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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 should the nurse immediately do if she stuck by a used needle?
1St provide care 2nd notify MD ( medical doctor
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
Gloves

2. GENERAL RuleS FOR VACCINES
People w/ egg allergies - pregnant - illness or fever
A test to decect fecal occult blood assess for hidden blood in stool
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

3. What is the tx for Scabies
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine

4. Which Patient CAN KEEP In The SAME ROOM
Gown and gloves and disinfectant all the equipments
Gloves
COPD + Negative pressure room = Keep together
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

5. What are the characteristics of Chicken pox Varicella?
Rocky mountain fever and Lymes disease
Glanders - Lassa
Before the rash appears
Maculopapular rash and vesicular scabs

6. What pt's would be ok for a pregnant nurse to care for
An order for and Anti Diarrhea med like Imodium
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
HIV - HEP B - C - Cytmegalovirus

7. What kind of room would an Airborne precaution pt need
Wrist ankles Palms - soles Forearm
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
HIV - HEP B - C - Cytmegalovirus
PRIVATE - NEGATIVE PRESSURE ROOM

8. What should the school teacher teach kids handleing pets
Private room with negative pressure
Wash their hands before and after handling pets
A consent form to be signed for Hep B - C and HIV
1St provide care 2nd notify MD ( medical doctor

9. patient what kind of room they should stay
Private rooms or patient with same organisms
Wash their hands before and after handling pets
Examples: Airborne - droplet - contact or standard
C Diff( Clostridium difficle)

10. Droplet precautions
Mask will 3 feet
Feces of infected people or animals
Gown and gloves and disinfectant all the equipments
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

11. Who needs Standard - Airbourne and Contact precautions
Small pox
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Maculopapular rash and vesicular scabs
-- 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

12. Who needs Standard Contact and Droplet precautions
Maculopapular rash and vesicular scabs
Glanders - Lassa
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
Before the rash appears

13. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Mask will 3 feet

14. What are the major ATB associated w/ c diff
Rest - warm - humid air
Pencillins - Cephalosporins - Clindamycin
Gown and gloves and disinfectant all the equipments
Private rooms or patient with same organisms

15. When To USE STAndARD PRECAUTIONS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
An order for and Anti Diarrhea med like Imodium

16. Contact Precautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1St provide care 2nd notify MD ( medical doctor
Gown and gloves and disinfectant all the equipments

17. What are the S/S for Botulism
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Pencillins - Cephalosporins - Clindamycin
Blue - Blue - green - GREEN means negative

18. 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
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
Contact which are gloves and gown - Toes - wet - warm - spots
A diet high in calories and low fat

19. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Small pox
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

20. What is the order for putting on personal protective gear?
Contaminated food and water
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
EBOLI - MARBAR - CRIMEAN CONGO
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

21. What is the most dangerous type of Hep?
Contaminated food and water
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
A
N - V - D and Abd pain

22. 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
Fecal/oral
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
Contact which are gloves and gown - Toes - wet - warm - spots

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

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24. What patients need Droplet precautions?

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25. What is the most common cause of ATB associated diarrhea
An order for and Anti Diarrhea med like Imodium
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.
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)

26. What other ATB might be prescribed to treat c diff
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
Oral Flagyl and and Vancomycin
N - V - D and Abd pain

27. DON'T TRANSFER Which Patient
Rest - warm - humid air
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

28. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A test to decect fecal occult blood assess for hidden blood in stool
Deet spray
Swelling and tenderness of one or more salivary glands

29. How is Salmonella transmitted
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contaminated food and water
Fecal/oral
1St provide care 2nd notify MD ( medical doctor

30. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Those with liver problems and pregnant women
Gloves

31. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Kopliks spots
1.Gloves 2.Goggles 3.Gown 4.Mask

32. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contaminated food and water
Those with liver problems and pregnant women
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

33. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Lindane - Crotmiton - Permethrine
-- 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 which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

34. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Wash their hands before and after handling pets
Small pox
Nothing unless the pt is in isolation

35. Rabies pt's would need

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36. How can you prevent Salmonella
C Diff( Clostridium difficle)
Gloves - Goggles and a face shield
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Before the rash appears

37. What should you wear if blood is spurting?
Gloves - Goggles and a face shield
Deet spray
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
Gloves - gown - goggles and mask - Everything

38. What are the Ni for Pertussis?
Those with liver problems and pregnant women
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
Private rooms or patient with same organisms
Rest - warm - humid air

39. Rule: Transferring ADULT To PEDIATRIC WARDS
Rest - warm - humid air
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Pencillins - Cephalosporins - Clindamycin
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

40. What is warn when suctioning?
Gloves - Goggles and a face shield
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves - gown - goggles and mask - Everything
A test to decect fecal occult blood assess for hidden blood in stool

41. Infected Air - borne precaution
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A diet high in calories and low fat
Private room with negative pressure
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

42. When dealing w/ a Droplet percautions pt they require
Rocky mountain fever and Lymes disease
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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. What are characteristics of Measles (Rubeola)
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
Gloves - Goggles and a face shield
Kopliks spots
Chef

44. 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
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
Private rooms or patient with same organisms
Pencillins - Cephalosporins - Clindamycin

45. What kind of diet is needed for a PT with hepatitis A
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private rooms or patient with same organisms
A diet high in calories and low fat
A test to decect fecal occult blood assess for hidden blood in stool

46. What should you do if the c diff is linked to an ATB
Lindane - Crotmiton - Permethrine
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

47. Who needs Standard and Contact precautions (SC)
Those with liver problems and pregnant women
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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.
Nothing unless the pt is in isolation

48. Who is not able to start PPE
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin
Nothing unless the pt is in isolation
Pink red maculopapules

49. When is a pt w/measles most contagious?
N - V - D and Abd pain
Before the rash appears
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

50. Where would you see a rash w/ Rocky mountain spotted fever?
Dry cough
Rocky mountain fever and Lymes disease
N - V - D and Abd pain
Wrist ankles Palms - soles Forearm