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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
Fecal/oral
Blue - Blue - green - GREEN means negative
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

2. To be most effective when should postexposure prophylaxis (PPE) be started?
Kopliks spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
A diet high in calories and low fat

3. How can you stop the spread of c diff

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4. What should the school teacher teach kids handleing pets
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Wash their hands before and after handling pets
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Dry cough

5. What kind of room would an Airborne precaution pt need
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
Rest - warm - humid air
Gloves - Goggles and a face shield
PRIVATE - NEGATIVE PRESSURE ROOM

6. How is c diff transmitted?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

7. What precaution are needed for Scabies pt
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Rocky mountain fever and Lymes disease
N - V - D and Abd pain
Contact which are gloves and gown - Toes - wet - warm - spots

8. Contact Precautions
A consent form to be signed for Hep B - C and HIV
Gown and gloves and disinfectant all the equipments
Contaminated food and water
-- 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

9. Droplet precautions
Gloves
Mask will 3 feet
DISCONTINUE The ATB
Nausea - diarrhea and fatigue for up to 28 days

10. Who shouldn't get the Chicken pox vaccine

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11. What kind of diet is needed for a PT with hepatitis A
Lindane - Crotmiton - Permethrine
A diet high in calories and low fat
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 - gown - goggles and mask - Everything

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

13. When is a pt w/measles most contagious?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears
Gloves - gown - goggles and mask - Everything

14. What is the most common cause of ATB associated diarrhea
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
C Diff( Clostridium difficle)
Deet spray
A diet high in calories and low fat

15. Infected Air - borne precaution
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private room with negative pressure
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wrist ankles Palms - soles Forearm

16. What would you question with a c diff pt
A
An order for and Anti Diarrhea med like Imodium
Contact which are gloves and gown - Toes - wet - warm - spots
Pink red maculopapules

17. What should you teach pt's to wear for protect themselves against Lyme disease
COPD + Negative pressure room = Keep together
Deet spray
Gown and gloves and disinfectant all the equipments
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

18. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Contact which are gloves and gown - Toes - wet - warm - spots
Contaminated food and water
N - V - D and Abd pain
EBOLI - MARBAR - CRIMEAN CONGO

19. What is warn when suctioning?
Private room with negative pressure
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves - Goggles and a face shield
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

20. When dealing w/ a Droplet percautions pt they require
PRIVATE - NEGATIVE PRESSURE ROOM
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
Private room with negative pressure
Private rooms or patient with same organisms

21. WHen should you use standard percautions
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
Feces of infected people or animals
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
N - V - D and Abd pain

22. What should you wash the toilet seat with
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 - NEGATIVE PRESSURE ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Bleach

23. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
C Diff( Clostridium difficle)
Lindane - Crotmiton - Permethrine
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

24. What should a Contact Precaution pt have
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
Oral Flagyl and and Vancomycin
Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

25. What are the S/S for Botulism
N - V - D and Abd pain
An order for and Anti Diarrhea med like Imodium
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

26. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
-- 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
Those with liver problems and pregnant women

27. How is Salmonella transmitted
Contaminated food and water
Gloves - Goggles and a face shield
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

28. Rule: Transferring ADULT To PEDIATRIC WARDS
Nothing unless the pt is in isolation
Contact which are gloves and gown - Toes - wet - warm - 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
-- 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

29. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

30. When To USE STAndARD PRECAUTIONS
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
Kopliks spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

31. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation
Fecal/oral
-- 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

32. What patients need Droplet precautions?

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33. What is the tx for Scabies
Rocky mountain fever and Lymes disease
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Lindane - Crotmiton - Permethrine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

34. When should you use Airborne Precautions
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Rocky mountain fever and Lymes disease
Pink red maculopapules

35. Who is not able to start PPE
Those with liver problems and pregnant women
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
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
Maculopapular rash and vesicular scabs

36. What are the characteristics of Mumps
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A test to decect fecal occult blood assess for hidden blood in stool
Swelling and tenderness of one or more salivary glands
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

37. What should the nurse immediately do if she stuck by a used needle?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A consent form to be signed for Hep B - C and HIV
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

38. Which pt's can't the pregnant nurse care for
DISCONTINUE The ATB
Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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

39. Where can you find Salmonella
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Feces of infected people or animals
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

40. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
A test to decect fecal occult blood assess for hidden blood in stool
DISCONTINUE The ATB
Nausea - diarrhea and fatigue for up to 28 days

41. Who needs Standard - Airbourne and Contact precautions
Those with liver problems and pregnant women
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
Mask will 3 feet

42. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
HIV - HEP B - C - Cytmegalovirus
COPD + Negative pressure room = Keep together
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

43. What are common side effects of PPE
-- 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
Nothing unless the pt is in isolation
Nausea - diarrhea and fatigue for up to 28 days
A consent form to be signed for Hep B - C and HIV

44. How can you prevent Salmonella
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Those with liver problems and pregnant women

45. DON'T TRANSFER Which Patient
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
HIV - HEP B - C - Cytmegalovirus
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Gloves 2.Goggles 3.Gown 4.Mask

46. patient what kind of room they should stay
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Before the rash appears
Private rooms or patient with same organisms
Wrist ankles Palms - soles Forearm

47. GENERAL RuleS FOR VACCINES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
N - V - D and Abd pain
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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

48. Rule: Transferring PEDS Patient To MS (MED SURGE)
Mask will 3 feet
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A

49. 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

50. What is the order for putting on personal protective gear?
People w/ egg allergies - pregnant - illness or fever
Oral Flagyl and and Vancomycin
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS