# A nurse is leaving a contact precautions room after client care. Click the PPE item generally removed first during doffing.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397550&lang=en  
> language: en  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## Question

A nurse is leaving a contact precautions room after client care. Click the PPE item generally removed first during doffing.

![](https://mymerci.kr/data/nclex/hotspot/v2/v2_ppe_items.png)

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## Explanation

Gloves is the best answer. Gloves are usually removed first because they are the most contaminated item. Other marked areas do not best match the cue in this item.

## In-depth explanation

Quick answer
Gloves is the best answer. Gloves are usually removed first because they are the most contaminated item. Other marked areas do not best match the cue in this item.

Why this is correct
Gloves usually carry the greatest direct contamination after contact care, so removing them first limits transfer to the face, clothing, and remaining PPE. Hand hygiene remains essential if contamination occurs and after doffing.

Easy analogy or mental picture
Picture contamination moving from the outside inward: remove the dirtiest hand covering without touching bare skin, then continue the facility-approved sequence.

Memory hook
Gloves first limits spread from the most directly contaminated hand covering.

NCLEX decision rule
When asked what comes off first after contact care, identify the most contaminated item and use the approved doffing sequence; perform hand hygiene whenever indicated.

Why the other choices are wrong
Eye protection, gown, and mask or respirator require careful removal, but selecting them first ignores the heavily contaminated gloves specified in this item.References

- [1]CDC: Safe removal of personal protective equipment

## Clinical scenario

Clinical situation
A nurse is leaving a contact precautions room after client care.

What the nurse should notice
Gloves is the best answer. Gloves are usually removed first because they are the most contaminated item. Other marked areas do not best match the cue in this item.

Transfer to practice
When asked what comes off first after contact care, identify the most contaminated item and use the approved doffing sequence; perform hand hygiene whenever indicated.

## Key concepts

- **Doffing** — Removing PPE.
- **Contact precautions** — Measures used to reduce spread by direct or indirect contact.
- **Hand hygiene** — Cleaning hands.

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