NURSING PROCESS APPROACH 5TH
EDITION ACTUAL EXAM TEST PAPER 2026
QUESTIONS AND CORRECT ANSWERS
⩥ Airborne Precaution. Answer: a. Airborne pathogens are smaller than
5 microns & can travel longer distances than droplets (larger particles).
b. Examples are Chicken Pox & Tuberculosis (TB).
c. Require negative pressure rooms.
d. Require N-95 respirator masks that filter smaller particles.
⩥ -Droplet precautions cont... (plus standard precautions). Answer: a.
Visitors- Report to Nurses station before entering room
b. Private room- cohorting possible
c. Masks- wear mask within 3 ft. of patient
d. Essential movement/transport only
e. Mask on patient during transport
⩥ Contact precautions. Answer: a. Colonization with MDROs (multi-
drug-resistant organisms) such as MRSA (methicillin-resistant
Staphylococcus aureus), VRE (vancomycin-resistant Enterococcus), and
C-difficle.
b. Private room, gloves, gowns.
,c. Leave equipment in room such as disposable stethoscope.
⩥ -Standard precautions (Tier 1)-. Answer: a. used for all patients,
regardless of risk or presumed infection statue.
b. Apply to blood, blood products, all bodily fluids, secretions,
excretions (except sweat), nonintact skin, & mucous membranes
⩥ -Transmission precautions (contact, droplet, & airborne). Answer: a.
Use for care of patients who are known or suspected to be infected, or
colonized, with microorganisms transmitted by the contact, droplet, or
airborne route.
b. The three types of transmission-based precautions—airborne, droplet,
and contact—may be combined for diseases that have multiple routes of
transmission (e.g., chickenpox). When used either singly or in
combination, you use them in addition to standard precautions.
⩥ -Centers for Disease Control and Prevention Isolation Guidelines
Standard Precautions (Tier One) for Use With All Patients Cough
etiquette (Box 9.2). Answer: a. Standard precautions apply to blood,
blood products, all body fluids, secretions, excretions (except sweat),
non-intact skin, and mucous membranes.
b. Perform hand hygiene before, after, and between direct contact with
patients. (Examples of between-contact activities are cleaning hands
after a patient care activity, moving to a non-patient care activity, and
cleaning hands again before returning to perform patient contact.)
, c. Perform hand hygiene after contact with blood, body fluids, mucous
membranes, nonintact skin, secretions, excretions, or wound dressings;
after contact with inanimate surfaces or articles in a patient room; and
immediately after gloves are removed.
d. When hands are visibly soiled or contaminated with blood or body
fluids, wash them with either a non-antimicrobial soap or an
antimicrobial soap and water.
e. When hands are not visibly soiled or contaminated with blood or body
fluids, use an alcohol-based hand rub to perform hand hygiene.
f. Wash hands with non-antimicrobial soap and water if contact with
spores (e.g., Clostridium difficile) is likely to have occurred.
g. Do not wear artificial fingernails or extenders if duties include direct
contact with patients at high risk for infection and associated adverse
outcomes.
h. Wear gloves when touching blood, body fluids, secretions, excretions,
non-intact skin, mucous membranes, or contaminated items or surfaces
is likely. Remove gloves and perform hand hygiene between patient care
encounters and when going from a contaminated to a clean body site.
i. Wear personal protective equipment (PPE) when the anticipated
patient interaction indicates that contact with blood or body fluids may
occur.
j. A private room is unnecessary unless the patient's hygiene is
unacceptable (e.g., unconfined secretions, excretions, or wound
drainage).
k. Discard all