Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
Question 1 — (Multiple choice — infection control; CJMM:
Recognize cues / Analyze)
A client with droplet precautions for confirmed influenza
requires suctioning of thick tracheal secretions. Which personal
protective equipment (PPE) should the nurse don before
entering the room?
A. N95 respirator, gown, gloves
B. Surgical mask, eye protection (face shield or goggles), gown,
gloves
C. Surgical mask only
D. Gown and gloves only
Answer: B
Rationale: Droplet precautions require a surgical mask for close
contact; suctioning is an aerosol-generating procedure that also
warrants eye protection plus gown and gloves to protect
mucous membranes/skin. An N95 respirator (A) is required for
,airborne pathogens (e.g., TB) or during aerosolizing procedures
with airborne organisms; for typical influenza droplet
precautions, surgical mask + eye protection + gown + gloves is
appropriate. This question assesses Recognize cues / Analyze
— identify type of isolation and procedure risk and choose
appropriate PPE per standard infection-control guidance.
Question 2 — (Multiple choice — PPE sequencing; CJMM: Take
action / Evaluate)
What is the correct sequence for donning PPE for entry to a
contact and droplet isolation room?
A. Gloves → Gown → Mask → Eye protection
B. Gown → Mask → Eye protection → Gloves
C. Mask → Gloves → Gown → Eye protection
D. Gown → Gloves → Mask → Eye protection
Answer: B
Rationale: Recommended donning sequence: gown first (secure
coverage), then mask (or respirator), then eye protection, and
finally gloves (gloves over gown cuffs). This order reduces
contamination risk and ensures proper coverage before
touching face or eyes. This tests Take action — perform correct
procedure to prevent transmission.
Question 3 — (Select all that apply — infection prevention;
CJMM: Analyze cues / Generate solutions)
,Which actions by the nurse are appropriate when doffing PPE
after caring for a client in contact precautions? (Select all that
apply.)
A. Remove gloves first.
B. Remove eye protection by touching the front of the goggles.
C. Untie or break gown ties and pull gown away from body,
turning inside out.
D. Remove mask/respirator last, after exiting the room and
performing hand hygiene.
Answer: A, C, D
Rationale: Correct doffing: gloves are removed first (most
contaminated). Eye protection should be removed by handling
straps/ear pieces, not touching the front (B incorrect). Gown
should be untied and pulled away turning it inside out to
contain contamination (C correct). Mask/respirator is removed
last—ideally after leaving the room and performing hand
hygiene—because it protects until the nurse is away from the
source (D correct). This item targets Analyze cues / Generate
solutions — selecting correct actions to break transmission.
Question 4 — (Case-based NGN — delegation/prioritization;
CJMM: Recognize cues → Prioritize hypotheses → Take action)
You are RN on a medical-surgical unit with four patients. Which
task should you assign to a certified nursing assistant
(CNA)/UAP?
, A. Obtain a pain rating and perform an initial focused neuro
check for a client who had a stroke this morning.
B. Assist a stable postoperative client (POD 2) with morning
hygiene and oral care.
C. Teach a newly admitted client about subcutaneous insulin
technique.
D. Administer morning oral insulin to a client with diabetes.
Answer: B
Rationale: UAPs can assist with hygiene and ADLs for stable
clients (B). Initial assessments, focused neuro assessments after
stroke, and patient education are RN responsibilities (A & C).
Medication administration is also RN/LPN depending on
scope—generally RNs must administer and evaluate—so D is
inappropriate to delegate to UAP. This tests Prioritization & safe
delegation using CJMM (recognize stable cues, match task to
skill/licensure, and take action).
Question 5 — (Multiple choice — vital signs; CJMM: Recognize
cues / Analyze)
A client’s radial pulse is irregular. Which is the best next action?
A. Document the irregular pulse and continue routine
monitoring.
B. Immediately notify the physician.
C. Obtain the apical pulse for one full minute and compare to
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
Question 1 — (Multiple choice — infection control; CJMM:
Recognize cues / Analyze)
A client with droplet precautions for confirmed influenza
requires suctioning of thick tracheal secretions. Which personal
protective equipment (PPE) should the nurse don before
entering the room?
A. N95 respirator, gown, gloves
B. Surgical mask, eye protection (face shield or goggles), gown,
gloves
C. Surgical mask only
D. Gown and gloves only
Answer: B
Rationale: Droplet precautions require a surgical mask for close
contact; suctioning is an aerosol-generating procedure that also
warrants eye protection plus gown and gloves to protect
mucous membranes/skin. An N95 respirator (A) is required for
,airborne pathogens (e.g., TB) or during aerosolizing procedures
with airborne organisms; for typical influenza droplet
precautions, surgical mask + eye protection + gown + gloves is
appropriate. This question assesses Recognize cues / Analyze
— identify type of isolation and procedure risk and choose
appropriate PPE per standard infection-control guidance.
Question 2 — (Multiple choice — PPE sequencing; CJMM: Take
action / Evaluate)
What is the correct sequence for donning PPE for entry to a
contact and droplet isolation room?
A. Gloves → Gown → Mask → Eye protection
B. Gown → Mask → Eye protection → Gloves
C. Mask → Gloves → Gown → Eye protection
D. Gown → Gloves → Mask → Eye protection
Answer: B
Rationale: Recommended donning sequence: gown first (secure
coverage), then mask (or respirator), then eye protection, and
finally gloves (gloves over gown cuffs). This order reduces
contamination risk and ensures proper coverage before
touching face or eyes. This tests Take action — perform correct
procedure to prevent transmission.
Question 3 — (Select all that apply — infection prevention;
CJMM: Analyze cues / Generate solutions)
,Which actions by the nurse are appropriate when doffing PPE
after caring for a client in contact precautions? (Select all that
apply.)
A. Remove gloves first.
B. Remove eye protection by touching the front of the goggles.
C. Untie or break gown ties and pull gown away from body,
turning inside out.
D. Remove mask/respirator last, after exiting the room and
performing hand hygiene.
Answer: A, C, D
Rationale: Correct doffing: gloves are removed first (most
contaminated). Eye protection should be removed by handling
straps/ear pieces, not touching the front (B incorrect). Gown
should be untied and pulled away turning it inside out to
contain contamination (C correct). Mask/respirator is removed
last—ideally after leaving the room and performing hand
hygiene—because it protects until the nurse is away from the
source (D correct). This item targets Analyze cues / Generate
solutions — selecting correct actions to break transmission.
Question 4 — (Case-based NGN — delegation/prioritization;
CJMM: Recognize cues → Prioritize hypotheses → Take action)
You are RN on a medical-surgical unit with four patients. Which
task should you assign to a certified nursing assistant
(CNA)/UAP?
, A. Obtain a pain rating and perform an initial focused neuro
check for a client who had a stroke this morning.
B. Assist a stable postoperative client (POD 2) with morning
hygiene and oral care.
C. Teach a newly admitted client about subcutaneous insulin
technique.
D. Administer morning oral insulin to a client with diabetes.
Answer: B
Rationale: UAPs can assist with hygiene and ADLs for stable
clients (B). Initial assessments, focused neuro assessments after
stroke, and patient education are RN responsibilities (A & C).
Medication administration is also RN/LPN depending on
scope—generally RNs must administer and evaluate—so D is
inappropriate to delegate to UAP. This tests Prioritization & safe
delegation using CJMM (recognize stable cues, match task to
skill/licensure, and take action).
Question 5 — (Multiple choice — vital signs; CJMM: Recognize
cues / Analyze)
A client’s radial pulse is irregular. Which is the best next action?
A. Document the irregular pulse and continue routine
monitoring.
B. Immediately notify the physician.
C. Obtain the apical pulse for one full minute and compare to
