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 (single best answer)
A nurse enters the room of a client on contact precautions
(diarrheal illness). Which sequence for donning PPE is correct?
A. Mask → Gloves → Gown
B. Gown → Mask → Gloves
C. Gown → Gloves → Mask
D. Mask → Gown → Gloves
Answer: B. Gown → Mask → Gloves
Rationale: For contact precautions, the recommended
sequence when donning PPE is to put on a gown first (to cover
torso and arms), then mask/respirator if required, and then
gloves last so gloves cover gown cuffs. This reduces
contamination risk and follows current CDC guidance on
donning PPE. CDC+1
,2 — PPE removal (single best answer)
After providing care to a client in contact and droplet
precautions, which piece of PPE should the nurse remove first
to minimize contamination risk?
A. Mask
B. Gloves
C. Gown
D. Face shield
Answer: B. Gloves
Rationale: Gloves are typically the most contaminated item and
should be removed first using glove-to-glove/skin-to-skin
technique to avoid contaminating hands or other PPE. Then
remove gown (if contaminated), perform hand hygiene, then
eye protection/mask as appropriate. This order is consistent
with CDC recommendations for safe doffing. CDC
3 — Isolation type (single best answer)
A client admitted with pulmonary tuberculosis requires which
type of isolation precautions?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Answer: D. Airborne precautions
,Rationale: Mycobacterium tuberculosis is transmitted via
airborne droplet nuclei; patients with infectious TB require
airborne precautions (negative-pressure room and a fit-tested
N95 or higher respirator) to prevent airborne spread. Standard,
droplet, and contact precautions have different use cases. (CDC
isolation guidance). CDC
4 — Hand hygiene timing (multiple response)
Select all the times when hand hygiene is required (according to
standard infection control practice):
A. Before direct patient contact
B. After removing gloves
C. After contact with inanimate objects in the patient’s
immediate vicinity
D. Only after exposure to bodily fluids
Answer: A, B, C
Rationale: Hand hygiene is indicated before patient contact,
after contact with the patient’s environment, and after glove
removal — not only after exposure to bodily fluids. Routine
hand hygiene prevents transmission of pathogens; CDC/WHO
recommend performing it at these key moments. CDC
5 — Mask type selection (single best answer)
, Which respiratory protection is required when entering the
room of a client with suspected measles?
A. Surgical mask
B. N95 respirator (or equivalent)
C. Cloth mask
D. No mask required
Answer: B. N95 respirator (or equivalent)
Rationale: Measles is highly infectious via airborne
transmission; airborne precautions require a particulate
respirator (N95 or higher) to protect the healthcare worker.
Surgical masks do not provide adequate protection against
airborne nuclei. CDC
6 — Environmental cleaning (single best answer)
A nurse should use which of the following approaches to clean
surfaces in a room with Clostridioides difficile infection?
A. Routine detergent only
B. Alcohol-based spray to wipe surfaces
C. EPA-registered sporicidal disinfectant (e.g., bleach) for high-
touch surfaces
D. Diluted hydrogen peroxide alone
Answer: C. EPA-registered sporicidal disinfectant (e.g., bleach)
for high-touch surfaces
Examination
9th Edition
• Author(s)Linda Anne Silvestri; Angela Silvestri
FUNDAMENTALS OF NURSING TEST BANK.
1 — PPE sequencing (single best answer)
A nurse enters the room of a client on contact precautions
(diarrheal illness). Which sequence for donning PPE is correct?
A. Mask → Gloves → Gown
B. Gown → Mask → Gloves
C. Gown → Gloves → Mask
D. Mask → Gown → Gloves
Answer: B. Gown → Mask → Gloves
Rationale: For contact precautions, the recommended
sequence when donning PPE is to put on a gown first (to cover
torso and arms), then mask/respirator if required, and then
gloves last so gloves cover gown cuffs. This reduces
contamination risk and follows current CDC guidance on
donning PPE. CDC+1
,2 — PPE removal (single best answer)
After providing care to a client in contact and droplet
precautions, which piece of PPE should the nurse remove first
to minimize contamination risk?
A. Mask
B. Gloves
C. Gown
D. Face shield
Answer: B. Gloves
Rationale: Gloves are typically the most contaminated item and
should be removed first using glove-to-glove/skin-to-skin
technique to avoid contaminating hands or other PPE. Then
remove gown (if contaminated), perform hand hygiene, then
eye protection/mask as appropriate. This order is consistent
with CDC recommendations for safe doffing. CDC
3 — Isolation type (single best answer)
A client admitted with pulmonary tuberculosis requires which
type of isolation precautions?
A. Standard precautions only
B. Droplet precautions
C. Contact precautions
D. Airborne precautions
Answer: D. Airborne precautions
,Rationale: Mycobacterium tuberculosis is transmitted via
airborne droplet nuclei; patients with infectious TB require
airborne precautions (negative-pressure room and a fit-tested
N95 or higher respirator) to prevent airborne spread. Standard,
droplet, and contact precautions have different use cases. (CDC
isolation guidance). CDC
4 — Hand hygiene timing (multiple response)
Select all the times when hand hygiene is required (according to
standard infection control practice):
A. Before direct patient contact
B. After removing gloves
C. After contact with inanimate objects in the patient’s
immediate vicinity
D. Only after exposure to bodily fluids
Answer: A, B, C
Rationale: Hand hygiene is indicated before patient contact,
after contact with the patient’s environment, and after glove
removal — not only after exposure to bodily fluids. Routine
hand hygiene prevents transmission of pathogens; CDC/WHO
recommend performing it at these key moments. CDC
5 — Mask type selection (single best answer)
, Which respiratory protection is required when entering the
room of a client with suspected measles?
A. Surgical mask
B. N95 respirator (or equivalent)
C. Cloth mask
D. No mask required
Answer: B. N95 respirator (or equivalent)
Rationale: Measles is highly infectious via airborne
transmission; airborne precautions require a particulate
respirator (N95 or higher) to protect the healthcare worker.
Surgical masks do not provide adequate protection against
airborne nuclei. CDC
6 — Environmental cleaning (single best answer)
A nurse should use which of the following approaches to clean
surfaces in a room with Clostridioides difficile infection?
A. Routine detergent only
B. Alcohol-based spray to wipe surfaces
C. EPA-registered sporicidal disinfectant (e.g., bleach) for high-
touch surfaces
D. Diluted hydrogen peroxide alone
Answer: C. EPA-registered sporicidal disinfectant (e.g., bleach)
for high-touch surfaces
