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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. Rule: Transferring PEDS Patient To MS (MED SURGE)
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Fecal/oral

2. When CAN INFECTED Patient LEAVE TheIR ROOM
Gloves
Private room with negative pressure
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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.

3. What is warn when suctioning?
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - Goggles and a face shield

4. What colors indicate blood in the stool when doing GUAIAC test
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
People w/ egg allergies - pregnant - illness or fever
Blue - Blue - green - GREEN means negative
Swelling and tenderness of one or more salivary glands

5. How is c diff transmitted?
Examples: Airborne - droplet - contact or standard
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Gown and gloves and disinfectant all the equipments
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

6. Who is not able to start PPE
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

7. Rule: Transferring ADULT To PEDIATRIC WARDS
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Oral Flagyl and and Vancomycin
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

8. What are the major ATB associated w/ c diff
Wash their hands before and after handling pets
Contaminated food and water
An order for and Anti Diarrhea med like Imodium
Pencillins - Cephalosporins - Clindamycin

9. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Oral Flagyl and and Vancomycin
Pink red maculopapules

10. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
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.
A consent form to be signed for Hep B - C and HIV

11. Which pt's can't the pregnant nurse care for
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Dry cough

12. What are char of Pertussis( whooping cough)
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
Dry cough
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
Oral Flagyl and and Vancomycin

13. Contact Precautions
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
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
Gown and gloves and disinfectant all the equipments
1St provide care 2nd notify MD ( medical doctor

14. What should the nurse immediately do if she stuck by a used needle?
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Deet spray

15. How is Hep A spread
-- 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
Fecal/oral
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gown and gloves and disinfectant all the equipments

16. When To USE STAndARD PRECAUTIONS
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
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
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

17. How can you stop the spread of c diff

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18. Who shouldn't get the measles vacc
Examples: Airborne - droplet - contact or standard
People w/ egg allergies - pregnant - illness or fever
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
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

19. Which Patient CAN KEEP In The SAME ROOM
Pink red maculopapules
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
Pencillins - Cephalosporins - Clindamycin
COPD + Negative pressure room = Keep together

20. What should you wear when taking a pt's VS?
An order for and Anti Diarrhea med like Imodium
Gloves
Nothing unless the pt is in isolation
Contaminated food and water

21. Identify the type of precaution required
COPD + Negative pressure room = Keep together
Private rooms or patient with same organisms
Feces of infected people or animals
Examples: Airborne - droplet - contact or standard

22. When dealing w/ a Droplet percautions pt they require
Gloves - gown - goggles and mask - Everything
Contact which are gloves and gown - Toes - wet - warm - spots
Chef
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

23. Who shouldn't get the Chicken pox vaccine

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24. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach
COPD + Negative pressure room = Keep together

25. Droplet precautions
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

26. What are the char. of German measles( Rubella)
Glanders - Lassa
Deet spray
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Pink red maculopapules

27. After a bloodborne pathogen exposure what should be done later?
Contact which are gloves and gown - Toes - wet - warm - spots
Mask will 3 feet
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

28. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Wash their hands before and after handling pets
A diet high in calories and low fat
Fecal/oral

29. When is a pt w/measles most contagious?
Before the rash appears
DISCONTINUE The ATB
A
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

30. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
PRIVATE - NEGATIVE PRESSURE ROOM
Examples: Airborne - droplet - contact or standard
-- 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

31. BLEEDING PRECAUTION Patient. These Patients Who Are On...
DISCONTINUE The ATB
Rest - warm - humid air
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

32. GENERAL RuleS FOR VACCINES
Kopliks spots
Gloves
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
Those with liver problems and pregnant women

33. What should a Contact Precaution pt have
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
Private room with negative pressure
1.Gloves 2.Goggles 3.Gown 4.Mask
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

34. If aptient is going to surgery do not give them
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
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

35. What would you question with a c diff pt
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
An order for and Anti Diarrhea med like Imodium
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

36. WHen should you use standard percautions
Small pox
Nothing unless the pt is in isolation
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Gloves 2.Goggles 3.Gown 4.Mask

37. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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38. Who needs Standard Contact and Droplet precautions
Pencillins - Cephalosporins - Clindamycin
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Glanders - Lassa
1.Gloves 2.Goggles 3.Gown 4.Mask

39. Who needs Standard and Contact precautions (SC)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Swelling and tenderness of one or more salivary glands

40. What should the school teacher teach kids handleing pets
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
COPD + Negative pressure room = Keep together
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

41. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Gloves - gown - goggles and mask - Everything
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
1St provide care 2nd notify MD ( medical doctor
A

42. Where would you see a rash w/ Rocky mountain spotted fever?
Rocky mountain fever and Lymes disease
Gloves
Private room with negative pressure
Wrist ankles Palms - soles Forearm

43. DON'T TRANSFER Which Patient
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

44. What is the most dangerous type of Hep?
A test to decect fecal occult blood assess for hidden blood in stool
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
A
HIV - HEP B - C - Cytmegalovirus

45. What should you do if the c diff is linked to an ATB
Gown and gloves and disinfectant all the equipments
DISCONTINUE The ATB
Those with liver problems and pregnant women
HIV - HEP B - C - Cytmegalovirus

46. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
C Diff( Clostridium difficle)
Pink red maculopapules
Feces of infected people or animals

47. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wrist ankles Palms - soles Forearm
Kopliks spots
COPD + Negative pressure room = Keep together

48. What precaution are needed for Scabies pt
Nothing unless the pt is in isolation
Contact which are gloves and gown - Toes - wet - warm - spots
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
N - V - D and Abd pain

49. INTERVENTION FOR PREVENT ASPIRATION
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
Examples: Airborne - droplet - contact or standard
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Dry cough

50. What other ATB might be prescribed to treat c diff
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wrist ankles Palms - soles Forearm
Private room - gloves - gown - MRS.WEE M - Multidrug resistant organism R - Respiratory infection - RSV child wears mask S - Skin infections (see below 'VCHIPS') W - Wound infections E - Enteric infections - clostridium defficile E - Eye infections
Oral Flagyl and and Vancomycin