Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE donning sequence
A nurse preparing to enter the room of a patient on contact
precautions will don PPE. Which is the correct sequence for
putting on PPE for routine contact precautions?
A. Mask → Gloves → Gown → Eye protection
B. Gown → Mask (or respirator) → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gown → Mask → Gloves
Answer: B. Gown → Mask (or respirator) → Eye protection →
Gloves
Rationale: The recommended sequence to don PPE begins with
gown to protect clothing and torso, then mask/respirator, then
eye protection, and finally gloves (which should cover gown
cuffs). Following the recommended order reduces
contamination and ensures appropriate coverage. Evidence-
,based CDC guidance describes this sequence and emphasizes
tailoring to the PPE type. CDC+1
2 — PPE doffing (removal) priority to avoid self-contamination
Which step is most important immediately after removing all
PPE?
A. Place PPE in a plastic bag for disposal.
B. Perform hand hygiene.
C. Remove shoes and launder clothing.
D. Remove gown last.
Answer: B. Perform hand hygiene.
Rationale: Hand hygiene immediately after removal of PPE (and
between removal steps if contamination suspected) is critical to
remove microorganisms transferred to the hands during doffing
and to prevent self-contamination. CDC guidance emphasizes
hand hygiene as an essential action after doffing. CDC
3 — Which PPE item to remove first (doffing)
A nurse has finished care for a patient in an isolation room
wearing gown, gloves, face shield, and mask (surgical mask). To
avoid contamination, which item is generally removed first?
A. Mask
B. Gown
,C. Face shield
D. Gloves
Answer: D. Gloves
Rationale: Gloves typically are the most contaminated and
should be removed first (or at least removed before gown
removal) followed by hand hygiene; this helps prevent transfer
of contaminants to other PPE or hands. CDC doffing sequences
and illustrations emphasize removing the most contaminated
items (gloves) early and performing hand hygiene between
steps as needed. CDC+1
4 — Transmission-based precautions selection
A patient is admitted with Clostridioides difficile (C. diff)
diarrhea. Which precautions are appropriate?
A. Standard precautions only
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Answer: B. Contact precautions
Rationale: C. difficile is transmitted primarily via contact (spores
on surfaces/skin). Transmission-based precautions for contact
pathogens include gown and gloves for contact with patient or
environment, use of dedicated equipment, and special cleaning
(sporicidal agents for C. diff). CDC transmission-based
, precautions classify C. difficile under contact precautions.
CDC+1
5 — Room placement for droplet precautions
A client with suspected influenza should be placed:
A. In a negative-pressure airborne infection isolation room.
B. In a private room or cohorted with another influenza patient;
staff should wear surgical mask within 6 feet.
C. With any roommate; no special precautions needed.
D. In a private room and staff must wear N95 respirators at all
times.
Answer: B. In a private room or cohorted with another
influenza patient; staff should wear surgical mask within 6 feet.
Rationale: Influenza is spread via large respiratory droplets.
Droplet precautions include placing the patient in a private
room (or cohorting with same infection) and wearing a surgical
mask when within close contact; airborne (N95) precautions are
reserved for pathogens transmitted by small airborne particles
(e.g., measles, TB). CDC transmission-based guidance explains
droplet precautions and room placement recommendations.
CDC
6 — Hand hygiene indication (basic client care)
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE donning sequence
A nurse preparing to enter the room of a patient on contact
precautions will don PPE. Which is the correct sequence for
putting on PPE for routine contact precautions?
A. Mask → Gloves → Gown → Eye protection
B. Gown → Mask (or respirator) → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Eye protection → Gown → Mask → Gloves
Answer: B. Gown → Mask (or respirator) → Eye protection →
Gloves
Rationale: The recommended sequence to don PPE begins with
gown to protect clothing and torso, then mask/respirator, then
eye protection, and finally gloves (which should cover gown
cuffs). Following the recommended order reduces
contamination and ensures appropriate coverage. Evidence-
,based CDC guidance describes this sequence and emphasizes
tailoring to the PPE type. CDC+1
2 — PPE doffing (removal) priority to avoid self-contamination
Which step is most important immediately after removing all
PPE?
A. Place PPE in a plastic bag for disposal.
B. Perform hand hygiene.
C. Remove shoes and launder clothing.
D. Remove gown last.
Answer: B. Perform hand hygiene.
Rationale: Hand hygiene immediately after removal of PPE (and
between removal steps if contamination suspected) is critical to
remove microorganisms transferred to the hands during doffing
and to prevent self-contamination. CDC guidance emphasizes
hand hygiene as an essential action after doffing. CDC
3 — Which PPE item to remove first (doffing)
A nurse has finished care for a patient in an isolation room
wearing gown, gloves, face shield, and mask (surgical mask). To
avoid contamination, which item is generally removed first?
A. Mask
B. Gown
,C. Face shield
D. Gloves
Answer: D. Gloves
Rationale: Gloves typically are the most contaminated and
should be removed first (or at least removed before gown
removal) followed by hand hygiene; this helps prevent transfer
of contaminants to other PPE or hands. CDC doffing sequences
and illustrations emphasize removing the most contaminated
items (gloves) early and performing hand hygiene between
steps as needed. CDC+1
4 — Transmission-based precautions selection
A patient is admitted with Clostridioides difficile (C. diff)
diarrhea. Which precautions are appropriate?
A. Standard precautions only
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Answer: B. Contact precautions
Rationale: C. difficile is transmitted primarily via contact (spores
on surfaces/skin). Transmission-based precautions for contact
pathogens include gown and gloves for contact with patient or
environment, use of dedicated equipment, and special cleaning
(sporicidal agents for C. diff). CDC transmission-based
, precautions classify C. difficile under contact precautions.
CDC+1
5 — Room placement for droplet precautions
A client with suspected influenza should be placed:
A. In a negative-pressure airborne infection isolation room.
B. In a private room or cohorted with another influenza patient;
staff should wear surgical mask within 6 feet.
C. With any roommate; no special precautions needed.
D. In a private room and staff must wear N95 respirators at all
times.
Answer: B. In a private room or cohorted with another
influenza patient; staff should wear surgical mask within 6 feet.
Rationale: Influenza is spread via large respiratory droplets.
Droplet precautions include placing the patient in a private
room (or cohorting with same infection) and wearing a surgical
mask when within close contact; airborne (N95) precautions are
reserved for pathogens transmitted by small airborne particles
(e.g., measles, TB). CDC transmission-based guidance explains
droplet precautions and room placement recommendations.
CDC
6 — Hand hygiene indication (basic client care)
