Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Nursing Foundation
Easy

Which of the following are the correct steps of handwashing?

Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Explanation

  • This option presents the most complete and accurate sequence for handwashing as recommended by major health organizations like the WHO.
  • The procedure begins with palm-to-palm rubbing to distribute soap.
  • It systematically includes cleaning the back of the hands, between the fingers (interlacing), the back of fingers (interlocking), and rotational rubbing of thumbs and fingertips.
  • The sequence correctly concludes with rinsing the hands to remove pathogens and soap residue.
  • Following these steps methodically is crucial for effective infection control.

Why Other Options Were Wrong

  • Option B: This option is incomplete. It omits the initial essential step of rubbing palm to palm and the final step of rinsing the hands.
  • Option C: This option is incorrect because it omits a critical step: rubbing the right palm over the left dorsum with fingers interlaced. This step is necessary to clean the back of the hands.
  • Option D: This option is incorrect because a correct and complete sequence is provided in Option A.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Procedural Steps of Medical Handwashing as background academic context rather than a clinical decision trigger.
  • Hand hygiene is the single most effective measure to prevent healthcare-associated infections (HAIs), protecting both patients and healthcare workers.
  • Proper technique ensures the removal of transient microorganisms acquired during patient care, breaking the chain of infection.
  • Nurses must perform hand hygiene at 5 key moments: before touching a patient, before a clean/aseptic procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings.
How to Approach the Question
  • First, identify the core of the question, which asks for the correct sequence of a standard nursing procedure (handwashing).
  • Mentally recall or visualize the established steps for handwashing, often displayed on posters in clinical settings.
  • Carefully read each option, treating it as a complete sequence.
  • Compare each option against the standard procedure. Look for both the correct order and the inclusion of all critical steps.
  • Eliminate options that are incomplete (missing steps) or incorrectly ordered.
  • Select the option that provides the most comprehensive and correctly sequenced list of actions, which in this case is the first option.
Concept Tested & Keywords
  • Concept Tested: Procedural Steps of Medical Handwashing
  • Stem keywords: handwashing, correct steps
  • Lead-in keywords: Which of the following

Question ID

QUlLQTZ4FDrOj6UUyHcQ5m

Reference Book

E6 Nursing Vital Signs p. 38-40

E6 Nursing Fundamentals Taylor p. 184-186

E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 249-251

Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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