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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. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Fecal/oral
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves

2. Who shouldn't get the Chicken pox vaccine

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3. What is the most dangerous type of Hep?
Rocky mountain fever and Lymes disease
Contaminated food and water
A
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

4. Where can you find Salmonella
Swelling and tenderness of one or more salivary glands
Feces of infected people or animals
Nothing unless the pt is in isolation
Before the rash appears

5. After a bloodborne pathogen exposure what should be done later?
1St provide care 2nd notify MD ( medical doctor
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Kopliks spots

6. Which pt's can't the pregnant nurse care for
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
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

7. What are the char. of German measles( Rubella)
Pink red maculopapules
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Those with liver problems and pregnant women
Maculopapular rash and vesicular scabs

8. What is the tx for Scabies
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
HIV - HEP B - C - Cytmegalovirus
Lindane - Crotmiton - Permethrine
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

9. WHen should you use standard percautions
Mask will 3 feet
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

10. Infected Air - borne precaution
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
Examples: Airborne - droplet - contact or standard
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

11. DON'T TRANSFER Which Patient
An order for and Anti Diarrhea med like Imodium
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Deet spray
Wrist ankles Palms - soles Forearm

12. What are the characteristics of Chicken pox Varicella?
Contact which are gloves and gown - Toes - wet - warm - spots
Maculopapular rash and vesicular scabs
1St provide care 2nd notify MD ( medical doctor
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

13. How can you prevent Salmonella
Kopliks spots
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Those with liver problems and pregnant women
Mask will 3 feet

14. 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
EBOLI - MARBAR - CRIMEAN CONGO
Chef
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

15. What should you wear when taking a pt's VS?
Oral Flagyl and and Vancomycin
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
Gloves - gown - goggles and mask - Everything
Nothing unless the pt is in isolation

16. When should you use Airborne Precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Gloves 2.Goggles 3.Gown 4.Mask
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Maculopapular rash and vesicular scabs

17. What is warn when suctioning?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gloves - Goggles and a face shield

18. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Small pox
-- 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
Feces of infected people or animals

19. Rule: Transferring PEDS Patient To MS (MED SURGE)
Private rooms or patient with same organisms
A
Deet spray
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

20. Who should get the chicken pox vaccine
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

21. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
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
Swelling and tenderness of one or more salivary glands

22. Contact Precautions
Gown and gloves and disinfectant all the equipments
EBOLI - MARBAR - CRIMEAN CONGO
Nausea - diarrhea and fatigue for up to 28 days
A test to decect fecal occult blood assess for hidden blood in stool

23. Who is not able to start PPE
Rest - warm - humid air
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Those with liver problems and pregnant women
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

24. 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
Chef
Blue - Blue - green - GREEN means negative
Gloves - gown - goggles and mask - Everything

25. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

26. What should you wear if blood is spurting?
Deet spray
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 which are gloves and gown - Toes - wet - warm - spots
Gloves - gown - goggles and mask - Everything

27. Who needs Standard Contact and Droplet precautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
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
Glanders - Lassa

28. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain
Gloves
Fecal/oral

29. If aptient is going to surgery do not give them
Kopliks spots
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

30. How is Salmonella transmitted
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A test to decect fecal occult blood assess for hidden blood in stool
Contaminated food and water
Rest - warm - humid air

31. After getting the Varicella vacc who should you teach pt's to avoid
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

32. What are the S/S for Botulism
-- 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
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
N - V - D and Abd pain
COPD + Negative pressure room = Keep together

33. How would you take off Personal protective gear?
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
EBOLI - MARBAR - CRIMEAN CONGO
1.Gloves 2.Goggles 3.Gown 4.Mask

34. What should a Contact Precaution pt have
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

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
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
Feces of infected people or animals

36. What patients need Droplet precautions?

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37. What are characteristics of Measles (Rubeola)
1St provide care 2nd notify MD ( medical doctor
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Kopliks spots
HIV - HEP B - C - Cytmegalovirus

38. When is a pt w/measles most contagious?
A
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
Before the rash appears
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

39. What should you wear when drawing blood
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 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
DISCONTINUE The ATB
Gloves

40. Where would you see a rash w/ Rocky mountain spotted fever?
Glanders - Lassa
Wrist ankles Palms - soles Forearm
Blue - Blue - green - GREEN means negative
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

41. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
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.
Oral Flagyl and and Vancomycin
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

42. Which Patient CAN KEEP In The SAME ROOM
Fecal/oral
COPD + Negative pressure room = Keep together
Swelling and tenderness of one or more salivary glands
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

43. What are the Ni for Pertussis?
Chef
Rest - warm - humid air
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

44. When CAN INFECTED Patient LEAVE TheIR ROOM
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
EBOLI - MARBAR - CRIMEAN CONGO
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.

45. How is Hep A spread
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
Glanders - Lassa
Maculopapular rash and vesicular scabs

46. What is the most common cause of ATB associated diarrhea
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
-- 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

47. How can you stop the spread of c diff

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48. What are char of Pertussis( whooping cough)
Kopliks spots
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

49. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
EBOLI - MARBAR - CRIMEAN CONGO
Private room with negative pressure

50. What should the school teacher teach kids handleing pets
-- 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
Wash their hands before and after handling pets
Gloves - gown - goggles and mask - Everything
Nausea - diarrhea and fatigue for up to 28 days