Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1. Which is the correct sequence for donning personal
protective equipment (PPE) before entering the room of a
patient on contact precautions?
A. Mask → Gown → Gloves → Eye protection
B. Gown → Mask (or respirator) → Eye protection →
Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gloves → Gown → Mask
Correct answer: B
Rationale: The CDC recommends donning in this order so that
gown covers clothing first, then respiratory protection is
applied, followed by eye protection, and gloves last to cover
gown cuffs. This reduces the chance of contaminating clothing
or face when putting on protective equipment. CDC+1
, 2. Which is the correct sequence for removing PPE (doffing)
to minimize self-contamination?
A. Gloves → Goggles/Face shield → Gown →
Mask/Respirator → Hand hygiene
B. Mask → Gloves → Gown → Goggles → Hand hygiene
C. Gown → Gloves → Mask → Goggles → Hand hygiene
D. Gloves → Mask → Goggles → Gown → Hand hygiene
Correct answer: A
Rationale: CDC guidance and illustrated sequences recommend
removing the most contaminated items first (gloves), then eye
protection, then gown, and finally mask/respirator, finishing
with hand hygiene. This sequence reduces the risk of
contaminating the face or clothes during removal. CDC+1
3. A patient is diagnosed with Clostridioides difficile
infection. Which isolation precaution is most
appropriate?
A. Airborne precautions (negative pressure + N95)
B. Droplet precautions (mask within 3–6 ft)
C. Contact precautions (gown and gloves) in addition to
standard precautions
D. No special precautions beyond standard precautions
Correct answer: C
Rationale: C. difficile is transmitted via contact with
contaminated surfaces or feces. Contact precautions (glove and
,gown use, dedicated equipment, and environmental cleaning)
in addition to strict hand hygiene (soap & water preferred for
spore removal) are required to reduce transmission. CDC+1
4. A newly admitted patient has confirmed pulmonary
tuberculosis (active, infectious). Which two elements are
essential for staff entering the room?
A. Regular surgical mask and standard room ventilation
B. N95 (or higher) respirator and negative-pressure room
C. Mask and eye protection only
D. Gloves and gown only
Correct answer: B
Rationale: Airborne pathogens (e.g., TB) require a respirator
(N95 or PAPR) and placement in an airborne infection isolation
room with negative pressure to prevent spread of infectious
particles. Fit-testing for N95 is required for staff. CDC+1
5. When should hand hygiene (soap & water or alcohol-
based rub) be performed relative to wearing gloves?
A. Only after glove removal
B. Only before putting on gloves
C. Before donning gloves and immediately after removing
gloves (or when visibly soiled use soap & water)
D. Hand hygiene is not necessary if gloves are used
Correct answer: C
, Rationale: Perform hand hygiene before donning gloves to
reduce microbial burden on hands and again immediately after
removing gloves to remove any contamination from glove
removal. If hands are visibly soiled (e.g., after C. difficile care),
use soap and water because alcohol rubs do not remove spores
effectively. CDC+1
6. How should contaminated linen from a patient in
isolation be handled?
A. Shake linen to move debris away before placing in bag
B. Place linen directly into a leak-resistant laundry bag at
the point of use without shaking
C. Bring linen into the clean supply area so it can be
laundered there
D. Place linen on the floor to later collect
Correct answer: B
Rationale: Handle linen carefully to avoid dispersal of
pathogens: do not shake; place directly in a designated bag at
point of use. This reduces aerosolization and environmental
contamination. CDC
7. A client is unconscious after a seizure and requires oral
care. Which action is highest priority to reduce aspiration
risk?
A. Use a tooth brush and seated position
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1. Which is the correct sequence for donning personal
protective equipment (PPE) before entering the room of a
patient on contact precautions?
A. Mask → Gown → Gloves → Eye protection
B. Gown → Mask (or respirator) → Eye protection →
Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gloves → Gown → Mask
Correct answer: B
Rationale: The CDC recommends donning in this order so that
gown covers clothing first, then respiratory protection is
applied, followed by eye protection, and gloves last to cover
gown cuffs. This reduces the chance of contaminating clothing
or face when putting on protective equipment. CDC+1
, 2. Which is the correct sequence for removing PPE (doffing)
to minimize self-contamination?
A. Gloves → Goggles/Face shield → Gown →
Mask/Respirator → Hand hygiene
B. Mask → Gloves → Gown → Goggles → Hand hygiene
C. Gown → Gloves → Mask → Goggles → Hand hygiene
D. Gloves → Mask → Goggles → Gown → Hand hygiene
Correct answer: A
Rationale: CDC guidance and illustrated sequences recommend
removing the most contaminated items first (gloves), then eye
protection, then gown, and finally mask/respirator, finishing
with hand hygiene. This sequence reduces the risk of
contaminating the face or clothes during removal. CDC+1
3. A patient is diagnosed with Clostridioides difficile
infection. Which isolation precaution is most
appropriate?
A. Airborne precautions (negative pressure + N95)
B. Droplet precautions (mask within 3–6 ft)
C. Contact precautions (gown and gloves) in addition to
standard precautions
D. No special precautions beyond standard precautions
Correct answer: C
Rationale: C. difficile is transmitted via contact with
contaminated surfaces or feces. Contact precautions (glove and
,gown use, dedicated equipment, and environmental cleaning)
in addition to strict hand hygiene (soap & water preferred for
spore removal) are required to reduce transmission. CDC+1
4. A newly admitted patient has confirmed pulmonary
tuberculosis (active, infectious). Which two elements are
essential for staff entering the room?
A. Regular surgical mask and standard room ventilation
B. N95 (or higher) respirator and negative-pressure room
C. Mask and eye protection only
D. Gloves and gown only
Correct answer: B
Rationale: Airborne pathogens (e.g., TB) require a respirator
(N95 or PAPR) and placement in an airborne infection isolation
room with negative pressure to prevent spread of infectious
particles. Fit-testing for N95 is required for staff. CDC+1
5. When should hand hygiene (soap & water or alcohol-
based rub) be performed relative to wearing gloves?
A. Only after glove removal
B. Only before putting on gloves
C. Before donning gloves and immediately after removing
gloves (or when visibly soiled use soap & water)
D. Hand hygiene is not necessary if gloves are used
Correct answer: C
, Rationale: Perform hand hygiene before donning gloves to
reduce microbial burden on hands and again immediately after
removing gloves to remove any contamination from glove
removal. If hands are visibly soiled (e.g., after C. difficile care),
use soap and water because alcohol rubs do not remove spores
effectively. CDC+1
6. How should contaminated linen from a patient in
isolation be handled?
A. Shake linen to move debris away before placing in bag
B. Place linen directly into a leak-resistant laundry bag at
the point of use without shaking
C. Bring linen into the clean supply area so it can be
laundered there
D. Place linen on the floor to later collect
Correct answer: B
Rationale: Handle linen carefully to avoid dispersal of
pathogens: do not shake; place directly in a designated bag at
point of use. This reduces aerosolization and environmental
contamination. CDC
7. A client is unconscious after a seizure and requires oral
care. Which action is highest priority to reduce aspiration
risk?
A. Use a tooth brush and seated position
