Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — Multiple choice (PPE sequencing)
A nurse is preparing to enter the room of a patient on contact
precautions for a draining wound. Which is the correct order for
donning PPE?
A. Mask, gown, gloves
B. Gown, mask (or respirator if needed), goggles/face shield,
gloves
C. Gloves, gown, mask, goggles
D. Gown, gloves, mask
Answer: B
Rationale: Donning PPE should begin with a gown (to cover
torso and arms), then mask or respirator, then eye protection,
and finally gloves — so gloves cover the gown cuffs and reduce
contamination on donning. This sequence is recommended by
,the CDC for standard procedures; correct sequence reduces risk
of contamination during patient care. CDC+1
2 — Multiple choice (PPE removal)
Which step is most important when doffing (removing)
contaminated gloves?
A. Remove the gloves together by peeling off both at once.
B. Remove the outer glove first with the bare hand then the
inner glove with a gloved finger.
C. Grasp the outside of one glove near the wrist and peel it off
turning it inside out; use the removed glove to peel off the
second glove.
D. Pull gloves off quickly to avoid touching the contaminated
surface.
Answer: C
Rationale: Removing gloves by peeling so the first glove turns
inside-out and then using it to remove the second glove
prevents bare skin contact with contaminated surfaces.
Deliberate technique reduces self-contamination during doffing,
per CDC/NIOSH recommendations. CDC+1
3 — Multiple response (Select all that apply — Isolation
precautions)
,A patient has suspected influenza (droplet-transmission). Which
precautions should the nurse implement? (Select all that apply.)
A. Place patient in a single room or cohort if single room
unavailable.
B. Wear an N95 respirator at all times in the room.
C. Wear surgical mask when within 6 feet of the patient.
D. Practice hand hygiene before and after patient contact.
E. Use negative-pressure airborne isolation room.
Answer: A, C, D
Rationale: Influenza is spread primarily by respiratory droplets.
Droplet precautions include placing the patient in a single room
when possible, wearing a surgical mask when within close
contact (about 6 feet), and rigorous hand hygiene. Airborne
precautions (e.g., negative-pressure room and N95 respirator)
are required for truly airborne pathogens such as measles,
varicella, or tuberculosis — not routine influenza. CDC+1
4 — Multiple choice (Hand hygiene)
A client’s chart shows a C. difficile infection. Which hand-
hygiene method is preferred after care?
A. Hand hygiene with alcohol-based hand rub.
B. Handwashing with soap and water.
C. Wiping hands with an antiseptic wipe.
D. No hand hygiene required if gloves were worn.
, Answer: B
Rationale: For C. difficile, alcohol-based hand rubs are less
effective at removing spores; handwashing with soap and water
mechanically removes spores and is recommended after caring
for patients with C. difficile. Always perform hand hygiene after
glove removal. CDC
5 — Multiple choice (Hygiene & skin care)
A postoperative client is complaining of pressure at the sacrum.
Which action by the nurse is best to reduce pressure injury risk?
A. Reposition the client every 6 hours.
B. Keep the head of bed elevated at 70 degrees at all times.
C. Reposition the client every 2 hours while in bed and
implement pressure redistribution surfaces as indicated.
D. Apply moisturizing lotion only at bedtime.
Answer: C
Rationale: Repositioning every 2 hours and using pressure-
redistributing mattresses/cushions reduces pressure injury risk.
Frequent repositioning and skin inspections are standard
preventive measures. Elevation at 70 degrees increases shear
on the sacrum; skin care and moisture management are
complementary but not substitutes for repositioning. (Evidence-
based pressure injury prevention practices.) CDC
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — Multiple choice (PPE sequencing)
A nurse is preparing to enter the room of a patient on contact
precautions for a draining wound. Which is the correct order for
donning PPE?
A. Mask, gown, gloves
B. Gown, mask (or respirator if needed), goggles/face shield,
gloves
C. Gloves, gown, mask, goggles
D. Gown, gloves, mask
Answer: B
Rationale: Donning PPE should begin with a gown (to cover
torso and arms), then mask or respirator, then eye protection,
and finally gloves — so gloves cover the gown cuffs and reduce
contamination on donning. This sequence is recommended by
,the CDC for standard procedures; correct sequence reduces risk
of contamination during patient care. CDC+1
2 — Multiple choice (PPE removal)
Which step is most important when doffing (removing)
contaminated gloves?
A. Remove the gloves together by peeling off both at once.
B. Remove the outer glove first with the bare hand then the
inner glove with a gloved finger.
C. Grasp the outside of one glove near the wrist and peel it off
turning it inside out; use the removed glove to peel off the
second glove.
D. Pull gloves off quickly to avoid touching the contaminated
surface.
Answer: C
Rationale: Removing gloves by peeling so the first glove turns
inside-out and then using it to remove the second glove
prevents bare skin contact with contaminated surfaces.
Deliberate technique reduces self-contamination during doffing,
per CDC/NIOSH recommendations. CDC+1
3 — Multiple response (Select all that apply — Isolation
precautions)
,A patient has suspected influenza (droplet-transmission). Which
precautions should the nurse implement? (Select all that apply.)
A. Place patient in a single room or cohort if single room
unavailable.
B. Wear an N95 respirator at all times in the room.
C. Wear surgical mask when within 6 feet of the patient.
D. Practice hand hygiene before and after patient contact.
E. Use negative-pressure airborne isolation room.
Answer: A, C, D
Rationale: Influenza is spread primarily by respiratory droplets.
Droplet precautions include placing the patient in a single room
when possible, wearing a surgical mask when within close
contact (about 6 feet), and rigorous hand hygiene. Airborne
precautions (e.g., negative-pressure room and N95 respirator)
are required for truly airborne pathogens such as measles,
varicella, or tuberculosis — not routine influenza. CDC+1
4 — Multiple choice (Hand hygiene)
A client’s chart shows a C. difficile infection. Which hand-
hygiene method is preferred after care?
A. Hand hygiene with alcohol-based hand rub.
B. Handwashing with soap and water.
C. Wiping hands with an antiseptic wipe.
D. No hand hygiene required if gloves were worn.
, Answer: B
Rationale: For C. difficile, alcohol-based hand rubs are less
effective at removing spores; handwashing with soap and water
mechanically removes spores and is recommended after caring
for patients with C. difficile. Always perform hand hygiene after
glove removal. CDC
5 — Multiple choice (Hygiene & skin care)
A postoperative client is complaining of pressure at the sacrum.
Which action by the nurse is best to reduce pressure injury risk?
A. Reposition the client every 6 hours.
B. Keep the head of bed elevated at 70 degrees at all times.
C. Reposition the client every 2 hours while in bed and
implement pressure redistribution surfaces as indicated.
D. Apply moisturizing lotion only at bedtime.
Answer: C
Rationale: Repositioning every 2 hours and using pressure-
redistributing mattresses/cushions reduces pressure injury risk.
Frequent repositioning and skin inspections are standard
preventive measures. Elevation at 70 degrees increases shear
on the sacrum; skin care and moisture management are
complementary but not substitutes for repositioning. (Evidence-
based pressure injury prevention practices.) CDC
