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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. Which pt's can't the pregnant nurse care for
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
Rocky mountain fever and Lymes disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

2. Which Patient CAN KEEP In The SAME ROOM
Rest - warm - humid air
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
COPD + Negative pressure room = Keep together
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

3. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
A test to decect fecal occult blood assess for hidden blood in stool
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

4. Who shouldn't get the Chicken pox vaccine

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5. What is the two diseased caused by ticks
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease

6. GENERAL RuleS FOR VACCINES
Feces of infected people or animals
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
DISCONTINUE The ATB
EBOLI - MARBAR - CRIMEAN CONGO

7. Rule: DISCHARGE DURING AN EMERGENCY
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Examples: Airborne - droplet - contact or standard
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
-- 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

8. What should the nurse immediately do if she stuck by a used needle?
Lindane - Crotmiton - Permethrine
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
Wash their hands before and after handling pets

9. INTERVENTION FOR PREVENT ASPIRATION
Oral Flagyl and and Vancomycin
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Examples: Airborne - droplet - contact or standard

10. What type of job should a person with hepatitis never have
DISCONTINUE The ATB
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Chef
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

11. Which Patient NEED To ISOLATE
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Deet spray
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
C Diff( Clostridium difficle)

12. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1.Gloves 2.Goggles 3.Gown 4.Mask
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

13. What is the tx for Scabies
Private room with negative pressure
Lindane - Crotmiton - Permethrine
Contact which are gloves and gown - Toes - wet - warm - spots
DISCONTINUE The ATB

14. Who should get the chicken pox vaccine
Those with liver problems and pregnant women
Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
HIV - HEP B - C - Cytmegalovirus

15. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Rocky mountain fever and Lymes disease
A consent form to be signed for Hep B - C and HIV
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

16. What is the most common cause of ATB associated diarrhea
A consent form to be signed for Hep B - C and HIV
Gown and gloves and disinfectant all the equipments
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)

17. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Swelling and tenderness of one or more salivary glands
Private room with negative pressure
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

18. When dealing w/ a Droplet percautions pt they require
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Contaminated food and water
Rest - warm - humid air

19. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Pink red maculopapules
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

20. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1St provide care 2nd notify MD ( medical doctor
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
DISCONTINUE The ATB

21. Who is not able to start PPE
EBOLI - MARBAR - CRIMEAN CONGO
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin
Those with liver problems and pregnant women

22. When should you use Airborne Precautions
People w/ egg allergies - pregnant - illness or fever
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Feces of infected people or animals
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

23. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
People w/ egg allergies - pregnant - illness or fever
Gloves - gown - goggles and mask - Everything
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.

24. What should the school teacher teach kids handleing pets
Gloves - gown - goggles and mask - Everything
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wash their hands before and after handling pets

25. WHen should you use standard percautions
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rest - warm - humid air
Wrist ankles Palms - soles Forearm

26. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Blue - Blue - green - GREEN means negative

27. 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
Wash their hands before and after handling pets
Bleach
Blue - Blue - green - GREEN means negative

28. Where would you see a rash w/ Rocky mountain spotted fever?
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Fecal/oral
Wrist ankles Palms - soles Forearm

29. How is Salmonella transmitted
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contaminated food and water
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

30. What is a GUAIAC test?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A test to decect fecal occult blood assess for hidden blood in stool
Glanders - Lassa
An order for and Anti Diarrhea med like Imodium

31. Rabies pt's would need

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32. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Gloves
C Diff( Clostridium difficle)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

33. Who needs Standard and Contact precautions (SC)
Rest - warm - humid air
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

34. Transferring Patient BETWEEN WARDS
Dry cough
N - V - D and Abd pain
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

35. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pencillins - Cephalosporins - Clindamycin
Glanders - Lassa

36. What are characteristics of Measles (Rubeola)
Kopliks spots
Chef
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.
Rest - warm - humid air

37. Droplet precautions
Wrist ankles Palms - soles Forearm
Mask will 3 feet
Fecal/oral
Lindane - Crotmiton - Permethrine

38. Where can you find Salmonella
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Maculopapular rash and vesicular scabs
Oral Flagyl and and Vancomycin
Feces of infected people or animals

39. What should you wear when drawing blood
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
Gloves - Goggles and a face shield
Gloves
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

40. How is c diff transmitted?
Mask will 3 feet
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Fecal/oral

41. Infected Air - borne precaution
Private room with negative pressure
Gloves - gown - goggles and mask - Everything
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A test to decect fecal occult blood assess for hidden blood in stool

42. When To USE STAndARD PRECAUTIONS
HIV - HEP B - C - Cytmegalovirus
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
-- 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

43. Who shouldn't get the measles vacc
DISCONTINUE The ATB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
People w/ egg allergies - pregnant - illness or fever
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

44. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
EBOLI - MARBAR - CRIMEAN CONGO
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

45. What are the S/S for Botulism
1St provide care 2nd notify MD ( medical doctor
N - V - D and Abd pain
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

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

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47. What is the most dangerous type of Hep?
People w/ egg allergies - pregnant - illness or fever
A
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

48. How can you prevent Salmonella
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Small pox
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

49. What is warn when suctioning?
Fecal/oral
Maculopapular rash and vesicular scabs
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
Gloves - Goggles and a face shield

50. What are the char. of German measles( Rubella)
Pink red maculopapules
Dry cough
Small pox
Lindane - Crotmiton - Permethrine