PRN1032 / PRN 1032 Client-Centered Care I
Exam 2 Review (2026/2027 Newly Updated) –
Study Guide & Practice Questions | Nursing
Fundamentals
Section 1 – Infection Control & Safety (Q 1-12)
Q1 A nurse is caring for a client with a draining wound. Which action best demonstrates
adherence to Standard Precautions?
A) Wearing a mask while changing the bed linens
B) Wearing clean gloves when removing the old dressing
C) Keeping the door closed at all times
D) Placing the client in a negative-pressure room
Correct: B
Rationale: Standard Precautions require gloves when touching blood, body fluids,
mucous membranes, or non-intact skin. A draining wound contains body fluid; gloves
protect the nurse. Masks (A) are not required unless splash/spray is anticipated. Door
closure (C) and negative-pressure rooms (D) are Transmission-Based Precautions, not
Standard Precautions.
,Q2 (SATA) Which items are components of the “chain of infection”? Select ALL that
apply.
A) Reservoir
B) Susceptible host
C) Portal of exit
D) Mode of transmission
E) Vector control program
Correct: A, B, C, D
Rationale: The six classic links are infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, and susceptible host. Vector control (E) is an intervention
to break the chain, not a link.
Q3 The nurse enters the room of a client on Contact Precautions for VRE. Which piece
of personal protective equipment should be donned last?
A) Gown
B) Mask
C) Goggles
D) Gloves
Correct: D
Rationale: CDC sequence: gown → mask/respirator → eye protection → gloves. Gloves
are last so cuffs can extend over gown sleeves, creating full coverage.
, Q4 (Ordered Response) Place the steps for removing personal protective equipment in
correct order when exiting a Contact Precautions room.
1. Remove gloves
2. Remove goggles
3. Remove gown
4. Perform hand hygiene
5. Remove mask
Correct Order: 1, 3, 2, 5, 4
Rationale: Remove most-contaminated items first: gloves → gown (front of gown is
dirty). Then remove goggles, then mask (clean hands touch only clean strings). Hand
hygiene is final step after all PPE is off.
Q5 While performing sterile dressing change, the nurse accidently touches the sterile
gauze with a clean-gloved hand. The best action is to:
A) Continue; the glove is clean
B) Flip the gauze over and use the other side
C) Discard the gauze and open a new sterile package
D) Wipe the gauze with alcohol before use
Correct: C
Rationale: Sterile-to-sterile rule: once sterile item contacts non-sterile surface it is
contaminated. Gauze must be replaced; flipping (B) or alcohol (D) does not re-sterilize.
Q6 A student nurse asks why a client with tuberculosis is in a negative-pressure room.
The best reply is:
Exam 2 Review (2026/2027 Newly Updated) –
Study Guide & Practice Questions | Nursing
Fundamentals
Section 1 – Infection Control & Safety (Q 1-12)
Q1 A nurse is caring for a client with a draining wound. Which action best demonstrates
adherence to Standard Precautions?
A) Wearing a mask while changing the bed linens
B) Wearing clean gloves when removing the old dressing
C) Keeping the door closed at all times
D) Placing the client in a negative-pressure room
Correct: B
Rationale: Standard Precautions require gloves when touching blood, body fluids,
mucous membranes, or non-intact skin. A draining wound contains body fluid; gloves
protect the nurse. Masks (A) are not required unless splash/spray is anticipated. Door
closure (C) and negative-pressure rooms (D) are Transmission-Based Precautions, not
Standard Precautions.
,Q2 (SATA) Which items are components of the “chain of infection”? Select ALL that
apply.
A) Reservoir
B) Susceptible host
C) Portal of exit
D) Mode of transmission
E) Vector control program
Correct: A, B, C, D
Rationale: The six classic links are infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, and susceptible host. Vector control (E) is an intervention
to break the chain, not a link.
Q3 The nurse enters the room of a client on Contact Precautions for VRE. Which piece
of personal protective equipment should be donned last?
A) Gown
B) Mask
C) Goggles
D) Gloves
Correct: D
Rationale: CDC sequence: gown → mask/respirator → eye protection → gloves. Gloves
are last so cuffs can extend over gown sleeves, creating full coverage.
, Q4 (Ordered Response) Place the steps for removing personal protective equipment in
correct order when exiting a Contact Precautions room.
1. Remove gloves
2. Remove goggles
3. Remove gown
4. Perform hand hygiene
5. Remove mask
Correct Order: 1, 3, 2, 5, 4
Rationale: Remove most-contaminated items first: gloves → gown (front of gown is
dirty). Then remove goggles, then mask (clean hands touch only clean strings). Hand
hygiene is final step after all PPE is off.
Q5 While performing sterile dressing change, the nurse accidently touches the sterile
gauze with a clean-gloved hand. The best action is to:
A) Continue; the glove is clean
B) Flip the gauze over and use the other side
C) Discard the gauze and open a new sterile package
D) Wipe the gauze with alcohol before use
Correct: C
Rationale: Sterile-to-sterile rule: once sterile item contacts non-sterile surface it is
contaminated. Gauze must be replaced; flipping (B) or alcohol (D) does not re-sterilize.
Q6 A student nurse asks why a client with tuberculosis is in a negative-pressure room.
The best reply is:
