Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — Donning sequence (single-best)
A nurse prepares to enter the room of a patient on contact
precautions for Clostridioides difficile. Which is the correct
sequence for donning PPE before entering the room?
A. Mask → Gloves → Gown → Eye protection
B. Gown → Mask (or respirator if required) → Eye protection →
Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gown → Gloves → Mask
Answer: B. Gown → Mask (or respirator if required) → Eye
protection → Gloves.
Rationale: The CDC’s recommended donning sequence begins
with the gown (to fully cover torso/arms), then mask or
respirator, then eye protection, and finally gloves to maintain a
clean glove surface for patient contact. For C. difficile
specifically, use contact precautions (gloves + gown) and
,perform hand hygiene; soap-and-water is recommended after
caring for patients with C. difficile because spores are resistant
to alcohol. CDC+1
2 — Doffing PPE (single-best)
Which PPE item should be removed last when exiting an
isolation room to minimize contamination?
A. Gloves
B. Gown
C. Mask/respirator
D. Eye protection
Answer: C. Mask/respirator.
Rationale: When removing PPE, gloves (most contaminated) are
removed first, then gown, followed by eye protection, and
mask/respirator last, removing at the door or outside the room
to avoid contaminating clean areas. Hand hygiene should occur
immediately after glove removal and again after all PPE is
removed. This sequence reduces self-contamination risk. CDC+1
3 — Transmission-based precautions (single-best)
A patient with tuberculosis (pulmonary, confirmed) is admitted.
Which transmission-based precaution is required?
A. Contact precautions
B. Droplet precautions
,C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions.
Rationale: Mycobacterium tuberculosis is transmitted via
airborne droplet nuclei; airborne precautions (negative-
pressure room, N95 or higher respirator, and limiting patient
transport) are indicated. Standard precautions are always used,
but tuberculosis requires airborne measures. CDC
4 — Hand hygiene (SATA)
Which of the following are true about hand hygiene in
healthcare? (Select all that apply.)
A. Alcohol-based handrub is preferred for most clinical
situations unless hands are visibly soiled.
B. Handwashing with soap and water is required after caring for
patients with known C. difficile.
C. Wearing gloves eliminates the need for hand hygiene after
glove removal.
D. Alcohol-based handrub is less likely to cause skin irritation
than frequent soap-and-water washing.
Answers: A, B, D.
Rationale: WHO and related guidance state that alcohol-based
handrubs are preferred for routine decontamination except
when hands are visibly soiled or after caring for patients with
, spore-forming organisms (e.g., C. difficile), where soap and
water are recommended. Gloves do not replace hand hygiene;
hands must be cleaned after glove removal. Alcohol rubs are
generally better tolerated regarding skin reactions than
frequent soap-and-water. World Health Organization+1
5 — Isolation room signage (prioritization)
Which nursing action is highest priority when admitting a
patient known to require droplet precautions?
A. Place a surgical mask on the patient and document isolation
status.
B. Place the patient in a private room and post droplet-
precaution signage at the door.
C. Don gown and gloves before entering the room.
D. Notify housekeeping to prepare the room.
Answer: B. Place the patient in a private room and post
droplet-precaution signage at the door.
Rationale: Immediate placement in an appropriate room and
posting clear signage informs staff/visitors of required
precautions and prevents exposure. For droplet precautions, a
private room or cohorting and a mask for the patient during
transport are important; documentation and PPE follow but
room placement and signage have the highest immediate
priority to protect staff/others. CDC+1
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — Donning sequence (single-best)
A nurse prepares to enter the room of a patient on contact
precautions for Clostridioides difficile. Which is the correct
sequence for donning PPE before entering the room?
A. Mask → Gloves → Gown → Eye protection
B. Gown → Mask (or respirator if required) → Eye protection →
Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gown → Gloves → Mask
Answer: B. Gown → Mask (or respirator if required) → Eye
protection → Gloves.
Rationale: The CDC’s recommended donning sequence begins
with the gown (to fully cover torso/arms), then mask or
respirator, then eye protection, and finally gloves to maintain a
clean glove surface for patient contact. For C. difficile
specifically, use contact precautions (gloves + gown) and
,perform hand hygiene; soap-and-water is recommended after
caring for patients with C. difficile because spores are resistant
to alcohol. CDC+1
2 — Doffing PPE (single-best)
Which PPE item should be removed last when exiting an
isolation room to minimize contamination?
A. Gloves
B. Gown
C. Mask/respirator
D. Eye protection
Answer: C. Mask/respirator.
Rationale: When removing PPE, gloves (most contaminated) are
removed first, then gown, followed by eye protection, and
mask/respirator last, removing at the door or outside the room
to avoid contaminating clean areas. Hand hygiene should occur
immediately after glove removal and again after all PPE is
removed. This sequence reduces self-contamination risk. CDC+1
3 — Transmission-based precautions (single-best)
A patient with tuberculosis (pulmonary, confirmed) is admitted.
Which transmission-based precaution is required?
A. Contact precautions
B. Droplet precautions
,C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions.
Rationale: Mycobacterium tuberculosis is transmitted via
airborne droplet nuclei; airborne precautions (negative-
pressure room, N95 or higher respirator, and limiting patient
transport) are indicated. Standard precautions are always used,
but tuberculosis requires airborne measures. CDC
4 — Hand hygiene (SATA)
Which of the following are true about hand hygiene in
healthcare? (Select all that apply.)
A. Alcohol-based handrub is preferred for most clinical
situations unless hands are visibly soiled.
B. Handwashing with soap and water is required after caring for
patients with known C. difficile.
C. Wearing gloves eliminates the need for hand hygiene after
glove removal.
D. Alcohol-based handrub is less likely to cause skin irritation
than frequent soap-and-water washing.
Answers: A, B, D.
Rationale: WHO and related guidance state that alcohol-based
handrubs are preferred for routine decontamination except
when hands are visibly soiled or after caring for patients with
, spore-forming organisms (e.g., C. difficile), where soap and
water are recommended. Gloves do not replace hand hygiene;
hands must be cleaned after glove removal. Alcohol rubs are
generally better tolerated regarding skin reactions than
frequent soap-and-water. World Health Organization+1
5 — Isolation room signage (prioritization)
Which nursing action is highest priority when admitting a
patient known to require droplet precautions?
A. Place a surgical mask on the patient and document isolation
status.
B. Place the patient in a private room and post droplet-
precaution signage at the door.
C. Don gown and gloves before entering the room.
D. Notify housekeeping to prepare the room.
Answer: B. Place the patient in a private room and post
droplet-precaution signage at the door.
Rationale: Immediate placement in an appropriate room and
posting clear signage informs staff/visitors of required
precautions and prevents exposure. For droplet precautions, a
private room or cohorting and a mask for the patient during
transport are important; documentation and PPE follow but
room placement and signage have the highest immediate
priority to protect staff/others. CDC+1
