NCLEX-PN Test #11 1

Question 1

A nurse is caring for a patient admitted with active pulmonary tuberculosis. Which type of isolation precautions should the nurse implement?

Accepted Answer

Airborne precautions with a negative-pressure room and N95 respirator

Answer

Contact precautions with gloves and gown

Answer

Droplet precautions with a surgical mask

Answer

Standard precautions only

Question 2

A nurse prepares to perform a sterile dressing change. After opening the sterile field, the nurse turns away momentarily. What is the correct action?

Accepted Answer

Discard the sterile field and set up a new one

Answer

Continue with the dressing change since the field was only unattended briefly

Answer

Cover the sterile field with a sterile drape and proceed

Answer

Ask a colleague to confirm the field is still sterile

Question 3

A nurse caring for a patient with Clostridium difficile (C. diff) diarrhea should use which hand hygiene method?

Accepted Answer

Soap and water handwashing for at least 20 seconds

Answer

Alcohol-based hand rub for at least 30 seconds

Answer

Either alcohol rub or soap and water — both are equally effective

Answer

Chlorhexidine wipe followed by alcohol rub

Question 4

A client is placed on contact precautions for methicillin-resistant Staphylococcus aureus (MRSA). When entering the room, the nurse should don PPE in which order?

Accepted Answer

Gown, then gloves

Answer

Gloves, then gown

Answer

Mask, then gown, then gloves

Answer

Gloves, then gown, then mask

Question 5

A nurse notes that a Foley catheter drainage bag is resting on the floor. What is the priority action?

Accepted Answer

Replace the entire catheter system immediately

Answer

Empty the bag and document the finding

Answer

Lift the bag off the floor, clean the drainage port, and document

Answer

Leave it as is and report to the charge nurse

Question 6

After removing gloves following patient care, a nurse notices a small tear in one glove. What is the most appropriate next action?

Accepted Answer

Perform hand hygiene immediately and assess the skin for breaks

Answer

Apply hand lotion to protect any skin breaks

Answer

Report the incident only if the patient has a known infection

Answer

No action is needed since gloves were worn throughout