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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 characteristics of Chicken pox Varicella?
Those with liver problems and pregnant women
Maculopapular rash and vesicular scabs
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

2. Who is not able to start PPE
Dry cough
Those with liver problems and pregnant women
1.Gloves 2.Goggles 3.Gown 4.Mask
Bleach

3. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Swelling and tenderness of one or more salivary glands
Contaminated food and water
Pencillins - Cephalosporins - Clindamycin

4. How is Hep A spread
Fecal/oral
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears
DISCONTINUE The ATB

5. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
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
Gown and gloves and disinfectant all the equipments
COPD + Negative pressure room = Keep together

6. How would you take off Personal protective gear?
Wrist ankles Palms - soles Forearm
1St provide care 2nd notify MD ( medical doctor
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
1.Gloves 2.Goggles 3.Gown 4.Mask

7. What are char of Pertussis( whooping cough)
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
Dry cough
Wrist ankles Palms - soles Forearm
A

8. What should you wear when taking a pt's VS?
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Feces of infected people or animals
Nothing unless the pt is in isolation

9. What should you wash the toilet seat with
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Bleach

10. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Kopliks spots
Those with liver problems and pregnant women

11. Who shouldn't get the Chicken pox vaccine

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12. Which Patient CAN KEEP In The SAME ROOM
1St provide care 2nd notify MD ( medical doctor
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
COPD + Negative pressure room = Keep together

13. What kind of room would an Airborne precaution pt need
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contact which are gloves and gown - Toes - wet - warm - spots
1St provide care 2nd notify MD ( medical doctor
PRIVATE - NEGATIVE PRESSURE ROOM

14. Where would you see a rash w/ Rocky mountain spotted fever?
Bleach
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Rest - warm - humid air
Wrist ankles Palms - soles Forearm

15. Who needs Standard - Airbourne and Contact precautions
Nausea - diarrhea and fatigue for up to 28 days
Examples: Airborne - droplet - contact or standard
Small pox
Glanders - Lassa

16. DON'T TRANSFER Which Patient
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

17. Rule: Transferring PEDS Patient To MS (MED SURGE)
1.Gloves 2.Goggles 3.Gown 4.Mask
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
Dry cough
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

18. Which pt's can't the pregnant nurse care for
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash their hands before and after handling pets
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. What should you have the patient sign after being stuck by a needle?
1St provide care 2nd notify MD ( medical doctor
Rocky mountain fever and Lymes disease
A consent form to be signed for Hep B - C and HIV
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

20. When dealing w/ a Droplet percautions pt they require
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
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
People w/ egg allergies - pregnant - illness or fever

21. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Pink red maculopapules
-- 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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Lindane - Crotmiton - Permethrine

22. Where can you find Salmonella
Feces of infected people or animals
Kopliks spots
Wash their hands before and after handling pets
Mask will 3 feet

23. How is c diff transmitted?
Kopliks spots
EBOLI - MARBAR - CRIMEAN CONGO
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

24. How can you stop the spread of c diff

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25. What should you wear when drawing blood
Gloves
Private room with negative pressure
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask

26. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Examples: Airborne - droplet - contact or standard
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rocky mountain fever and Lymes disease
Wash their hands before and after handling pets

27. Who should get the chicken pox vaccine
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contaminated food and water

28. When CAN INFECTED Patient LEAVE TheIR ROOM
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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.

29. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Private room with negative pressure
Nothing unless the pt is in isolation
N - V - D and Abd pain

30. What other ATB might be prescribed to treat c diff
Feces of infected people or animals
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

31. What are the Ni for Pertussis?
A
Rest - warm - humid air
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
Nothing unless the pt is in isolation

32. What is warn when suctioning?
Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
COPD + Negative pressure room = Keep together
Gloves - Goggles and a face shield

33. When To USE STAndARD PRECAUTIONS
Before the rash appears
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
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.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

34. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
A diet high in calories and low fat
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

35. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pencillins - Cephalosporins - Clindamycin

36. What should the school teacher teach kids handleing pets
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Bleach
Wash their hands before and after handling pets
A test to decect fecal occult blood assess for hidden blood in stool

37. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Those with liver problems and pregnant women

38. patient what kind of room they should stay
Blue - Blue - green - GREEN means negative
Private rooms or patient with same organisms
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
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

39. How is Salmonella transmitted
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 room with negative pressure
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
Contaminated food and water

40. What colors indicate blood in the stool when doing GUAIAC test
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Pencillins - Cephalosporins - Clindamycin
Blue - Blue - green - GREEN means negative
Nausea - diarrhea and fatigue for up to 28 days

41. Rule: DISCHARGE DURING AN EMERGENCY
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Private room with negative pressure
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

42. Identify the type of precaution required
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard
Gloves

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

44. What patients need Droplet precautions?

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45. Who shouldn't get the measles vacc
1St provide care 2nd notify MD ( medical doctor
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
People w/ egg allergies - pregnant - illness or fever
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.

46. What is the most dangerous type of Hep?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A
Fecal/oral

47. What should the nurse immediately do if she stuck by a used needle?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
HIV - HEP B - C - Cytmegalovirus

48. Who needs Standard Contact and Droplet precautions
PRIVATE - NEGATIVE PRESSURE ROOM
Blue - Blue - green - GREEN means negative
Glanders - Lassa
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

49. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Oral Flagyl and and Vancomycin
1St provide care 2nd notify MD ( medical doctor
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

50. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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