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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 is the two diseased caused by ticks
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.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
Nothing unless the pt is in isolation
Rocky mountain fever and Lymes disease

2. What should you have the patient sign after being stuck by a needle?
C Diff( Clostridium difficle)
A consent form to be signed for Hep B - C and HIV
Small pox
Wrist ankles Palms - soles Forearm

3. What should the nurse immediately do if she stuck by a used needle?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Swelling and tenderness of one or more salivary glands

4. To be most effective when should postexposure prophylaxis (PPE) be started?
Contact which are gloves and gown - Toes - wet - warm - spots
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

5. Who needs Standard - Airbourne and Contact precautions
EBOLI - MARBAR - CRIMEAN CONGO
-- 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
Small pox
HIV - HEP B - C - Cytmegalovirus

6. What colors indicate blood in the stool when doing GUAIAC test
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 test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative
Gloves - gown - goggles and mask - Everything

7. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Contaminated food and water
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1St provide care 2nd notify MD ( medical doctor

8. What is the most dangerous type of Hep?
Contaminated food and water
A
Wrist ankles Palms - soles Forearm
Feces of infected people or animals

9. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gown and gloves and disinfectant all the equipments
An order for and Anti Diarrhea med like Imodium
1St provide care 2nd notify MD ( medical doctor

10. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Oral Flagyl and and Vancomycin
Rest - warm - humid air
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

11. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative
Nothing unless the pt is in isolation
C Diff( Clostridium difficle)

12. What are the Ni for Pertussis?
Rest - warm - humid air
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Blue - Blue - green - GREEN means negative
Gown and gloves and disinfectant all the equipments

13. What kind of room would an Airborne precaution pt need
A test to decect fecal occult blood assess for hidden blood in stool
A
PRIVATE - NEGATIVE PRESSURE ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

14. DON'T TRANSFER Which Patient
Feces of infected people or animals
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

15. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Fecal/oral
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Oral Flagyl and and Vancomycin
A

16. Who is not able to start PPE
Those with liver problems and pregnant women
Examples: Airborne - droplet - contact or standard
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
EBOLI - MARBAR - CRIMEAN CONGO

17. What should you teach pt's to wear for protect themselves against Lyme disease
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Deet spray
Rest - warm - humid air

18. When CAN INFECTED Patient LEAVE TheIR ROOM
-- 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.
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
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

19. Which Patient CAN KEEP In The SAME ROOM
1St provide care 2nd notify MD ( medical doctor
COPD + Negative pressure room = Keep together
Gloves - gown - goggles and mask - Everything
An order for and Anti Diarrhea med like Imodium

20. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
C Diff( Clostridium difficle)
Wrist ankles Palms - soles Forearm
Nausea - diarrhea and fatigue for up to 28 days

21. What is warn when suctioning?
Contact which are gloves and gown - Toes - wet - warm - spots
Gown and gloves and disinfectant all the equipments
Gloves - Goggles and a face shield
Rest - warm - humid air

22. What precaution are needed for Scabies pt
Bleach
Contact which are gloves and gown - Toes - wet - warm - spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

23. After a bloodborne pathogen exposure what should be done later?
Rocky mountain fever and Lymes disease
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

24. What would you question with a c diff pt
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
An order for and Anti Diarrhea med like Imodium
Private rooms or patient with same organisms
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

25. Droplet precautions
Oral Flagyl and and Vancomycin
Lindane - Crotmiton - Permethrine
Mask will 3 feet
1.Gloves 2.Goggles 3.Gown 4.Mask

26. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - Goggles and a face shield

27. What are the major ATB associated w/ c diff
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Pencillins - Cephalosporins - Clindamycin

28. What should you wash the toilet seat with
HIV - HEP B - C - Cytmegalovirus
An order for and Anti Diarrhea med like Imodium
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
Bleach

29. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Private rooms or patient with same organisms
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
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

30. How would you take off Personal protective gear?
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
C Diff( Clostridium difficle)
1.Gloves 2.Goggles 3.Gown 4.Mask
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

31. WHen should you use standard percautions
Gown and gloves and disinfectant all the equipments
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

32. How can you prevent Salmonella
People w/ egg allergies - pregnant - illness or fever
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wash their hands before and after handling pets

33. How can you stop the spread of c diff

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34. What pt's would be ok for a pregnant nurse to care for
COPD + Negative pressure room = Keep together
Gloves - gown - goggles and mask - Everything
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

35. Where can you find Salmonella
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
Feces of infected people or animals
Dry cough
A consent form to be signed for Hep B - C and HIV

36. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Examples: Airborne - droplet - contact or standard
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

37. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Contaminated food and water
Rest - warm - humid air
Wrist ankles Palms - soles Forearm
-- 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

38. What should you tell the pt to prepare for the GUAIAC test

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39. What is the order for putting on personal protective gear?
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves
N - V - D and Abd pain

40. Who needs Standard Contact and Droplet precautions
1St provide care 2nd notify MD ( medical doctor
People w/ egg allergies - pregnant - illness or fever
Wrist ankles Palms - soles Forearm
Glanders - Lassa

41. How is c diff transmitted?
Contact which are gloves and gown - Toes - wet - warm - spots
- 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

42. What are characteristics of Measles (Rubeola)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Kopliks spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Gloves 2.Goggles 3.Gown 4.Mask

43. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pink red maculopapules
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Lindane - Crotmiton - Permethrine

44. How is Hep A spread
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Fecal/oral
Rocky mountain fever and Lymes disease

45. Rule: DISCHARGE DURING AN EMERGENCY
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

46. What are the characteristics of Mumps
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Swelling and tenderness of one or more salivary glands
Bleach
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.

47. Who shouldn't get the Chicken pox vaccine

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48. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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49. When is a pt w/measles most contagious?
Before the rash appears
Pencillins - Cephalosporins - Clindamycin
Lindane - Crotmiton - Permethrine
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

50. Which pt's can't the pregnant nurse care for
Rocky mountain fever and Lymes disease
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS