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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 the major ATB associated w/ c diff
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
COPD + Negative pressure room = Keep together
Pink red maculopapules
Pencillins - Cephalosporins - Clindamycin

2. What pt's would be ok for a pregnant nurse to care for
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Glanders - Lassa
Fecal/oral
HIV - HEP B - C - Cytmegalovirus

3. When is a pt w/measles most contagious?
Before the rash appears
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves - gown - goggles and mask - Everything
Gloves

4. Who needs Standard - Airbourne and Contact precautions
Before the rash appears
C Diff( Clostridium difficle)
Rocky mountain fever and Lymes disease
Small pox

5. What is the most dangerous type of Hep?
Gown and gloves and disinfectant all the equipments
A
Small pox
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

6. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Gown and gloves and disinfectant all the equipments
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor

7. patient what kind of room they should stay
Private rooms or patient with same organisms
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
EBOLI - MARBAR - CRIMEAN CONGO
Gloves - Goggles and a face shield

8. What are the char. of German measles( Rubella)
Dry cough
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Pink red maculopapules
Contact which are gloves and gown - Toes - wet - warm - spots

9. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
PRIVATE - NEGATIVE PRESSURE ROOM
N - V - D and Abd pain
Contaminated food and water

10. What should you have the patient sign after being stuck by a needle?
Kopliks spots
A consent form to be signed for Hep B - C and HIV
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
DISCONTINUE The ATB

11. Contact Precautions
Gown and gloves and disinfectant all the equipments
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wrist ankles Palms - soles Forearm

12. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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.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
EBOLI - MARBAR - CRIMEAN CONGO

13. How is Hep A spread
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gown and gloves and disinfectant all the equipments
Swelling and tenderness of one or more salivary glands
Fecal/oral

14. What are characteristics of Measles (Rubeola)
Small pox
Kopliks 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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

15. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
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

16. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
DISCONTINUE The ATB

17. 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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gloves
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

18. How can you prevent Salmonella
Private room with negative pressure
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

19. How would you take off Personal protective gear?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Gloves 2.Goggles 3.Gown 4.Mask

20. What are the S/S for Botulism
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
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
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard

21. How is c diff transmitted?
COPD + Negative pressure room = Keep together
A test to decect fecal occult blood assess for hidden blood in stool
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

22. What is the tx for Scabies
Maculopapular rash and vesicular scabs
Lindane - Crotmiton - Permethrine
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

23. Rule: Transferring PEDS Patient To MS (MED SURGE)
Glanders - Lassa
Chef
Gloves
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

24. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
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

25. Who should get the chicken pox vaccine
Wash their hands before and after handling pets
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

26. 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
Gloves
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

27. What is the order for putting on personal protective gear?
Wash their hands before and after handling pets
Gloves - Goggles and a face shield
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

28. 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
An order for and Anti Diarrhea med like Imodium
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A test to decect fecal occult blood assess for hidden blood in stool

29. What colors indicate blood in the stool when doing GUAIAC test
N - V - D and Abd pain
Blue - Blue - green - GREEN means negative
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Contact which are gloves and gown - Toes - wet - warm - spots

30. What should you do if the c diff is linked to an ATB
A test to decect fecal occult blood assess for hidden blood in stool
1St provide care 2nd notify MD ( medical doctor
DISCONTINUE The ATB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

31. What should the school teacher teach kids handleing pets
Kopliks spots
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.
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash their hands before and after handling pets

32. What would you question with a c diff pt
Contaminated food and water
A consent form to be signed for Hep B - C and HIV
Deet spray
An order for and Anti Diarrhea med like Imodium

33. What is the most common cause of ATB associated diarrhea
A consent form to be signed for Hep B - C and HIV
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
C Diff( Clostridium difficle)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

34. Who needs Standard and Contact precautions (SC)
An order for and Anti Diarrhea med like Imodium
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
Before the rash appears

35. When To USE STAndARD PRECAUTIONS
Gown and gloves and disinfectant all the equipments
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
COPD + Negative pressure room = Keep together

36. What is warn when suctioning?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Deet spray
HIV - HEP B - C - Cytmegalovirus
Gloves - Goggles and a face shield

37. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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38. Which pt's can't the pregnant nurse care for
DISCONTINUE The ATB
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

39. Identify the type of precaution required
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
Swelling and tenderness of one or more salivary glands
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard

40. Rule: DISCHARGE DURING AN EMERGENCY
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Contaminated food and water
Chef

41. 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
Examples: Airborne - droplet - contact or standard
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

42. What type of job should a person with hepatitis never have
Chef
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
-- 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
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

43. What should you wash the toilet seat with
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Bleach
Feces of infected people or animals

44. If aptient is going to surgery do not give them
Kopliks spots
A diet high in calories and low fat
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Chef

45. Who is not able to start PPE
Those with liver problems and pregnant women
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.
Gown and gloves and disinfectant all the equipments
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

46. What are char of Pertussis( whooping cough)
HIV - HEP B - C - Cytmegalovirus
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.
Dry cough
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

47. What should you wear if blood is spurting?
Swelling and tenderness of one or more salivary glands
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
Gloves - gown - goggles and mask - Everything

48. INTERVENTION FOR PREVENT ASPIRATION
Gloves - gown - goggles and mask - Everything
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Mask will 3 feet
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

49. What precaution are needed for Scabies pt
Blue - Blue - green - GREEN means negative
C Diff( Clostridium difficle)
Nausea - diarrhea and fatigue for up to 28 days
Contact which are gloves and gown - Toes - wet - warm - spots

50. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
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.
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO