Nclexrn Quiz: Ppe Donning And Doffing Sequence
20 questions · exam conditions
0:00
Ppe Donning And Doffing SequenceQuestion 1 of 20

A nurse in a long-term care facility is leaving the room of a resident on droplet precautions for a productive cough. The nurse wore gloves, a gown, a surgical mask, and eye protection. What is the proper order for doffing PPE after providing care?

Remove gloves, remove gown, remove eye protection, remove surgical mask, perform hand hygiene
Remove surgical mask, remove eye protection, remove gown, remove gloves, perform hand hygiene
Remove gown, remove gloves, remove surgical mask, remove eye protection, perform hand hygiene
Remove gloves, remove eye protection, remove surgical mask, remove gown, perform hand hygiene
← Back to quizzes

Nclexrn Quiz

Nclexrn Quiz: Ppe Donning And Doffing Sequence

Practice Ppe Donning And Doffing Sequence in Nclexrn with focused quiz questions that help you check what you know, review explanations, and build confidence with test-style prompts.

What this quiz covers

This quiz focuses on Ppe Donning And Doffing Sequence, giving you a quick way to practice the rules, question types, and explanations that matter most for Nclexrn.

How to use this quiz

Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.

All questions

Question 1

A nurse in a long-term care facility is leaving the room of a resident on droplet precautions for a productive cough. The nurse wore gloves, a gown, a surgical mask, and eye protection. What is the proper order for doffing PPE after providing care?

  1. Remove gloves, remove gown, remove eye protection, remove surgical mask, perform hand hygiene (correct answer)
  2. Remove surgical mask, remove eye protection, remove gown, remove gloves, perform hand hygiene
  3. Remove gown, remove gloves, remove surgical mask, remove eye protection, perform hand hygiene
  4. Remove gloves, remove eye protection, remove surgical mask, remove gown, perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use during doffing after droplet precaution care. The correct sequence for doffing PPE is: remove gloves, remove gown, remove eye protection, remove surgical mask, then perform hand hygiene (answer A). This follows the best practice for infection control because it removes items from most to least contaminated - gloves (highest contamination from direct contact), gown (body contamination), eye protection (potential droplet contamination), mask (respiratory protection removed last to maintain protection during doffing), ending with hand hygiene. Answer B removes mask and eye protection before the contaminated gown and gloves; answer C removes gown before gloves; answer D removes eye protection and mask in the wrong order. The principle is to maintain respiratory protection as long as possible while removing contaminated items first. Remember the doffing sequence 'GGEMH': Gloves, Gown, Eye protection, Mask, Hands - protecting yourself throughout the process.

Question 2

In the emergency department, a nurse has completed care for a trauma client with active bleeding and risk of blood exposure. The nurse wore gloves, a gown, a surgical mask, and a face shield for splash protection. What is the proper order for doffing PPE after providing care?

  1. Remove gloves, remove face shield, remove gown, remove mask, perform hand hygiene
  2. Remove face shield, remove mask, remove gown, remove gloves, perform hand hygiene
  3. Remove gown, remove gloves, remove mask, remove face shield, perform hand hygiene
  4. Remove gloves, remove gown, remove face shield, remove mask, perform hand hygiene (correct answer)

Explanation: This question tests infection control and safe practice in PPE use during doffing procedures. The correct sequence for doffing PPE is: remove gloves, remove gown, remove face shield, remove mask, then perform hand hygiene (answer D). This follows the best practice for infection control because it removes the most contaminated items first (gloves and gown that directly contacted the patient/environment), then removes face protection in order of contamination risk, and ends with hand hygiene to remove any microorganisms acquired during doffing. Answer A removes gloves first but then incorrectly removes face shield before gown; answer B removes face shield and mask before the heavily contaminated gown and gloves; answer C removes gown before gloves, risking contamination of hands and arms. The principle is to remove PPE from most to least contaminated, minimizing self-contamination during the process. Remember 'GGFMH' for doffing: Gloves, Gown, Face shield, Mask, Hands - removing dirty items first and ending clean.

Question 3

In a hospital, a nurse has finished changing linens for a client with a draining wound on contact precautions. The nurse wore a gown and gloves to reduce the risk of transferring microorganisms from contaminated surfaces. What is the proper order for doffing PPE after providing care?

  1. Remove gloves, perform hand hygiene, remove gown, perform hand hygiene
  2. Remove gown, remove gloves, perform hand hygiene
  3. Perform hand hygiene, remove gloves, remove gown, perform hand hygiene
  4. Remove gloves, remove gown, perform hand hygiene (correct answer)

Explanation: This question tests infection control and safe practice in PPE use for basic contact precautions. The correct sequence for doffing PPE is: remove gloves, remove gown, then perform hand hygiene (answer D). This follows the best practice for infection control because it removes the contaminated gloves first (as they directly contacted surfaces), then removes the gown (which may have contacted the environment), and concludes with hand hygiene to eliminate any microorganisms acquired during patient care or doffing. Answer A incorrectly adds an extra hand hygiene step between gloves and gown removal; answer B removes the gown before gloves, risking contamination of hands and arms; answer C begins with hand hygiene before removing contaminated PPE, which is illogical and wasteful. The principle is to follow a simple, efficient sequence that minimizes contamination risk without unnecessary steps. Remember 'GGH' for basic doffing: Gloves, Gown, Hands - a streamlined approach for contact precautions.

Question 4

A nurse in a hospital exits the room of a client on droplet precautions for respiratory syncytial virus. The nurse wore gloves, a gown, a surgical mask, and eye protection during care. Which PPE item should be removed FIRST after exiting the client area?

  1. Surgical mask
  2. Eye protection (goggles or face shield)
  3. Gown
  4. Gloves (correct answer)

Explanation: This question tests infection control and safe practice in PPE use, specifically identifying which item to remove first during doffing. The first PPE item to remove is always gloves (answer D). This follows the best practice for infection control because gloves are typically the most contaminated PPE item, having directly contacted the patient and environmental surfaces, and removing them first prevents spreading contamination to other PPE or clean areas during the doffing process. Answer A (surgical mask), answer B (eye protection), and answer C (gown) are all incorrect because these items are less contaminated than gloves and removing them first would require touching them with contaminated gloves, increasing the risk of self-contamination. The fundamental principle is that doffing begins with the dirtiest items to minimize contamination spread. A key strategy is to always think 'gloves first' when doffing - they're your most contaminated barrier and must be removed before touching any other PPE.

Question 5

A nurse in a hospital is preparing to enter the room of an adult client with Clostridioides difficile infection on contact precautions to administer oral medications. The nurse will wear a gown and gloves to prevent transmission via contaminated surfaces. What is the correct sequence for donning PPE before entering the client's room?

  1. Perform hand hygiene, don gloves, don gown
  2. Don gown, perform hand hygiene, don gloves
  3. Perform hand hygiene, don gown, don gloves (correct answer)
  4. Don gloves, don gown, perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use for contact precautions. The correct sequence for donning PPE is: perform hand hygiene, don gown, then don gloves (answer C). This follows the best practice for infection control because hand hygiene removes transient microorganisms before PPE application, the gown is applied next to cover clothing and exposed skin, and gloves are donned last to cover the cuffs of the gown and maintain a continuous barrier. Answer A incorrectly places gloves before the gown, preventing proper cuff coverage; answer B delays hand hygiene until after gown application, risking contamination; and answer D performs hand hygiene last, which defeats the purpose of clean hands before PPE. The decision-making principle is to work from cleanest to most contaminated areas, ensuring each layer properly covers the previous one. A helpful mnemonic for donning is 'Hands, Gown, Gloves' (HGG) - always start clean and work outward to create protective barriers.

Question 6

In an outpatient clinic, a nurse is preparing to irrigate a draining wound for a client with methicillin-resistant Staphylococcus aureus (MRSA) requiring contact precautions. The nurse will wear a gown, gloves, a mask, and a face shield because splashing is likely. What is the correct sequence for donning PPE before beginning the procedure?

  1. Perform hand hygiene, don mask, don face shield, don gown, don gloves
  2. Perform hand hygiene, don gown, don mask, don face shield, don gloves (correct answer)
  3. Don gown, don gloves, don mask, don face shield, perform hand hygiene
  4. Perform hand hygiene, don gloves, don gown, don mask, don face shield

Explanation: This question tests infection control and safe practice in PPE use when splash protection is needed. The correct sequence for donning PPE is: perform hand hygiene, don gown, don mask, don face shield, then don gloves (answer B). This follows the best practice for infection control because it starts with clean hands, protects the body and clothing with the gown, adds respiratory and mucous membrane protection with mask and face shield (working from nose/mouth outward), and finishes with gloves to cover gown cuffs and protect hands. Answer A incorrectly places mask and face shield before the gown; answer C omits initial hand hygiene and reverses the proper sequence; answer D places gloves too early, preventing proper coverage of gown cuffs. The principle is to build protection from the inside out, ensuring each layer properly interfaces with the next. A helpful memory aid is 'HGMFG': Hands, Gown, Mask, Face shield, Gloves - creating a systematic barrier from core to periphery.

Question 7

In a long-term care facility, the nurse assists a client with suspected meningococcal infection on droplet precautions and wears gloves, gown, surgical mask, and face shield due to coughing. After providing care and leaving the room, what should the nurse do LAST when doffing PPE?

  1. Remove gloves
  2. Remove gown
  3. Perform hand hygiene (correct answer)
  4. Remove mask

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE is to remove gloves, remove the gown, perform hand hygiene, remove the face shield, remove the mask, and perform hand hygiene last. Option C follows the best practice for infection control by ending with hand hygiene to ensure all potential contaminants are removed after doffing. Options A, B, and D involve removal steps that would occur earlier in the sequence, not last. A key decision-making principle is to conclude doffing with hand hygiene to prevent pathogen transmission. The infection control rationale is to protect against droplet-spread infections like meningococcus. A transferable strategy is to think of doffing as 'reverse layering' with hygiene bookends, or use a checklist ending with 'Final hand hygiene'.

Question 8

In a hospital setting, the nurse is preparing to enter the room of a client on contact precautions for scabies. The nurse will use gown and gloves. What is the correct sequence for donning PPE before entering the room?

  1. Hand hygiene, don gloves, then don gown
  2. Don gown, don gloves, then perform hand hygiene
  3. Hand hygiene, don gown, then don gloves (correct answer)
  4. Don gloves, don gown, then perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE (gown and gloves only) is to perform hand hygiene, don the gown, then don the gloves. Option C follows the best practice for infection control by starting with hygiene and donning gown before gloves to ensure proper cuff overlap. Options A and B place gloves first or after hygiene incorrectly; option D starts with gloves without hygiene. A key decision-making principle is to prepare clean surfaces before applying barriers. The infection control rationale is to prevent skin parasite transmission like scabies. A transferable strategy is to remember 'Hygiene Gown Gloves' or use a simple three-step checklist.

Question 9

In a long-term care facility, the nurse is doffing PPE after caring for a client on droplet precautions and wore gown, gloves, mask, and face shield. Which sequence is correct for removing the respiratory and eye protection portion at the end of doffing (after gloves and gown are removed and hand hygiene is done)?

  1. Remove mask first, then remove face shield
  2. Remove face shield first, then remove mask (correct answer)
  3. Remove face shield and mask together by touching the front surfaces
  4. Remove mask, perform hand hygiene, then remove face shield

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for removing respiratory and eye protection in doffing is to remove the face shield first, then the mask. Option B follows the best practice for infection control by avoiding contact with the mask while removing the shield. Option A reverses order; option C touches fronts; option D inserts hygiene midway. A key decision-making principle is to remove overlying items first. The infection control rationale is to contain droplets safely. A transferable strategy is to use 'Shield off, Mask off' or demonstrate in training sessions.

Question 10

In a hospital setting, the nurse dons full PPE (gown, gloves, mask, face shield) to provide care for a client on contact precautions with copious wound drainage. After leaving the room, which sequence correctly completes doffing after gloves and gown have been removed and hand hygiene has been performed?

  1. Remove mask, remove face shield, then perform hand hygiene
  2. Remove face shield, remove mask, then perform hand hygiene (correct answer)
  3. Perform hand hygiene, remove face shield, remove mask
  4. Remove face shield and mask together by grasping the front, then perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE after gloves, gown, and initial hygiene is to remove the face shield, remove the mask, then perform final hand hygiene. Option B follows the best practice for infection control by removing eye protection before the mask to avoid disturbing contaminants. Option A reverses the order; option C inserts unnecessary hygiene; option D touches contaminated fronts. A key decision-making principle is to handle from clean back areas. The infection control rationale is to manage drainage in contact precautions. A transferable strategy is to remember 'Shield then Mask' post-hygiene or use video-guided practice.

Question 11

In the emergency department, the nurse wears gown, gloves, mask, and face shield while assisting with a procedure that generates splashes. After exiting the client area, what should the nurse do FIRST to begin doffing PPE safely?

  1. Remove the face shield
  2. Remove the gloves (correct answer)
  3. Remove the mask
  4. Perform hand hygiene before removing any PPE

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE is to remove gloves first, then the gown, perform hand hygiene, remove the face shield, remove the mask, and perform hand hygiene. Option B follows the best practice for infection control by starting with gloves to immediately discard the most contaminated item. Options A and C begin with facial items; option D delays removal with premature hygiene. A key decision-making principle is to prioritize highly contaminated PPE removal. The infection control rationale is to minimize splash-related pathogen exposure. A transferable strategy is to start with 'Gloves gone first' in a doffing checklist or simulation.

Question 12

In a long-term care facility, the nurse enters a client's room on droplet precautions for a respiratory infection and wears gown, gloves, surgical mask, and face shield. Which sequence is correct for doffing PPE after leaving the room?

  1. Remove mask, remove gloves, remove gown, remove face shield, then perform hand hygiene
  2. Remove gloves, remove gown, remove mask, remove face shield, then perform hand hygiene
  3. Remove gloves, remove gown, perform hand hygiene, remove face shield, remove mask, then perform hand hygiene (correct answer)
  4. Remove face shield, remove gown, remove gloves, remove mask, then perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE is to remove gloves, remove the gown, perform hand hygiene, remove the face shield, remove the mask, then perform hand hygiene. Option C follows the best practice for infection control by incorporating intermediate hygiene to clean hands before touching facial PPE. Options A and B omit intermediate hygiene; option D mixes the order unsafely. A key decision-making principle is to intersperse hygiene to break contamination chains. The infection control rationale is to prevent droplet pathogen spread in respiratory care. A transferable strategy is to use the doffing mnemonic 'Gloves Gown Hygiene Shield Mask Hygiene' or role-play scenarios.

Question 13

In the emergency department, the nurse prepares to provide care for a client with active bleeding and will wear gown, gloves, mask, and face shield. What is the correct sequence for donning PPE before client contact?

  1. Hand hygiene, mask, face shield, gown, gloves
  2. Hand hygiene, gown, face shield, mask, gloves
  3. Hand hygiene, gown, mask, face shield, gloves (correct answer)
  4. Hand hygiene, gloves, gown, mask, face shield

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE is to perform hand hygiene, don the gown, apply the mask, apply the face shield, and then don the gloves. Option C follows the best practice for infection control by establishing body protection first, then facial, ending with gloves. Options A, B, and D misplace mask, face shield, or gloves. A key decision-making principle is to sequence for optimal fit and coverage. The infection control rationale is to guard against blood splashes in emergencies. A transferable strategy is to employ the acronym 'HGMFG' for Hand hygiene, Gown, Mask, Face shield, Gloves.

Question 14

In the emergency department, the nurse is preparing to enter a room to clean a client with fecal incontinence on contact precautions and will wear gown and gloves. Which step should the nurse perform FIRST when donning PPE?

  1. Don the gown
  2. Don the gloves
  3. Perform hand hygiene (correct answer)
  4. Gather supplies and place them on the bedside table

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE (gown and gloves only) is to perform hand hygiene first, then don the gown, and don the gloves. Option C follows the best practice for infection control by initiating with hygiene to ensure a clean start. Options A and B begin with PPE items; option D is preparatory but not donning. A key decision-making principle is hygiene as the prerequisite. The infection control rationale is to prevent fecal pathogen spread. A transferable strategy is to start every sequence with 'Hands clean first' or a hygiene prompt poster.

Question 15

In a clinic, the nurse removes PPE after performing wound care with splashing risk and wore gloves, gown, mask, and face shield. Which action is most appropriate NEXT after removing the gown (with gloves already removed) while still in the doffing process?

  1. Remove the mask
  2. Perform hand hygiene (correct answer)
  3. Remove the face shield
  4. Don a new pair of clean gloves

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE continues after gloves and gown removal with performing hand hygiene, then removing the face shield, removing the mask, and final hand hygiene. Option B follows the best practice for infection control by cleaning hands immediately after removing outer PPE to safely handle facial items. Options A and C suggest removal without prior hygiene; option D introduces unnecessary gloves. A key decision-making principle is to insert hygiene after dirty item removal. The infection control rationale is to prevent wound pathogen transfer. A transferable strategy is to remember 'Hygiene after gown' in a phased doffing list.

Question 16

In a hospital unit, the nurse is preparing to enter the room of a client with an infectious diarrhea illness on contact precautions and will wear gown and gloves. Which action is the nurse expected to perform IMMEDIATELY BEFORE donning gloves?

  1. Remove personal jewelry from hands and wrists
  2. Don the gown and secure it at the neck and waist (correct answer)
  3. Apply a surgical mask
  4. Perform hand hygiene after putting on gloves

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE (gown and gloves only) is to perform hand hygiene, don the gown and secure it, then don the gloves. Option B follows the best practice for infection control as securing the gown immediately precedes gloves to ensure full coverage. Option A is preparatory but not immediate; option C adds unnecessary mask; option D places hygiene after gloves. A key decision-making principle is to complete body coverage before hand protection. The infection control rationale is to contain diarrheal pathogens in contact precautions. A transferable strategy is to visualize 'Gown secure, then gloves' or use a buddy system for checks.

Question 17

In the emergency department, the nurse is preparing to irrigate a contaminated laceration with risk of splashing and will wear gown, gloves, mask, and face shield. Which step should the nurse perform NEXT after donning the gown when putting on PPE?

  1. Don gloves
  2. Perform hand hygiene
  3. Apply mask (correct answer)
  4. Apply face shield

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE is to perform hand hygiene, don the gown, apply the mask, apply the face shield, and don the gloves. Option C follows the best practice for infection control as the next step after gown is applying the mask to secure respiratory protection before eye protection and gloves. Options A and D skip to gloves or face shield; option B inserts unnecessary hygiene. A key decision-making principle is to build protection sequentially without gaps. The infection control rationale is to shield against splashes in contaminated procedures. A transferable strategy is to sequence as 'Gown to Mask to Shield to Gloves' post-hygiene, using a mental checklist.

Question 18

In a hospital setting, the nurse is preparing to enter a contact-precautions room to assist with perineal care and expects significant contact with linens. The nurse will wear gown and gloves. What is the correct sequence for doffing PPE after providing care and exiting the room?

  1. Remove gown, remove gloves, then perform hand hygiene
  2. Remove gloves, remove gown, then perform hand hygiene (correct answer)
  3. Perform hand hygiene, remove gloves, remove gown
  4. Remove gloves, perform hand hygiene, remove gown, then perform hand hygiene

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE (gown and gloves only) is to remove gloves, remove the gown, then perform hand hygiene. Option B follows the best practice for infection control by ensuring contaminated gloves are off before handling the gown. Options A, C, and D reverse order or insert hygiene inappropriately. A key decision-making principle is to avoid touching clean areas with dirty hands. The infection control rationale is to contain pathogens during perineal care. A transferable strategy is to use 'Gloves off, gown off, hands clean' or practice in pairs.

Question 19

In a clinic, the nurse is about to collect a nasopharyngeal specimen from a client with a respiratory infection requiring droplet precautions, using gown, gloves, surgical mask, and face shield. What is the correct sequence for donning PPE before beginning the procedure?

  1. Hand hygiene, gloves, gown, face shield, mask
  2. Hand hygiene, gown, gloves, mask, face shield
  3. Hand hygiene, gown, mask, face shield, gloves (correct answer)
  4. Hand hygiene, mask, gloves, face shield, gown

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for donning PPE is to perform hand hygiene, don the gown, apply the mask, apply the face shield, and then don the gloves. Option C follows the best practice for infection control by ensuring a logical progression that protects the face after covering the body and seals with gloves last. Option A places gloves too early; option B inserts gloves after gown but before mask; option D starts with mask and disrupts the order. A key decision-making principle is to don items in an order that maintains fit and coverage without readjustment. The infection control rationale is to prevent droplet transmission during specimen collection. A transferable strategy is to use the mnemonic 'Gown Masks Gloves' after hygiene, or visualize a step-by-step flowchart.

Question 20

In a long-term care facility, the nurse is leaving the room of a client on droplet precautions after suctioning oral secretions while wearing gown, gloves, surgical mask, and face shield. Which PPE item should be removed FIRST to reduce self-contamination?

  1. Surgical mask
  2. Face shield
  3. Gown
  4. Gloves (correct answer)

Explanation: This question tests infection control and safe practice in PPE use. The correct sequence for doffing PPE is to remove gloves first, then the gown, perform hand hygiene, remove the face shield, remove the mask, and perform hand hygiene. Option D follows the best practice for infection control by targeting gloves as the initial step to reduce contamination spread. Options A, B, and C start with less critical items. A key decision-making principle is to begin with the most soiled PPE. The infection control rationale is to contain secretions in droplet precautions. A transferable strategy is to initiate with 'Gloves first' in a doffing protocol checklist.