Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE sequencing (donning)
A client with suspected tuberculosis (airborne precautions) has
been admitted. Which of the following is the correct sequence
for donning personal protective equipment (PPE) before
entering the room?
A. N95 respirator → gown → gloves
B. Gown → N95 respirator (or mask) → goggles/face shield →
gloves
C. Gloves → gown → mask → goggles/face shield
D. Gown → gloves → N95 respirator → goggles/face shield
Correct answer: B
Rationale: The recommended sequence for donning PPE begins
with gown to cover clothing, then mask/respirator (for airborne
precautions an N95 or higher as indicated), then eye protection,
and finally gloves — ensuring gloves cover gown cuffs. This
order reduces contamination risk when putting items on and
,ensures respiratory protection is established before exposure.
CDC
2 — PPE sequencing (doffing)
Which of the following sequences for removing PPE is safest to
reduce self-contamination after leaving a contact/droplet
isolation room?
A. Gloves → goggles/face shield → gown → mask → hand
hygiene
B. Gloves → gown → goggles/face shield → mask → hand
hygiene
C. Mask → gloves → gown → goggles/face shield → hand
hygiene
D. Goggles/face shield → gloves → gown → mask → hand
hygiene
Correct answer: B
Rationale: Doffing order should remove the most contaminated
items first (gloves), then gown, then eye protection, then
mask/respirator, followed by hand hygiene. Removing gloves
first prevents transferring contaminants with bare hands;
performing hand hygiene at the end (and between steps if
hands become contaminated) is critical. The CDC provides
doffing sequences tailored to PPE types to reduce
contamination. CDC+1
,3 — Transmission-based precautions: correct pairing
A client is admitted with confirmed Clostridioides difficile (C.
diff) infection. Which isolation precautions are required?
A. Airborne precautions only
B. Droplet precautions only
C. Contact precautions plus standard precautions
D. No special precautions beyond standard precautions
Correct answer: C
Rationale: C. difficile is transmitted via contact with spores in
stool and contaminated surfaces. Contact precautions (gloves
and gown, room cohorting or single room, dedicated
equipment, environmental cleaning with sporicidal agents) in
addition to standard precautions are indicated for the duration
of diarrheal illness or as institutional policy dictates. CDC
4 — Hand hygiene timing (WHO/CDC)
Which of the following is not one of the WHO “5 Moments for
Hand Hygiene”?
A. Before touching a patient
B. After touching a patient
C. Before a clean/aseptic procedure
D. Immediately after removing a mask
Correct answer: D
, Rationale: WHO's “5 Moments” include: (1) before touching a
patient, (2) before a clean/aseptic procedure, (3) after body
fluid exposure risk, (4) after touching a patient, and (5) after
touching patient surroundings. Removing a mask may require
hand hygiene if hands touch the mask, but “immediately after
removing a mask” is not one of the named five moments.
CDC/WHO guidance emphasize cleaning hands at those five
clinical moments to prevent transmission. World Health
Organization+1
5 — Bed bath & skin inspection (hygiene)
A nurse gives a bed bath to an immobile client. Which action is
the highest priority during bathing?
A. Use cool water to reduce fever risk.
B. Inspect skin for redness, breakdown, or moisture.
C. Apply lotion to the entire body afterward.
D. Avoid using gloves unless visible soiling is present.
Correct answer: B
Rationale: Skin inspection during hygiene is essential to identify
pressure injuries, skin breakdown, redness, or moisture early —
especially in immobile clients. Use of appropriate water
temperature and gloves when indicated (e.g., potential contact
with bodily fluids) are also important, but detecting skin
changes is priority to prevent complications. Evidence-based
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE sequencing (donning)
A client with suspected tuberculosis (airborne precautions) has
been admitted. Which of the following is the correct sequence
for donning personal protective equipment (PPE) before
entering the room?
A. N95 respirator → gown → gloves
B. Gown → N95 respirator (or mask) → goggles/face shield →
gloves
C. Gloves → gown → mask → goggles/face shield
D. Gown → gloves → N95 respirator → goggles/face shield
Correct answer: B
Rationale: The recommended sequence for donning PPE begins
with gown to cover clothing, then mask/respirator (for airborne
precautions an N95 or higher as indicated), then eye protection,
and finally gloves — ensuring gloves cover gown cuffs. This
order reduces contamination risk when putting items on and
,ensures respiratory protection is established before exposure.
CDC
2 — PPE sequencing (doffing)
Which of the following sequences for removing PPE is safest to
reduce self-contamination after leaving a contact/droplet
isolation room?
A. Gloves → goggles/face shield → gown → mask → hand
hygiene
B. Gloves → gown → goggles/face shield → mask → hand
hygiene
C. Mask → gloves → gown → goggles/face shield → hand
hygiene
D. Goggles/face shield → gloves → gown → mask → hand
hygiene
Correct answer: B
Rationale: Doffing order should remove the most contaminated
items first (gloves), then gown, then eye protection, then
mask/respirator, followed by hand hygiene. Removing gloves
first prevents transferring contaminants with bare hands;
performing hand hygiene at the end (and between steps if
hands become contaminated) is critical. The CDC provides
doffing sequences tailored to PPE types to reduce
contamination. CDC+1
,3 — Transmission-based precautions: correct pairing
A client is admitted with confirmed Clostridioides difficile (C.
diff) infection. Which isolation precautions are required?
A. Airborne precautions only
B. Droplet precautions only
C. Contact precautions plus standard precautions
D. No special precautions beyond standard precautions
Correct answer: C
Rationale: C. difficile is transmitted via contact with spores in
stool and contaminated surfaces. Contact precautions (gloves
and gown, room cohorting or single room, dedicated
equipment, environmental cleaning with sporicidal agents) in
addition to standard precautions are indicated for the duration
of diarrheal illness or as institutional policy dictates. CDC
4 — Hand hygiene timing (WHO/CDC)
Which of the following is not one of the WHO “5 Moments for
Hand Hygiene”?
A. Before touching a patient
B. After touching a patient
C. Before a clean/aseptic procedure
D. Immediately after removing a mask
Correct answer: D
, Rationale: WHO's “5 Moments” include: (1) before touching a
patient, (2) before a clean/aseptic procedure, (3) after body
fluid exposure risk, (4) after touching a patient, and (5) after
touching patient surroundings. Removing a mask may require
hand hygiene if hands touch the mask, but “immediately after
removing a mask” is not one of the named five moments.
CDC/WHO guidance emphasize cleaning hands at those five
clinical moments to prevent transmission. World Health
Organization+1
5 — Bed bath & skin inspection (hygiene)
A nurse gives a bed bath to an immobile client. Which action is
the highest priority during bathing?
A. Use cool water to reduce fever risk.
B. Inspect skin for redness, breakdown, or moisture.
C. Apply lotion to the entire body afterward.
D. Avoid using gloves unless visible soiling is present.
Correct answer: B
Rationale: Skin inspection during hygiene is essential to identify
pressure injuries, skin breakdown, redness, or moisture early —
especially in immobile clients. Use of appropriate water
temperature and gloves when indicated (e.g., potential contact
with bodily fluids) are also important, but detecting skin
changes is priority to prevent complications. Evidence-based
