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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 you wear when drawing blood
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
Those with liver problems and pregnant women

2. Rule: DISCHARGE DURING AN EMERGENCY
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
An order for and Anti Diarrhea med like Imodium
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

3. Who needs Standard - Airbourne and Contact precautions
Blue - Blue - green - GREEN means negative
Before the rash appears
C Diff( Clostridium difficle)
Small pox

4. When is a pt w/measles most contagious?
People w/ egg allergies - pregnant - illness or fever
Before the rash appears
Oral Flagyl and and Vancomycin
Private rooms or patient with same organisms

5. 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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Pink red maculopapules

6. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
EBOLI - MARBAR - CRIMEAN CONGO

7. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
-- 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
A diet high in calories and low fat
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

8. Which Patient CAN KEEP In The SAME ROOM
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
COPD + Negative pressure room = Keep together
Maculopapular rash and vesicular scabs

9. Transferring Patient BETWEEN WARDS
-- 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
Chef
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain

10. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
People w/ egg allergies - pregnant - illness or fever
A
Gown and gloves and disinfectant all the equipments

11. What would you question with a c diff pt
Private rooms or patient with same organisms
Rocky mountain fever and Lymes disease
An order for and Anti Diarrhea med like Imodium
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

12. What patients need Droplet precautions?

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13. Who needs Standard and Contact precautions (SC)
Glanders - Lassa
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Pink red maculopapules
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

14. What should you do if the c diff is linked to an ATB
Rocky mountain fever and Lymes disease
Nausea - diarrhea and fatigue for up to 28 days
DISCONTINUE The ATB
Lindane - Crotmiton - Permethrine

15. What is the most common cause of ATB associated diarrhea
Pink red maculopapules
C Diff( Clostridium difficle)
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
Small pox

16. Who shouldn't get the measles vacc
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
People w/ egg allergies - pregnant - illness or fever

17. 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
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
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
Before the rash appears

18. What are common side effects of PPE
Nothing unless the pt is in isolation
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nausea - diarrhea and fatigue for up to 28 days
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

19. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Deet spray
Rest - warm - humid air
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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

20. When To USE STAndARD PRECAUTIONS
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A

21. Rule: Transferring ADULT To PEDIATRIC WARDS
People w/ egg allergies - pregnant - illness or fever
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
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

22. What are the major ATB associated w/ c diff
Those with liver problems and pregnant women
Pencillins - Cephalosporins - Clindamycin
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

23. To be most effective when should postexposure prophylaxis (PPE) be started?
Rest - warm - humid air
A
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

24. How can you stop the spread of c diff

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25. What colors indicate blood in the stool when doing GUAIAC test
A diet high in calories and low fat
Blue - Blue - green - GREEN means negative
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Kopliks spots

26. What is the order for putting on personal protective gear?
1St provide care 2nd notify MD ( medical doctor
N - V - D and Abd pain
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

27. What are characteristics of Measles (Rubeola)
Kopliks spots
Examples: Airborne - droplet - contact or standard
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments

28. What pt's would be ok for a pregnant nurse to care for
N - V - D and Abd pain
HIV - HEP B - C - Cytmegalovirus
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A consent form to be signed for Hep B - C and HIV

29. If aptient is going to surgery do not give them
Private room with negative pressure
A
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rest - warm - humid air

30. Which Patient NEED To ISOLATE
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
Kopliks spots
Nothing unless the pt is in isolation

31. How is Salmonella transmitted
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Private rooms or patient with same organisms
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
Contaminated food and water

32. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Private rooms or patient with same organisms
-- 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
Examples: Airborne - droplet - contact or standard

33. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
Wash their hands before and after handling pets
C Diff( Clostridium difficle)
Contact which are gloves and gown - Toes - wet - warm - spots

34. What is the tx for Scabies
Gloves - Goggles and a face shield
Contact which are gloves and gown - Toes - wet - warm - spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Lindane - Crotmiton - Permethrine

35. How would you take off Personal protective gear?
An order for and Anti Diarrhea med like Imodium
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Gloves 2.Goggles 3.Gown 4.Mask
-- 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

36. How can you prevent Salmonella
Glanders - Lassa
Swelling and tenderness of one or more salivary glands
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

37. What are the Ni for Pertussis?
Rest - warm - humid air
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves - gown - goggles and mask - Everything
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

38. What should a Contact Precaution pt have
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Rest - warm - humid air
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

39. What is the most dangerous type of Hep?
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
EBOLI - MARBAR - CRIMEAN CONGO
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A

40. What kind of room would an Airborne precaution pt need
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
PRIVATE - NEGATIVE PRESSURE ROOM
Wash their hands before and after handling pets
A test to decect fecal occult blood assess for hidden blood in stool

41. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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42. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

43. WHen should you use standard percautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
N - V - D and Abd pain

44. Where can you find Salmonella
A diet high in calories and low fat
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Feces of infected people or animals

45. What type of job should a person with hepatitis never have
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rest - warm - humid air
Chef
-- 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

46. Identify the type of precaution required
Pencillins - Cephalosporins - Clindamycin
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Gloves - Goggles and a face shield
Examples: Airborne - droplet - contact or standard

47. Droplet precautions
Pencillins - Cephalosporins - Clindamycin
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
Glanders - Lassa
Mask will 3 feet

48. What are the char. of German measles( Rubella)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Pink red maculopapules

49. What should you wear if blood is spurting?
Wash their hands before and after handling pets
Gloves - gown - goggles and mask - Everything
Examples: Airborne - droplet - contact or standard
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

50. INTERVENTION FOR PREVENT ASPIRATION
Rest - warm - humid air
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
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.