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

Pulmonary tuberculosis is transmitted via airborne droplet nuclei (particles smaller than 5 microns that remain suspended in air). Airborne precautions require placement in a negative-pressure room and use of an N95 or higher-level respirator by healthcare workers.

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

A sterile field is considered contaminated if it is out of the nurse's direct line of vision, even briefly. The nurse must discard the compromised sterile field and open a new sterile setup to prevent infection.

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

C. difficile produces spores that are not destroyed by alcohol-based hand sanitizers. Soap and water handwashing with friction for at least 20 seconds is required to mechanically remove spores from the hands.

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

For contact precautions, the gown should be donned first to protect clothing and skin, followed by gloves. This sequence ensures the gown cuffs are covered by the gloves, reducing contamination risk.

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

The closed urinary drainage system has been contaminated by contact with the floor. To prevent a catheter-associated urinary tract infection (CAUTI), the entire catheter and drainage system must be replaced per infection control standards.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #11 1