NCLEX · General

When should a nurse perform hand hygiene according to the principles of standard precautions?

Correct answer

Before and after client contact, before aseptic procedures, after exposure to body fluids, and after touching the client's environment

  1. A Only after caring for a client
  2. B Before and after client contact, before aseptic procedures, after exposure to body fluids, and after touching the client's environment
  3. C Only when hands look dirty
  4. D Only once per shift

Why this is the answer

Hand hygiene should be performed at the WHO 'FIVE MOMENTS': (1) BEFORE touching a client; (2) BEFORE an aseptic/clean procedure; (3) AFTER body fluid exposure risk; (4) AFTER touching a client; (5) AFTER touching the client's SURROUNDINGS/environment. NCLEX safe care/infection control. Also: before and after glove use (gloves don't replace hand hygiene), after using the restroom, before handling medications/food. STANDARD PRECAUTIONS apply to ALL clients regardless of diagnosis (treat all blood/body fluids as potentially infectious). Hand hygiene is the cornerstone of infection prevention. Performing it at all the key moments — not just when hands look dirty or once per shift — is essential. Knowing the moments for hand hygiene is a heavily tested NCLEX concept.
Source: NCLEX Safe Care — Hand Hygiene Moments