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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. Who should get the chicken pox vaccine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
N - V - D and Abd pain

2. What should you have the patient sign after being stuck by a needle?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach
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
A consent form to be signed for Hep B - C and HIV

3. What should you do if the c diff is linked to an ATB
Gloves - Goggles and a face shield
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
DISCONTINUE The ATB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

4. When CAN INFECTED Patient LEAVE TheIR ROOM
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
HIV - HEP B - C - Cytmegalovirus
Examples: Airborne - droplet - contact or standard
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.

5. What is a GUAIAC test?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A consent form to be signed for Hep B - C and HIV
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
A test to decect fecal occult blood assess for hidden blood in stool

6. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
1St provide care 2nd notify MD ( medical doctor
Blue - Blue - green - GREEN means negative
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

7. Where would you see a rash w/ Rocky mountain spotted fever?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Maculopapular rash and vesicular scabs
Wrist ankles Palms - soles Forearm
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. How would you take off Personal protective gear?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

9. 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
C Diff( Clostridium difficle)
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
Maculopapular rash and vesicular scabs

10. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
C Diff( Clostridium difficle)
Bleach

11. Rule: Transferring PEDS Patient To MS (MED SURGE)
Gloves - gown - goggles and mask - Everything
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
COPD + Negative pressure room = Keep together
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

12. Identify the type of precaution required
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
Examples: Airborne - droplet - contact or standard
Small pox
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

13. Who shouldn't get the Chicken pox vaccine

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14. Who is not able to start PPE
Lindane - Crotmiton - Permethrine
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Those with liver problems and pregnant women
Blue - Blue - green - GREEN means negative

15. When should you use Airborne Precautions
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
A
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
C Diff( Clostridium difficle)

16. What should the nurse immediately do if she stuck by a used needle?
Glanders - Lassa
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A diet high in calories and low fat
Contaminated food and water

17. 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
A consent form to be signed for Hep B - C and HIV
-- 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

18. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
Rest - warm - humid air
A test to decect fecal occult blood assess for hidden blood in stool
Pencillins - Cephalosporins - Clindamycin

19. 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
Kopliks spots
Feces of infected people or animals
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

20. 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
Small pox
PRIVATE - NEGATIVE PRESSURE ROOM
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

21. What is the most dangerous type of Hep?
Rocky mountain fever and Lymes disease
A
Before the rash appears
Chef

22. How is Salmonella transmitted
Gloves - Goggles and a face shield
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contaminated food and water
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

23. What is the order for putting on personal protective gear?
Gloves - Goggles and a face shield
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Blue - Blue - green - GREEN means negative

24. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Swelling and tenderness of one or more salivary glands
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Maculopapular rash and vesicular scabs

25. 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
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Wash their hands before and after handling pets

26. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Gloves - Goggles and a face shield
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
Fecal/oral

27. How is c diff transmitted?
Mask will 3 feet
Contaminated food and water
A consent form to be signed for Hep B - C and HIV
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

28. INTERVENTION FOR PREVENT ASPIRATION
Gloves
Examples: Airborne - droplet - contact or standard
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

29. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private room with negative pressure

30. What are the char. of German measles( Rubella)
Pink red maculopapules
Pencillins - Cephalosporins - Clindamycin
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

31. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Gloves 2.Goggles 3.Gown 4.Mask
Those with liver problems and pregnant women

32. When is a pt w/measles most contagious?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A diet high in calories and low fat
PRIVATE - NEGATIVE PRESSURE ROOM
Before the rash appears

33. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
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

34. Transferring Patient BETWEEN WARDS
COPD + Negative pressure room = Keep together
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Swelling and tenderness of one or more salivary glands
Private rooms or patient with same organisms

35. Rabies pt's would need

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36. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
Chef
Kopliks spots

37. Which Patient NEED To ISOLATE
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
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

38. What type of job should a person with hepatitis never have
Chef
Glanders - Lassa
Contact which are gloves and gown - Toes - wet - warm - spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

39. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Chef
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Small pox

40. When dealing w/ a Droplet percautions pt they require
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
Blue - Blue - green - GREEN means negative
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

41. What should you wear when drawing blood
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
Gloves
Lindane - Crotmiton - Permethrine
1.Gloves 2.Goggles 3.Gown 4.Mask

42. What should you wear if blood is spurting?
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
Gloves - gown - goggles and mask - Everything
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

43. What colors indicate blood in the stool when doing GUAIAC test
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
Those with liver problems and pregnant women
Blue - Blue - green - GREEN means negative

44. What should you wear when taking a pt's VS?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Nothing unless the pt is in isolation
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

45. After getting the Varicella vacc who should you teach pt's to avoid
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

46. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
A
Blue - Blue - green - GREEN means negative
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)

47. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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48. 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
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

49. DON'T TRANSFER Which Patient
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Swelling and tenderness of one or more salivary glands

50. What would you question with a c diff pt
Gloves
COPD + Negative pressure room = Keep together
An order for and Anti Diarrhea med like Imodium
Nausea - diarrhea and fatigue for up to 28 days