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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 are common side effects of PPE
Pencillins - Cephalosporins - Clindamycin
Nausea - diarrhea and fatigue for up to 28 days
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Feces of infected people or animals

2. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Nausea - diarrhea and fatigue for up to 28 days
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

3. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Wash their hands before and after handling pets

4. What should you do if the c diff is linked to an ATB
Pink red maculopapules
PRIVATE - NEGATIVE PRESSURE ROOM
DISCONTINUE The ATB
Private rooms or patient with same organisms

5. How is Hep A spread
Gloves
A
Fecal/oral
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

6. What should you wear if blood is spurting?
Small pox
Gloves - gown - goggles and mask - Everything
A diet high in calories and low fat
People w/ egg allergies - pregnant - illness or fever

7. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
-- 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
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. 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

8. After a bloodborne pathogen exposure what should be done later?
Blue - Blue - green - GREEN means negative
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Pink red maculopapules
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

9. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
Deet spray
Fecal/oral

10. Infected Air - borne precaution
Private room with negative pressure
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Nothing unless the pt is in isolation
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

11. Rule: DISCHARGE DURING AN EMERGENCY
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.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
1.Gloves 2.Goggles 3.Gown 4.Mask

12. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Rocky mountain fever and Lymes disease
Those with liver problems and pregnant women
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO

13. DON'T TRANSFER Which Patient
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
Feces of infected people or animals
Gloves - gown - goggles and mask - Everything
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

14. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Examples: Airborne - droplet - contact or standard
Gloves - Goggles and a face shield
-- 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
Glanders - Lassa

15. What should the school teacher teach kids handleing pets
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Before the rash appears
Bleach
Wash their hands before and after handling pets

16. What are the characteristics of Mumps
Nothing unless the pt is in isolation
Contact which are gloves and gown - Toes - wet - warm - spots
DISCONTINUE The ATB
Swelling and tenderness of one or more salivary glands

17. What is the most dangerous type of Hep?
A
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears

18. What patients need Droplet precautions?

19. Who shouldn't get the Chicken pox vaccine

20. What is a GUAIAC test?
Chef
A test to decect fecal occult blood assess for hidden blood in stool
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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

21. What are the char. of German measles( Rubella)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
-- 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
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.
Pink red maculopapules

22. When dealing w/ a Droplet percautions pt they require
Chef
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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. What are the major ATB associated w/ c diff
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pencillins - Cephalosporins - Clindamycin
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

24. What kind of diet is needed for a PT with hepatitis A
Maculopapular rash and vesicular scabs
A diet high in calories and low fat
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

25. What should you teach pt's to wear for protect themselves against Lyme disease
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Private room with negative pressure
Dry cough
Deet spray

26. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
Rest - warm - humid air
A
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

27. GENERAL RuleS FOR VACCINES
Dry cough
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
Small pox
A consent form to be signed for Hep B - C and HIV

28. WHen should you use standard percautions
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
A diet high in calories and low fat
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
DISCONTINUE The ATB

29. What type of job should a person with hepatitis never have
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Chef
Gown and gloves and disinfectant all the equipments
Examples: Airborne - droplet - contact or standard

30. Who is not able to start PPE
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Pink red maculopapules
Nausea - diarrhea and fatigue for up to 28 days
Those with liver problems and pregnant women

31. If aptient is going to surgery do not give them
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Chef
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

32. What should you have the patient sign after being stuck by a needle?
HIV - HEP B - C - Cytmegalovirus
A consent form to be signed for Hep B - C and HIV
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

33. When should you use Airborne Precautions
Maculopapular rash and vesicular scabs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
-- 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

34. After getting the Varicella vacc who should you teach pt's to avoid
Nothing unless the pt is in isolation
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Feces of infected people or animals
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

35. 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
Chef
1.Gloves 2.Goggles 3.Gown 4.Mask
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

36. When To USE STAndARD PRECAUTIONS
N - V - D and Abd pain
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
COPD + Negative pressure room = Keep together
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

37. What is the most common cause of ATB associated diarrhea
Swelling and tenderness of one or more salivary glands
Nausea - diarrhea and fatigue for up to 28 days
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)

38. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

39. When is a pt w/measles most contagious?
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard
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
Before the rash appears

40. Who shouldn't get the measles vacc
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
People w/ egg allergies - pregnant - illness or fever
Gloves

41. Who needs Standard and Contact precautions (SC)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
HIV - HEP B - C - Cytmegalovirus
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private rooms or patient with same organisms

42. What is the order for putting on personal protective gear?
Dry cough
Private room with negative pressure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

43. What is the tx for Scabies
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
Lindane - Crotmiton - Permethrine
A test to decect fecal occult blood assess for hidden blood in stool
Swelling and tenderness of one or more salivary glands

44. Where can you find Salmonella
Feces of infected people or animals
1.Gloves 2.Goggles 3.Gown 4.Mask
Nothing unless the pt is in isolation
Before the rash appears

45. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Nothing unless the pt is in isolation
Dry cough
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

46. What pt's would be ok for a pregnant nurse to care for
Gloves - Goggles and a face shield
HIV - HEP B - C - Cytmegalovirus
Examples: Airborne - droplet - contact or standard
Pencillins - Cephalosporins - Clindamycin

47. Who should get the chicken pox vaccine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Feces of infected people or animals
People w/ egg allergies - pregnant - illness or fever
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

48. What other ATB might be prescribed to treat c diff
DISCONTINUE The ATB
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
Oral Flagyl and and Vancomycin
Swelling and tenderness of one or more salivary glands

49. When CAN INFECTED Patient LEAVE TheIR ROOM
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
Pencillins - Cephalosporins - Clindamycin
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.
Gloves

50. What should you wear when taking a pt's VS?
Mask will 3 feet
Nothing unless the pt is in isolation
Gloves - Goggles and a face shield
Pink red maculopapules