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GCU NSG 300 EXAM 2 – FOUNDATIONS OF
NURSING – (2026) ACTUAL QUESTIONS &
ANSWERS 250 VERIFIED PRACTICE
QUESTIONS WITH CORRECT ANSWERS &
DETAILED RATIONALES Complete Exam
Bank for Grand Canyon University
SECTION 1: INFECTION CONTROL & SAFETY
Questions 1–50
1. The nurse is caring for a patient with Clostridioides difficile (C. diff). Which type of
precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: C. diff requires Contact Precautions (gown and gloves, private room or cohort,
dedicated equipment). Alcohol-based hand rub is not effective; soap and water are
required.
2. The nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: d) Airborne precautions
Rationale: Tuberculosis requires Airborne Precautions (N95 respirator, negative pressure
room, patient wears mask if transported).
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3. Which is the most effective way to prevent the spread of infection in a healthcare
setting?
a) Wearing gloves for all patient contact
b) Hand hygiene (handwashing or alcohol-based hand rub)
c) Wearing a mask at all times
d) Isolating all patients
Answer: b) Hand hygiene (handwashing or alcohol-based hand rub)
Rationale: Hand hygiene is the single most effective measure to prevent healthcare-
associated infections (HAIs).
4. The nurse is caring for a patient with influenza. Which type of precautions should the
nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: c) Droplet precautions
Rationale: Influenza is transmitted via respiratory droplets (coughing, sneezing). Droplet
Precautions include a surgical mask within 3 feet of the patient.
5. The nurse is caring for a patient with methicillin-resistant Staphylococcus aureus
(MRSA) in a wound. Which type of precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: MRSA requires Contact Precautions (gown and gloves, private room or cohort,
dedicated equipment).
6. Which is the correct order for removing personal protective equipment (PPE)?
a) Gloves, gown, mask, goggles
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b) Gloves, goggles, gown, mask
c) Gown, gloves, mask, goggles
d) Mask, goggles, gown, gloves
Answer: b) Gloves, goggles, gown, mask
Rationale: The correct sequence for removing PPE is: Gloves (most
contaminated), goggles (face shield), gown, then mask (least contaminated).
7. The nurse is caring for a patient on neutropenic precautions (protective isolation). The
nurse should:
a) Place the patient in a negative pressure room
b) Avoid fresh flowers and fruits
c) Wear an N95 mask
d) Cohort the patient with another patient
Answer: b) Avoid fresh flowers and fruits
Rationale: Neutropenic patients are at high risk for infection from environmental sources
(flowers, fruits, vegetables may carry bacteria). Fresh flowers are not allowed.
8. The nurse is applying sterile gloves. Which action is correct?
a) The inside of the glove is considered sterile
b) The outside of the glove is considered sterile
c) The cuff of the glove is considered sterile
d) The nurse should touch only the inside of the glove with bare hands
Answer: d) The nurse should touch only the inside of the glove with bare hands
Rationale: The outside of sterile gloves is sterile. The nurse touches only the inside (cuff)
of the glove with bare hands to maintain sterility.
9. Which patient is at highest risk for falling?
a) A 30-year-old postoperative patient
b) A 75-year-old patient with a history of falls and receiving opioids
c) A 50-year-old patient with a urinary tract infection
d) A 20-year-old patient with a broken leg
Answer: b) A 75-year-old patient with a history of falls and receiving opioids
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Rationale: Risk factors for falls include: age >65, history of falls, altered mental status,
medications (sedatives, opioids, diuretics), and impaired mobility.
10. The nurse is implementing fall prevention strategies. Which is an appropriate
intervention?
a) Keep the bed in the highest position
b) Keep all four side rails up
c) Place the call light within reach
d) Dim the lights at night
Answer: c) Place the call light within reach
Rationale: Placing the call light within reach promotes patient independence and safety.
Side rails should be used appropriately (not all four up). Bed in lowest position.
11. The nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
a) Opening the sterile kit on the bedside table
b) Using clean gloves for the procedure
c) Letting the catheter touch the patient’s thigh
d) Opening the sterile kit on the overbed table (clean, dry surface)
Answer: d) Opening the sterile kit on the overbed table (clean, dry surface)
Rationale: Sterile procedure requires a sterile field opened on a clean, dry surface. Sterile
gloves are required; the catheter should not touch non-sterile surfaces.
12. A patient is on contact precautions. Which personal protective equipment (PPE) is
required?
a) Mask only
b) Gown and gloves
c) N95 respirator
d) Goggles only
Answer: b) Gown and gloves
Rationale: Contact Precautions require a gown and gloves for all patient interactions.
GCU NSG 300 EXAM 2 – FOUNDATIONS OF
NURSING – (2026) ACTUAL QUESTIONS &
ANSWERS 250 VERIFIED PRACTICE
QUESTIONS WITH CORRECT ANSWERS &
DETAILED RATIONALES Complete Exam
Bank for Grand Canyon University
SECTION 1: INFECTION CONTROL & SAFETY
Questions 1–50
1. The nurse is caring for a patient with Clostridioides difficile (C. diff). Which type of
precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: C. diff requires Contact Precautions (gown and gloves, private room or cohort,
dedicated equipment). Alcohol-based hand rub is not effective; soap and water are
required.
2. The nurse is caring for a patient with active pulmonary tuberculosis. Which type of
precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: d) Airborne precautions
Rationale: Tuberculosis requires Airborne Precautions (N95 respirator, negative pressure
room, patient wears mask if transported).
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3. Which is the most effective way to prevent the spread of infection in a healthcare
setting?
a) Wearing gloves for all patient contact
b) Hand hygiene (handwashing or alcohol-based hand rub)
c) Wearing a mask at all times
d) Isolating all patients
Answer: b) Hand hygiene (handwashing or alcohol-based hand rub)
Rationale: Hand hygiene is the single most effective measure to prevent healthcare-
associated infections (HAIs).
4. The nurse is caring for a patient with influenza. Which type of precautions should the
nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: c) Droplet precautions
Rationale: Influenza is transmitted via respiratory droplets (coughing, sneezing). Droplet
Precautions include a surgical mask within 3 feet of the patient.
5. The nurse is caring for a patient with methicillin-resistant Staphylococcus aureus
(MRSA) in a wound. Which type of precautions should the nurse implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: MRSA requires Contact Precautions (gown and gloves, private room or cohort,
dedicated equipment).
6. Which is the correct order for removing personal protective equipment (PPE)?
a) Gloves, gown, mask, goggles
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b) Gloves, goggles, gown, mask
c) Gown, gloves, mask, goggles
d) Mask, goggles, gown, gloves
Answer: b) Gloves, goggles, gown, mask
Rationale: The correct sequence for removing PPE is: Gloves (most
contaminated), goggles (face shield), gown, then mask (least contaminated).
7. The nurse is caring for a patient on neutropenic precautions (protective isolation). The
nurse should:
a) Place the patient in a negative pressure room
b) Avoid fresh flowers and fruits
c) Wear an N95 mask
d) Cohort the patient with another patient
Answer: b) Avoid fresh flowers and fruits
Rationale: Neutropenic patients are at high risk for infection from environmental sources
(flowers, fruits, vegetables may carry bacteria). Fresh flowers are not allowed.
8. The nurse is applying sterile gloves. Which action is correct?
a) The inside of the glove is considered sterile
b) The outside of the glove is considered sterile
c) The cuff of the glove is considered sterile
d) The nurse should touch only the inside of the glove with bare hands
Answer: d) The nurse should touch only the inside of the glove with bare hands
Rationale: The outside of sterile gloves is sterile. The nurse touches only the inside (cuff)
of the glove with bare hands to maintain sterility.
9. Which patient is at highest risk for falling?
a) A 30-year-old postoperative patient
b) A 75-year-old patient with a history of falls and receiving opioids
c) A 50-year-old patient with a urinary tract infection
d) A 20-year-old patient with a broken leg
Answer: b) A 75-year-old patient with a history of falls and receiving opioids
, 4|Page
Rationale: Risk factors for falls include: age >65, history of falls, altered mental status,
medications (sedatives, opioids, diuretics), and impaired mobility.
10. The nurse is implementing fall prevention strategies. Which is an appropriate
intervention?
a) Keep the bed in the highest position
b) Keep all four side rails up
c) Place the call light within reach
d) Dim the lights at night
Answer: c) Place the call light within reach
Rationale: Placing the call light within reach promotes patient independence and safety.
Side rails should be used appropriately (not all four up). Bed in lowest position.
11. The nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
a) Opening the sterile kit on the bedside table
b) Using clean gloves for the procedure
c) Letting the catheter touch the patient’s thigh
d) Opening the sterile kit on the overbed table (clean, dry surface)
Answer: d) Opening the sterile kit on the overbed table (clean, dry surface)
Rationale: Sterile procedure requires a sterile field opened on a clean, dry surface. Sterile
gloves are required; the catheter should not touch non-sterile surfaces.
12. A patient is on contact precautions. Which personal protective equipment (PPE) is
required?
a) Mask only
b) Gown and gloves
c) N95 respirator
d) Goggles only
Answer: b) Gown and gloves
Rationale: Contact Precautions require a gown and gloves for all patient interactions.
