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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is the tx for Scabies
Wrist ankles Palms - soles Forearm
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
People w/ egg allergies - pregnant - illness or fever
Lindane - Crotmiton - Permethrine

2. Who needs Standard Contact and Droplet precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Glanders - Lassa
EBOLI - MARBAR - CRIMEAN CONGO
Transfer the adult patient with a condition or treatment similar to that which is seen in the pediatric population COPD is like CF (cystic fibrosis) = both need chest physiotherapy Pneumonia is pneumonia

3. What should you tell the pt to prepare for the GUAIAC test

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4. DON'T TRANSFER Which Patient
A test to decect fecal occult blood assess for hidden blood in stool
A consent form to be signed for Hep B - C and HIV
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

5. When CAN INFECTED Patient LEAVE TheIR ROOM
Swelling and tenderness of one or more salivary glands
Infected patient can leave their rooms as long as they wear the same protective garments out of their room that we wear when we are going (entering in ) into their room.
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

6. Rule: Transferring ADULT To PEDIATRIC WARDS
Fecal/oral
Transfer the adult patient with a condition or treatment similar to that which is seen in the pediatric population COPD is like CF (cystic fibrosis) = both need chest physiotherapy Pneumonia is pneumonia
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A consent form to be signed for Hep B - C and HIV

7. WHen should you use standard percautions
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
Contact which are gloves and gown - Toes - wet - warm - spots
Gloves - Goggles and a face shield
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

8. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Wash their hands before and after handling pets
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's

9. What is the most dangerous type of Hep?
1. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
No vaccine if : patient has temp > 101 on antibiotics For exposure to any infection/ enlarged lymph nodes: immunoglobin given ----- for pain and discomfort Misc Facts
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
A

10. How can you prevent Salmonella
Gloves - Goggles and a face shield
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
PRIVATE - NEGATIVE PRESSURE ROOM
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

11. What should you wash the toilet seat with
An order for and Anti Diarrhea med like Imodium
Bleach
Contaminated food and water
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N

12. Rule: Transferring PEDS Patient To MS (MED SURGE)
Glanders - Lassa
Before the rash appears
Rest - warm - humid air
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

13. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Rocky mountain fever and Lymes disease
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
DISCONTINUE The ATB

14. Transferring Patient BETWEEN WARDS
Rest - warm - humid air
1. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Contact which are gloves and gown - Toes - wet - warm - spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

15. What should a Contact Precaution pt have
1.. Patient with/ night sweats and temp w/cough (TB). 2. Headache and stiff neck ( Meningitis). 3. Adult w/rash or blisters only on one side (Shingles). 4. Any patient w/ S&S of infection: 1ST ACTION ISOLATE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

16. What should you wear if blood is spurting?
Feces of infected people or animals
Gloves - gown - goggles and mask - Everything
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Mask will 3 feet

17. How is c diff transmitted?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Chef

18. INTERVENTION FOR PREVENT ASPIRATION
DISCONTINUE The ATB
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
Those with liver problems and pregnant women
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

19. Contact Precautions
Contact which are gloves and gown - Toes - wet - warm - spots
Lindane - Crotmiton - Permethrine
Gown and gloves and disinfectant all the equipments
Pink red maculopapules

20. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wash your hands w/ an antimicrobial soap for 15min before and after contact with pts and teach pt's family members to do the same place in isolation - use dedicated equipment
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

21. Infected Air - borne precaution
Private room with negative pressure
Swelling and tenderness of one or more salivary glands
Pencillins - Cephalosporins - Clindamycin
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

22. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact which are gloves and gown - Toes - wet - warm - spots
Feces of infected people or animals

23. What kind of room would an Airborne precaution pt need
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
PRIVATE - NEGATIVE PRESSURE ROOM
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)

24. Who is not able to start PPE
No vaccine if : patient has temp > 101 on antibiotics For exposure to any infection/ enlarged lymph nodes: immunoglobin given ----- for pain and discomfort Misc Facts
Lindane - Crotmiton - Permethrine
Those with liver problems and pregnant women
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

25. Who shouldn't get the Chicken pox vaccine

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26. Rabies pt's would need

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27. What are the Ni for Pertussis?
Dry cough
Pink red maculopapules
Rest - warm - humid air
C Diff( Clostridium difficle)

28. Who needs Standard - Airbourne and Contact precautions
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rocky mountain fever and Lymes disease
1.. Patient with/ night sweats and temp w/cough (TB). 2. Headache and stiff neck ( Meningitis). 3. Adult w/rash or blisters only on one side (Shingles). 4. Any patient w/ S&S of infection: 1ST ACTION ISOLATE
Small pox

29. Where would you see a rash w/ Rocky mountain spotted fever?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wrist ankles Palms - soles Forearm
A
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

30. What type of job should a person with hepatitis never have
Swelling and tenderness of one or more salivary glands
Private rooms or patient with same organisms
Chef
A

31. What precaution are needed for Scabies pt
Gown and gloves and disinfectant all the equipments
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact which are gloves and gown - Toes - wet - warm - spots
Kopliks spots

32. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Deet spray
DISCONTINUE The ATB
EBOLI - MARBAR - CRIMEAN CONGO
Nothing unless the pt is in isolation

33. What other ATB might be prescribed to treat c diff
Nausea - diarrhea and fatigue for up to 28 days
Oral Flagyl and and Vancomycin
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne

34. How is Hep A spread
Fecal/oral
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A

35. Who shouldn't get the measles vacc
Pencillins - Cephalosporins - Clindamycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
People w/ egg allergies - pregnant - illness or fever
Contact which are gloves and gown - Toes - wet - warm - spots

36. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Dry cough
HIV - HEP B - C - Cytmegalovirus
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's

37. Which Patient NEED To ISOLATE
Feces of infected people or animals
1. HOB up to eat 2. On right side after eating 3. Suction avialable 4. Side rails up 5. Bed in low position 6. Call bell w/ patient reach
1.. Patient with/ night sweats and temp w/cough (TB). 2. Headache and stiff neck ( Meningitis). 3. Adult w/rash or blisters only on one side (Shingles). 4. Any patient w/ S&S of infection: 1ST ACTION ISOLATE
Wash their hands before and after handling pets

38. How would you take off Personal protective gear?
Bleach
Pink red maculopapules
1.Gloves 2.Goggles 3.Gown 4.Mask
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

39. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Small pox
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne

40. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
DISCONTINUE The ATB
Mask will 3 feet
-- Aqua Mephyton = Vitamin K = given coumadin going to surgery ---- Morphine SO4 40mg IV stat for MI ( no more than 40mg) ---- When someone have low K+ hold the digoxin ----- Immunocompromised ----- PCP (pneumocyst carini pneumonia) Peds nurse float
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

41. When dealing w/ a Droplet percautions pt they require
Blue - Blue - green - GREEN means negative
1.Gloves 2.Goggles 3.Gown 4.Mask
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
Contact which are gloves and gown - Toes - wet - warm - spots

42. When To USE STAndARD PRECAUTIONS
Mask will 3 feet
Maculopapular rash and vesicular scabs
Use standard precautions except if an organism is listed. Follow the CDC guidelines If patient presents with S&S of infection ( increase temp - rash - high WBC) isolate immediately until verified. Which patient can you keep at the same room COPD + N
Nothing unless the pt is in isolation

43. What should you teach pt's to wear for protect themselves against Lyme disease
COPD + Negative pressure room = Keep together
Mask will 3 feet
Deet spray
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

44. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A private room but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
-- Aqua Mephyton = Vitamin K = given coumadin going to surgery ---- Morphine SO4 40mg IV stat for MI ( no more than 40mg) ---- When someone have low K+ hold the digoxin ----- Immunocompromised ----- PCP (pneumocyst carini pneumonia) Peds nurse float
Gloves - Goggles and a face shield

45. What are common side effects of PPE
Dry cough
A consent form to be signed for Hep B - C and HIV
1.Anyone recieving high doses of steriods 2. Pregnant women 3. A allergy to neomycin or gelatin 4.Anyone w/ an active infection 5. Immuncomprimised pt's
Nausea - diarrhea and fatigue for up to 28 days

46. Where can you find Salmonella
Before the rash appears
HIV - HEP B - C - Cytmegalovirus
Feces of infected people or animals
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

47. Rule: DISCHARGE DURING AN EMERGENCY
Glanders - Lassa
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Examples: Airborne - droplet - contact or standard

48. What is the two diseased caused by ticks
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A diet high in calories and low fat
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Rocky mountain fever and Lymes disease

49. To be most effective when should postexposure prophylaxis (PPE) be started?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A
Blue - Blue - green - GREEN means negative

50. What kind of diet is needed for a PT with hepatitis A
Pencillins - Cephalosporins - Clindamycin
PRIVATE - NEGATIVE PRESSURE ROOM
A diet high in calories and low fat
Before the rash appears