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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 most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

2. Who shouldn't get the measles vacc
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
Oral Flagyl and and Vancomycin

3. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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.
Nausea - diarrhea and fatigue for up to 28 days
1St provide care 2nd notify MD ( medical doctor
Glanders - Lassa

4. Droplet precautions
Mask will 3 feet
HIV - HEP B - C - Cytmegalovirus
Wash their hands before and after handling pets
Gloves

5. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Nothing unless the pt is in isolation
Blue - Blue - green - GREEN means negative

6. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Bleach
Contaminated food and water
Glanders - Lassa

7. Who needs Standard and Contact precautions (SC)
DISCONTINUE The ATB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
N - V - D and Abd pain

8. WHen should you use standard percautions
Dry cough
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Maculopapular rash and vesicular scabs
Contact which are gloves and gown - Toes - wet - warm - spots

9. What type of job should a person with hepatitis never have
Contact which are gloves and gown - Toes - wet - warm - spots
Bleach
Chef
Deet spray

10. What is a GUAIAC test?
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool
Mask will 3 feet
Nausea - diarrhea and fatigue for up to 28 days

11. What should you do if the c diff is linked to an ATB
Private rooms or patient with same organisms
DISCONTINUE The ATB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A

12. Who needs Standard Contact and Droplet precautions
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
Feces of infected people or animals
Glanders - Lassa
1.Gloves 2.Goggles 3.Gown 4.Mask

13. 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
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin
Maculopapular rash and vesicular scabs

14. What pt's would be ok for a pregnant nurse to care for
Blue - Blue - green - GREEN means negative
People w/ egg allergies - pregnant - illness or fever
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
HIV - HEP B - C - Cytmegalovirus

15. Contact Precautions
Gown and gloves and disinfectant all the equipments
C Diff( Clostridium difficle)
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
Gloves

16. Rule: Transferring ADULT To PEDIATRIC WARDS
Kopliks spots
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
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

17. What are the characteristics of Mumps
A diet high in calories and low fat
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
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. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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19. Transferring Patient BETWEEN WARDS
Gloves - Goggles and a face shield
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
People w/ egg allergies - pregnant - illness or fever

20. 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
Feces of infected people or animals
Private room with negative pressure
Chef

21. Who should get the chicken pox vaccine
Wrist ankles Palms - soles Forearm
A
Fecal/oral
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

22. Where can you find Salmonella
Swelling and tenderness of one or more salivary glands
Feces of infected people or animals
Deet spray
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

23. What should you have the patient sign after being stuck by a needle?
A diet high in calories and low fat
HIV - HEP B - C - Cytmegalovirus
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

24. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Dry cough
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
Pink red maculopapules

25. What is the order for putting on personal protective gear?
C Diff( Clostridium difficle)
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

26. What should you teach pt's to wear for protect themselves against Lyme disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Rest - warm - humid air
Deet spray
Those with liver problems and pregnant women

27. When is a pt w/measles most contagious?
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
DISCONTINUE The ATB
Chef
Before the rash appears

28. Rabies pt's would need

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29. If aptient is going to surgery do not give them
Bleach
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Lindane - Crotmiton - Permethrine
An order for and Anti Diarrhea med like Imodium

30. What are the S/S for Botulism
EBOLI - MARBAR - CRIMEAN CONGO
Private rooms or patient with same organisms
Maculopapular rash and vesicular scabs
N - V - D and Abd pain

31. Infected Air - borne precaution
Pencillins - Cephalosporins - Clindamycin
Oral Flagyl and and Vancomycin
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus

32. What are the characteristics of Chicken pox Varicella?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contaminated food and water
Maculopapular rash and vesicular scabs

33. What colors indicate blood in the stool when doing GUAIAC test
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
Rest - warm - humid air
Blue - Blue - green - GREEN means negative
Private room with negative pressure

34. Who needs Standard - Airbourne and Contact precautions
Contaminated food and water
Small pox
Feces of infected people or animals
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

35. How is Hep A spread
-- 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
Fecal/oral
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves

36. Identify the type of precaution required
A
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Deet spray
Examples: Airborne - droplet - contact or standard

37. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contact which are gloves and gown - Toes - wet - warm - spots
An order for and Anti Diarrhea med like Imodium
Before the rash appears

38. When dealing w/ a Droplet percautions pt they require
Bleach
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
Chef
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

39. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Those with liver problems and pregnant women
Pencillins - Cephalosporins - Clindamycin

40. What should the school teacher teach kids handleing pets
Mask will 3 feet
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash their hands before and after handling pets

41. How is Salmonella transmitted
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
An order for and Anti Diarrhea med like Imodium
Contaminated food and water
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

42. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
EBOLI - MARBAR - CRIMEAN CONGO
Glanders - Lassa
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

43. Which Patient NEED To ISOLATE
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
COPD + Negative pressure room = Keep together
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

44. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
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
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

45. To be most effective when should postexposure prophylaxis (PPE) be started?
People w/ egg allergies - pregnant - illness or fever
Maculopapular rash and vesicular scabs
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

46. What is the most dangerous type of Hep?
A
Mask will 3 feet
N - V - D and Abd pain
DISCONTINUE The ATB

47. What should you wear when taking a pt's VS?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves
Nothing unless the pt is in isolation
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

48. What are char of Pertussis( whooping cough)
Dry cough
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
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

49. What precaution are needed for Scabies pt
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact which are gloves and gown - Toes - wet - warm - spots
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

50. What patients need Droplet precautions?

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