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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. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Maculopapular rash and vesicular scabs
Pencillins - Cephalosporins - Clindamycin
Glanders - Lassa

2. What are the major ATB associated w/ c diff
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.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
HIV - HEP B - C - Cytmegalovirus
Pencillins - Cephalosporins - Clindamycin

3. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Lindane - Crotmiton - Permethrine
Feces of infected people or animals
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

4. Who needs Standard and Contact precautions (SC)
Contaminated food and water
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Mask will 3 feet

5. When To USE STAndARD PRECAUTIONS
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
1St provide care 2nd notify MD ( medical doctor
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

6. What are char of Pertussis( whooping cough)
Blue - Blue - green - GREEN means negative
Dry cough
Oral Flagyl and and Vancomycin
HIV - HEP B - C - Cytmegalovirus

7. When CAN INFECTED Patient LEAVE TheIR ROOM
1St provide care 2nd notify MD ( medical doctor
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.
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

8. How is Hep A spread
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Dry cough
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

9. Rule: Transferring PEDS Patient To MS (MED SURGE)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

10. Rule: DISCHARGE DURING AN EMERGENCY
Contact which are gloves and gown - Toes - wet - warm - spots
An order for and Anti Diarrhea med like Imodium
N - V - D and Abd pain
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

11. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Feces of infected people or animals
Before the rash appears
Those with liver problems and pregnant women

12. How is c diff transmitted?
Wrist ankles Palms - soles Forearm
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

13. patient what kind of room they should stay
N - V - D and Abd pain
Oral Flagyl and and Vancomycin
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms

14. How can you prevent Salmonella
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
Gloves - Goggles and a face shield
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

15. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
COPD + Negative pressure room = Keep together

16. What precaution are needed for Scabies pt
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contact which are gloves and gown - Toes - wet - warm - spots
COPD + Negative pressure room = Keep together

17. INTERVENTION FOR PREVENT ASPIRATION
-- 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. 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
Fecal/oral
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

18. What are the S/S for Botulism
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
N - V - D and Abd pain
A
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

19. How is Salmonella transmitted
Deet spray
Bleach
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water

20. What should you wash the toilet seat with
Rocky mountain fever and Lymes disease
Bleach
DISCONTINUE The ATB
Mask will 3 feet

21. Where would you see a rash w/ Rocky mountain spotted fever?
N - V - D and Abd pain
Gown and gloves and disinfectant all the equipments
Private rooms or patient with same organisms
Wrist ankles Palms - soles Forearm

22. What is the order for putting on personal protective gear?
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.
Private rooms or patient with same organisms
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

23. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Feces of infected people or animals
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Nothing unless the pt is in isolation

24. What should a Contact Precaution pt have
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

25. What other ATB might be prescribed to treat c diff
Contaminated food and water
Oral Flagyl and and Vancomycin
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A consent form to be signed for Hep B - C and HIV

26. GENERAL RuleS FOR VACCINES
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
Maculopapular rash and vesicular scabs
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
C Diff( Clostridium difficle)

27. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
-- 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. 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

28. How can you stop the spread of c diff

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29. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Chef
Contact which are gloves and gown - Toes - wet - warm - spots
-- 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

30. How would you take off Personal protective gear?
Mask will 3 feet
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB

31. What should you wear when drawing blood
Mask will 3 feet
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

32. Rabies pt's would need

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33. What should you wear if blood is spurting?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Fecal/oral
Gloves - gown - goggles and mask - Everything
Kopliks spots

34. Which Patient NEED To ISOLATE
Blue - Blue - green - GREEN means negative
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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)

35. What patients need Droplet precautions?

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36. Where can you find Salmonella
Feces of infected people or animals
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Glanders - Lassa
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

37. What is warn when suctioning?
Gown and gloves and disinfectant all the equipments
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
People w/ egg allergies - pregnant - illness or fever

38. Who shouldn't get the Chicken pox vaccine

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39. What are the Ni for Pertussis?
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
Rest - warm - humid air
Pink red maculopapules
Gown and gloves and disinfectant all the equipments

40. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
An order for and Anti Diarrhea med like Imodium
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Glanders - Lassa

41. WHen should you use standard percautions
PRIVATE - NEGATIVE PRESSURE ROOM
Pink red maculopapules
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

42. What is the most dangerous type of Hep?
Small pox
HIV - HEP B - C - Cytmegalovirus
Oral Flagyl and and Vancomycin
A

43. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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
COPD + Negative pressure room = Keep together

44. What should the school teacher teach kids handleing pets
Nausea - diarrhea and fatigue for up to 28 days
Wash their hands before and after handling pets
Private room with negative pressure
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

45. After a bloodborne pathogen exposure what should be done later?
Gloves
Lindane - Crotmiton - Permethrine
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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

46. If aptient is going to surgery do not give them
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Maculopapular rash and vesicular scabs

47. Who needs Standard - Airbourne and Contact precautions
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
Deet spray
Small pox
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

48. Who should get the chicken pox vaccine
Maculopapular rash and vesicular scabs
Pink red maculopapules
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Wrist ankles Palms - soles Forearm

49. What would you question with a c diff pt
Contact which are gloves and gown - Toes - wet - warm - spots
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
An order for and Anti Diarrhea med like Imodium
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

50. What are characteristics of Measles (Rubeola)
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
N - V - D and Abd pain
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
Kopliks spots