"Shutting the door" for infection control

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Specializes in LTC.

I just took the NCLEX today, and I have the strangest feeling I'll be talking to Pearsonvue in another three months. I've been studying for the test for three months, I was getting great grades on my practice tests- but when I got to the testing site, I was confronted with some really strange questions, and options I'd never seen before.

On thing that kept popping up, was the option for "Keep the door shut", for various multiple choice infection control questions. (Hopefully this isn't too specific).

I'm not sure when it's necessary to keep the door of the patients room shut! Obviously if they are in a positive/negative pressure room you'd keep it shut- any other reasons I need to know about? I'm sorry- the answers probably terribly obvious, but I think I'm about to have a freaking stroke over this test. :confused:

Thanks so much!

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First of all, I must tell you that your feelings are normal. Nobody leaves the NCLEX exam wth 100% confidence that they passed. I just did my NCLEX exam in June and I had the same feeling. Regarding your question, the doors should definately be kept closed for patients under airborne precautions such as TB and the rest of them. Now for droplet precautions such as meningitis, the door could be left open, as long as the patient is 3 feet away from the door. I hope this helps.

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Keep us informed. Have you done the PearsonVue trick yet? It helped ease my anxiety although I was physically shaking while trying it. I got the "good popup". Mos579 is exactly right nobody feels they passed after taking it. Funny how that is!

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Give yourself the benefit of the doubt until you get your official results.

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airborn/respiratory isolation basically

droplet as long as the person is 3 feet away from the door, no worries

or contact, same deal

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I also felt pretty sick to my stomach after finishing the exam...convinced that I was in danger of failing. I went home and did the PVT. Even though I got the "good" popup, I still wouldn't believe it until my unofficial results were available. I took my exam on a Friday, and I didn't think they would be available until Tuesday, but they were available on Sunday. So if you haven't already checked, do so now!

The previous posts already answered your question. But if you search for pnemonics, there are some great ones that you might want to know...just in general. They certainly helped me out for my exam!

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Specializes in LTC.

Phew... passed! :D

Thanks for the tips on the door question- I -think- that's what I ended up going with- to shut the door if the person was on airborne precautions, but I can't say for sure.

Thank you again all!

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Congrats!!:balloons:

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