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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. When dealing w/ a Droplet percautions pt they require
Dry cough
Contact which are gloves and gown - Toes - wet - warm - spots
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
A diet high in calories and low fat

2. How can you prevent Salmonella
Gloves - gown - goggles and mask - Everything
Maculopapular rash and vesicular scabs
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

3. Droplet precautions
Before the rash appears
Mask will 3 feet
Gloves - gown - goggles and mask - Everything
Chef

4. When is a pt w/measles most contagious?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Before the rash appears

5. Transferring Patient BETWEEN WARDS
Private room with negative pressure
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves - gown - goggles and mask - Everything

6. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Wrist ankles Palms - soles Forearm

7. Identify the type of precaution required
Those with liver problems and pregnant women
Pencillins - Cephalosporins - Clindamycin
Swelling and tenderness of one or more salivary glands
Examples: Airborne - droplet - contact or standard

8. patient what kind of room they should stay
A diet high in calories and low fat
Lindane - Crotmiton - Permethrine
Private rooms or patient with same organisms
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

9. How is Hep A spread
Mask will 3 feet
Fecal/oral
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

10. Where can you find Salmonella
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
Feces of infected people or animals
Lindane - Crotmiton - Permethrine

11. What should you wear when taking a pt's VS?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Glanders - Lassa
Nothing unless the pt is in isolation
PRIVATE - NEGATIVE PRESSURE ROOM

12. Who needs Standard and Contact precautions (SC)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
PRIVATE - NEGATIVE PRESSURE ROOM

13. Rule: DISCHARGE DURING AN EMERGENCY
DISCONTINUE The ATB
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A test to decect fecal occult blood assess for hidden blood in stool
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

14. What colors indicate blood in the stool when doing GUAIAC test
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
1St provide care 2nd notify MD ( medical doctor
Oral Flagyl and and Vancomycin
Blue - Blue - green - GREEN means negative

15. What is the most dangerous type of Hep?
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
A
An order for and Anti Diarrhea med like Imodium
Blue - Blue - green - GREEN means negative

16. Who should get the chicken pox vaccine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rest - warm - humid air

17. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Gloves - gown - goggles and mask - Everything
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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

18. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Private room with negative pressure
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
Gown and gloves and disinfectant all the equipments

19. What precaution are needed for Scabies pt
Nausea - diarrhea and fatigue for up to 28 days
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV
Contact which are gloves and gown - Toes - wet - warm - spots

20. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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21. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Chef
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

22. When should you use Airborne Precautions
Contact which are gloves and gown - Toes - wet - warm - spots
A test to decect fecal occult blood assess for hidden blood in stool
An order for and Anti Diarrhea med like Imodium
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

23. What should the school teacher teach kids handleing pets
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets
Mask will 3 feet

24. After a bloodborne pathogen exposure what should be done later?
1.Gloves 2.Goggles 3.Gown 4.Mask
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Glanders - Lassa
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

25. What other ATB might be prescribed to treat c diff
Feces of infected people or animals
Oral Flagyl and and Vancomycin
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

26. Infected Air - borne precaution
Chef
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
Wash their hands before and after handling pets
Private room with negative pressure

27. WHen should you use standard percautions
Contaminated food and water
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Those with liver problems and pregnant women
Blue - Blue - green - GREEN means negative

28. How would you take off Personal protective gear?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A diet high in calories and low fat
1.Gloves 2.Goggles 3.Gown 4.Mask
A

29. GENERAL RuleS FOR VACCINES
Pencillins - Cephalosporins - Clindamycin
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
COPD + Negative pressure room = Keep together
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

30. 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
COPD + Negative pressure room = Keep together
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

31. If aptient is going to surgery do not give them
Small pox
Private rooms or patient with same organisms
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Nausea - diarrhea and fatigue for up to 28 days

32. What are the char. of German measles( Rubella)
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pink red maculopapules

33. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
EBOLI - MARBAR - CRIMEAN CONGO
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

34. What are characteristics of Measles (Rubeola)
Those with liver problems and pregnant women
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
Kopliks spots
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.

35. Contact Precautions
Oral Flagyl and and Vancomycin
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gown and gloves and disinfectant all the equipments
PRIVATE - NEGATIVE PRESSURE ROOM

36. After getting the Varicella vacc who should you teach pt's to avoid
-- 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Swelling and tenderness of one or more salivary glands
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

37. What is the two diseased caused by ticks
N - V - D and Abd pain
Mask will 3 feet
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Rocky mountain fever and Lymes disease

38. What is a GUAIAC test?
Mask will 3 feet
A test to decect fecal occult blood assess for hidden blood in stool
1St provide care 2nd notify MD ( medical doctor
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

39. What are char of Pertussis( whooping cough)
A diet high in calories and low fat
Dry cough
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A

40. Which Patient CAN KEEP In The SAME ROOM
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
COPD + Negative pressure room = Keep together
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

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

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42. What pt's would be ok for a pregnant nurse to care for
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
HIV - HEP B - C - Cytmegalovirus
Small pox

43. What should you do if the c diff is linked to an ATB
Gown and gloves and disinfectant all the equipments
Chef
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

44. DON'T TRANSFER Which Patient
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
C Diff( Clostridium difficle)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

45. What should the nurse immediately do if she stuck by a used needle?
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
Nothing unless the pt is in isolation
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

46. When To USE STAndARD PRECAUTIONS
Examples: Airborne - droplet - contact or standard
A test to decect fecal occult blood assess for hidden blood in stool
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
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

47. Rabies pt's would need

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48. Who shouldn't get the measles vacc
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
EBOLI - MARBAR - CRIMEAN CONGO
People w/ egg allergies - pregnant - illness or fever
Oral Flagyl and and Vancomycin

49. What kind of diet is needed for a PT with hepatitis A
Deet spray
1St provide care 2nd notify MD ( medical doctor
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A diet high in calories and low fat

50. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wrist ankles Palms - soles Forearm
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves