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NCLEX Mastery: Breaking Down Infection Control & Isolation Precautions

NAI Infection Control Team
27 February 2025
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Infection Control Mastery

Infection control is a vital component of nursing practice and a frequent topic on the NCLEX. Understanding the four types of isolation precautions and how to apply them will help you answer related questions correctly.

Standard precautions for all patients
Contact precautions for direct transmission
Droplet precautions for respiratory infections
Airborne precautions for TB and measles
NCLEXInfection ControlIsolation PrecautionsPPEStandard Precautions
NCLEX Mastery: Breaking Down Infection Control & Isolation Precautions
4 Types
Precautions
Safety
Focus
Expert
Guidance

Infection Control Excellence

Infection control is a vital component of nursing practice and a frequent topic on the NCLEX. Understanding the four types of isolation precautions and how to apply them correctly is essential for both exam success and safe patient care.

NCLEX Focus Areas:

  • • Types of isolation precautions
  • • Appropriate PPE selection
  • • Hand hygiene protocols

Patient Safety Goals:

  • • Prevent healthcare-associated infections
  • • Protect patients and healthcare workers
  • • Break the chain of infection transmission

1Standard Precautions

Used for all patients, these include hand hygiene and appropriate use of personal protective equipment (PPE) to prevent the spread of infection.

Key Components

  • Hand Hygiene

    Before and after patient contact

  • PPE Use

    Gloves, gowns, masks as needed

  • Safe Injection Practices

    One needle, one syringe, one use

When to Apply

  • All patient interactions
  • Contact with blood or body fluids
  • Handling contaminated equipment
  • Environmental cleaning tasks

2Contact Precautions

Required for infections spread by direct contact (e.g., MRSA, C. difficile). Wear gloves and gowns; dedicate equipment to the patient to avoid cross-contamination.

Contact Precaution Protocol

Common Organisms:
  • MRSA (Methicillin-resistant Staphylococcus aureus)
  • C. difficile (Clostridioides difficile)
  • VRE (Vancomycin-resistant Enterococcus)
  • Scabies and lice infestations
Required PPE:
  • Gloves before entering room
  • Gown for direct patient contact
  • Dedicated patient equipment
  • Remove PPE before leaving room

3Droplet Precautions

Used for respiratory infections like influenza. Wear a surgical mask within one metre of the patient; the patient should wear a mask when transported.

Droplet Transmission Control

Common Infections
  • • Influenza
  • • Pertussis (whooping cough)
  • • Pneumonia (certain types)
  • • Meningitis (bacterial)
PPE Requirements
  • • Surgical mask within 1 meter
  • • Standard precautions apply
  • • Patient mask during transport
  • • Private room preferred
Transmission Range
  • • Large droplets (>5 micrometers)
  • • Travel up to 1 meter
  • • Generated by coughing/sneezing
  • • Don't remain airborne long

4Airborne Precautions

Used for infections like tuberculosis and measles. Place the patient in a negative-pressure room and wear an N95 respirator. Limit transport.

Maximum Protection Protocol

High-Risk Infections:
  • Tuberculosis (TB)

    Requires N95 respirator

  • Measles (Rubeola)

    Highly contagious airborne virus

  • Varicella (Chickenpox)

    Contact + airborne precautions

Critical Requirements:
  • Negative-pressure room (AIIR)
  • N95 respirator (fit-tested)
  • Door kept closed at all times
  • Limit and minimize transport

Master Infection Control with NAI

Remember to wash your hands frequently, identify the type of isolation required and apply the correct precautions for NCLEX success and patient safety.

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Standard Precautions

Universal protection for all patients

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Contact Control

Direct transmission prevention

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Droplet Defense

Respiratory infection protection

🌬️

Airborne Safety

Maximum protection protocols

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Master Infection Control for NCLEX Success

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