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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. Transferring Patient BETWEEN WARDS
Contact which are gloves and gown - Toes - wet - warm - spots
Swelling and tenderness of one or more salivary glands
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Those with liver problems and pregnant women

2. What is a GUAIAC test?
Bleach
Wash their hands before and after handling pets
A test to decect fecal occult blood assess for hidden blood in stool
A consent form to be signed for Hep B - C and HIV

3. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A
A test to decect fecal occult blood assess for hidden blood in stool

4. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)
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 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

5. When dealing w/ a Droplet percautions pt they require
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gown and gloves and disinfectant all the equipments
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
Bleach

6. What are the major ATB associated w/ c diff
A consent form to be signed for Hep B - C and HIV
Wash their hands before and after handling pets
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.
Pencillins - Cephalosporins - Clindamycin

7. What are char of Pertussis( whooping cough)
Dry cough
Deet spray
Gloves
Feces of infected people or animals

8. WHen should you use standard percautions
Private rooms or patient with same organisms
DISCONTINUE The ATB
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

9. GENERAL RuleS FOR VACCINES
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
Pink red maculopapules
N - V - D and Abd pain

10. 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
Wash their hands before and after handling pets
DISCONTINUE The ATB
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

11. When CAN INFECTED Patient LEAVE TheIR ROOM
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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.
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

12. What other ATB might be prescribed to treat c diff
Gloves
An order for and Anti Diarrhea med like Imodium
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Oral Flagyl and and Vancomycin

13. What are the Ni for Pertussis?
Bleach
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Private room with negative pressure
Rest - warm - humid air

14. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Swelling and tenderness of one or more salivary glands
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
N - V - D and Abd pain

15. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Blue - Blue - green - GREEN means negative
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

16. What would you question with a c diff pt
A test to decect fecal occult blood assess for hidden blood in stool
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Kopliks spots
An order for and Anti Diarrhea med like Imodium

17. How is Hep A spread
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Fecal/oral
Gloves - gown - goggles and mask - Everything
Blue - Blue - green - GREEN means negative

18. What is the most dangerous type of Hep?
Examples: Airborne - droplet - contact or standard
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
A consent form to be signed for Hep B - C and HIV

19. How would you take off Personal protective gear?
People w/ egg allergies - pregnant - illness or fever
Private room with negative pressure
Pencillins - Cephalosporins - Clindamycin
1.Gloves 2.Goggles 3.Gown 4.Mask

20. What should you wear when taking a pt's VS?
Gloves - Goggles and a face shield
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Deet spray
Nothing unless the pt is in isolation

21. Which Patient NEED To ISOLATE
Mask will 3 feet
Gloves - gown - goggles and mask - Everything
-- 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 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

22. Identify the type of precaution required
Kopliks spots
Examples: Airborne - droplet - contact or standard
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

23. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
-- 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

24. Who needs Standard and Contact precautions (SC)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Oral Flagyl and and Vancomycin
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Dry cough

25. Where can you find Salmonella
Maculopapular rash and vesicular scabs
Feces of infected people or animals
C Diff( Clostridium difficle)
Dry cough

26. Which pt's can't the pregnant nurse care for
Rocky mountain fever and Lymes disease
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

27. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
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
Gloves - Goggles and a face shield
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

28. What are characteristics of Measles (Rubeola)
Kopliks spots
DISCONTINUE The ATB
Oral Flagyl and and Vancomycin
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

29. Which Patient CAN KEEP In The SAME ROOM
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
COPD + Negative pressure room = Keep together
Deet spray

30. After a bloodborne pathogen exposure what should be done later?
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.
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A diet high in calories and low fat
DISCONTINUE The ATB

31. What are the characteristics of Mumps
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Pencillins - Cephalosporins - Clindamycin

32. How can you stop the spread of c diff

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33. Who is not able to start PPE
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
Glanders - Lassa
C Diff( Clostridium difficle)
Those with liver problems and pregnant women

34. DON'T TRANSFER Which Patient
An order for and Anti Diarrhea med like Imodium
C Diff( Clostridium difficle)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

35. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A consent form to be signed for Hep B - C and HIV
People w/ egg allergies - pregnant - illness or fever

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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37. How is c diff transmitted?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Chef
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

38. Droplet precautions
Gloves
Oral Flagyl and and Vancomycin
Mask will 3 feet
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

39. What are the characteristics of Chicken pox Varicella?
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
Maculopapular rash and vesicular scabs
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

40. What should you wear when drawing blood
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves

41. What are the S/S for Botulism
Those with liver problems and pregnant women
Blue - Blue - green - GREEN means negative
Contaminated food and water
N - V - D and Abd pain

42. What kind of room would an Airborne precaution pt need
Those with liver problems and pregnant women
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
Chef
PRIVATE - NEGATIVE PRESSURE ROOM

43. Who needs Standard Contact and Droplet precautions
-- 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
An order for and Anti Diarrhea med like Imodium
Glanders - Lassa
Contact which are gloves and gown - Toes - wet - warm - spots

44. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Wrist ankles Palms - soles Forearm
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Those with liver problems and pregnant women
-- 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

45. Rule: Transferring PEDS Patient To MS (MED SURGE)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A test to decect fecal occult blood assess for hidden blood in stool
C Diff( Clostridium difficle)

46. Rabies pt's would need

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47. What are the char. of German measles( Rubella)
Pink red maculopapules
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
People w/ egg allergies - pregnant - illness or fever
Lindane - Crotmiton - Permethrine

48. What is the tx for Scabies
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
Lindane - Crotmiton - Permethrine
Swelling and tenderness of one or more salivary glands
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

49. What type of job should a person with hepatitis never have
Bleach
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Chef

50. Where would you see a rash w/ Rocky mountain spotted fever?
COPD + Negative pressure room = Keep together
Swelling and tenderness of one or more salivary glands
Those with liver problems and pregnant women
Wrist ankles Palms - soles Forearm