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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 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wash their hands before and after handling pets
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

2. GENERAL RuleS FOR VACCINES
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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.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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

3. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
EBOLI - MARBAR - CRIMEAN CONGO
Deet spray
Bleach

4. What should you teach pt's to wear for protect themselves against Lyme disease
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
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
Deet spray
A

5. How can you stop the spread of c diff

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6. Identify the type of precaution required
A diet high in calories and low fat
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Examples: Airborne - droplet - contact or standard
C Diff( Clostridium difficle)

7. When dealing w/ a Droplet percautions pt they require
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Deet spray
Swelling and tenderness of one or more salivary glands

8. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Pencillins - Cephalosporins - Clindamycin
Bleach
Glanders - Lassa

9. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
Maculopapular rash and vesicular scabs
Small pox
Dry cough

10. What other ATB might be prescribed to treat c diff
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
Chef
1St provide care 2nd notify MD ( medical doctor
Oral Flagyl and and Vancomycin

11. What is the most common cause of ATB associated diarrhea
Glanders - Lassa
C Diff( Clostridium difficle)
Gloves - gown - goggles and mask - Everything
Wash their hands before and after handling pets

12. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Nausea - diarrhea and fatigue for up to 28 days

13. Droplet precautions
Glanders - Lassa
Mask will 3 feet
Before the rash appears
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

14. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
A consent form to be signed for Hep B - C and HIV
1St provide care 2nd notify MD ( medical doctor
Wash their hands before and after handling pets
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

15. What kind of room would an Airborne precaution pt need
Deet spray
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
PRIVATE - NEGATIVE PRESSURE ROOM
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

16. What are common side effects of PPE
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Kopliks spots
Nausea - diarrhea and fatigue for up to 28 days
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

17. What is the tx for Scabies
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
Small pox
Lindane - Crotmiton - Permethrine
Pencillins - Cephalosporins - Clindamycin

18. How is Hep A spread
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Fecal/oral
Mask will 3 feet
Chef

19. What is the order for putting on personal protective gear?
PRIVATE - NEGATIVE PRESSURE ROOM
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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

20. What pt's would be ok for a pregnant nurse to care for
-- 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
HIV - HEP B - C - Cytmegalovirus
Feces of infected people or animals

21. Infected Air - borne precaution
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Kopliks spots
Gloves - Goggles and a face shield
Private room with negative pressure

22. What should you have the patient sign after being stuck by a needle?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A consent form to be signed for Hep B - C and HIV
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets

23. What colors indicate blood in the stool when doing GUAIAC test
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Blue - Blue - green - GREEN means negative
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A diet high in calories and low fat

24. Which Patient CAN KEEP In The SAME ROOM
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
COPD + Negative pressure room = Keep together
DISCONTINUE The ATB
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

25. What are the characteristics of Chicken pox Varicella?
Lindane - Crotmiton - Permethrine
Deet spray
1St provide care 2nd notify MD ( medical doctor
Maculopapular rash and vesicular scabs

26. After getting the Varicella vacc who should you teach pt's to avoid
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask

27. Where would you see a rash w/ Rocky mountain spotted fever?
Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wrist ankles Palms - soles Forearm

28. How is Salmonella transmitted
Contaminated food and water
Private rooms or patient with same organisms
A
Mask will 3 feet

29. What should you wear when drawing blood
Lindane - Crotmiton - Permethrine
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
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
Gloves

30. If aptient is going to surgery do not give them
People w/ egg allergies - pregnant - illness or fever
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

31. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Small pox
Before the rash appears
Lindane - Crotmiton - Permethrine

32. What patients need Droplet precautions?

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33. When should you use Airborne Precautions
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Gloves 2.Goggles 3.Gown 4.Mask

34. Rule: DISCHARGE DURING AN EMERGENCY
A test to decect fecal occult blood assess for hidden blood in stool
Gloves - Goggles and a face shield
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

35. When CAN INFECTED Patient LEAVE TheIR ROOM
Blue - Blue - green - GREEN means negative
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.
C Diff( Clostridium difficle)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

36. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Contaminated food and water
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.
Wrist ankles Palms - soles Forearm

37. To be most effective when should postexposure prophylaxis (PPE) be started?
Blue - Blue - green - GREEN means negative
Maculopapular rash and vesicular scabs
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Oral Flagyl and and Vancomycin

38. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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39. Who should get the chicken pox vaccine
Contaminated food and water
Swelling and tenderness of one or more salivary glands
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Kopliks spots

40. When To USE STAndARD PRECAUTIONS
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
Dry cough
Glanders - Lassa

41. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Wash their hands before and after handling pets
Private rooms or patient with same organisms
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

42. What is warn when suctioning?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves - Goggles and a face shield
Nausea - diarrhea and fatigue for up to 28 days

43. What type of job should a person with hepatitis never have
Chef
A diet high in calories and low fat
A
Kopliks spots

44. Who shouldn't get the Chicken pox vaccine

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45. 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
People w/ egg allergies - pregnant - illness or fever
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

46. When is a pt w/measles most contagious?
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Before the rash appears
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

47. Who needs Standard - Airbourne and Contact precautions
Small pox
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
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

48. Who needs Standard and Contact precautions (SC)
HIV - HEP B - C - Cytmegalovirus
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

49. What are characteristics of Measles (Rubeola)
Kopliks spots
Feces of infected people or animals
Mask will 3 feet
Bleach

50. Which pt's can't the pregnant nurse care for
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
Bleach
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Before the rash appears