Squeeze the handle, Sweep side to side.
• B. Pass the area, Alarm the facility, Smother the flames,
Secure the area.
, • C. Pull the alarm, Aim at the top of the flames, Spray the
extinguisher, Step back.
• D. Push the lever, Aim at the center, Squeeze the handle,
Sweep side to side.
RaTiOnalE: PASS stands for Pull the pin, Aim at the
base of the fire, Squeeze the handle, and Sweep side to
side.
Question 3
A nurse is performing hand hygiene after leaving the room of a
client who has Clostridioides difficile. Which of the following
methods should the nurse use?
• A. Alcohol-based hand gel
• B. Chlorhexidine wipes
• ✓ CORRECT: C. Non-antimicrobial soap and water
• D. Hydrogen peroxide solution
RaTiOnalE: Friction with soap and water is required
to physically remove spore-forming organisms like C.
diff from the hands. Alcohol rub does not kill spores.
Question 4
A nurse is assessing a client who has a vest restraint. Which of the
following findings indicates a complication of the restraint?
• A. A two-finger space between the restraint and the chest
, • ✓ CORRECT: B. Cool, pale fingers on the bilateral upper
extremities
• C. The restraint is tied to the bed frame using a quick-release
knot
• D. The client is resting quietly with their eyes closed
RaTiOnalE: Cool, pale fingers indicate compromised
peripheral circulation, which is a major complication of
a tight or poorly adjusted restraint.
Question 5
A nurse is caring for an older adult client who is at high risk for
falls. Which of the following safety measures should the nurse
implement?
• A. Keep all four side rails raised at all times.
• ✓ CORRECT: B. Place the bedside table close to the
client's bed.
• C. Lock the bed wheels only during transfers.
• D. Keep the bed in the highest position to prevent bending.
RaTiOnalE: Keeping frequently used items like the
bedside table close prevents the client from
overreaching and falling. Four raised rails is considered
a chemical/physical restraint.
Question 6
A nurse is assisting a client with left-sided weakness to ambulate
using a cane. Where should the cane be positioned?
, • ✓ CORRECT: A. On the right side (unaffected side)
• B. On the left side (affected side)
• C. Advanced at the same time as the right leg
• D. Positioned 30 cm (12 in) in front of the feet
RaTiOnalE: A cane should always be held on the
unaffected (stronger) side to provide optimal support
and balance.
Question 7
A nurse is teaching a group of assistive personnel (AP) about
surgical asepsis. Which of the following statements by an AP
indicates an understanding of the principles?
• A. "I can touch the edges of a sterile field without sterile
gloves."
• B. "The 1-inch border around a sterile drape is considered
sterile."
• ✓ CORRECT: C. "If a sterile object touches a clean object,
it becomes contaminated."
• D. "I should turn my back to the sterile field briefly to grab
supplies."
RaTiOnalE: Unsterile objects touching sterile objects
immediately contaminates the sterile object. The 1-inch
border is unsterile, and you must never turn your back
on a sterile field.
Question 8