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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. Which pt's can't the pregnant nurse care for
Pink red maculopapules
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Fecal/oral

2. GENERAL RuleS FOR VACCINES
Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
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
HIV - HEP B - C - Cytmegalovirus

3. What are the S/S for Botulism
A test to decect fecal occult blood assess for hidden blood in stool
Private rooms or patient with same organisms
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

4. patient what kind of room they should stay
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
COPD + Negative pressure room = Keep together
Private rooms or patient with same organisms

5. When dealing w/ a Droplet percautions pt they require
Lindane - Crotmiton - Permethrine
EBOLI - MARBAR - CRIMEAN CONGO
Pencillins - Cephalosporins - Clindamycin
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

6. After getting the Varicella vacc who should you teach pt's to avoid
EBOLI - MARBAR - CRIMEAN CONGO
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Swelling and tenderness of one or more salivary glands
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

7. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Private room with negative pressure
Gloves - gown - goggles and mask - Everything
Kopliks spots

8. Droplet precautions
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
Mask will 3 feet
Contact which are gloves and gown - Toes - wet - warm - spots
Rest - warm - humid air

9. Who needs Standard - Airbourne and Contact precautions
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Small pox
Contact which are gloves and gown - Toes - wet - warm - spots

10. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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
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

11. What should you wear when taking a pt's VS?
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
Gown and gloves and disinfectant all the equipments
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

12. What is the two diseased caused by ticks
Bleach
Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Rocky mountain fever and Lymes disease

13. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
-- 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
Wash their hands before and after handling pets
Gown and gloves and disinfectant all the equipments

14. Who should get the chicken pox vaccine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Feces of infected people or animals

15. After a bloodborne pathogen exposure what should be done later?
Oral Flagyl and and Vancomycin
Pencillins - Cephalosporins - Clindamycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

16. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Maculopapular rash and vesicular scabs
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

17. What should you wear if blood is spurting?
Gloves
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
Gloves - gown - goggles and mask - Everything

18. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
HIV - HEP B - C - Cytmegalovirus
Gloves - gown - goggles and mask - Everything

19. What type of job should a person with hepatitis never have
Wrist ankles Palms - soles Forearm
Chef
Rest - warm - humid air
1.Gloves 2.Goggles 3.Gown 4.Mask

20. Rule: Transferring ADULT To PEDIATRIC WARDS
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
DISCONTINUE The ATB
Nausea - diarrhea and fatigue for up to 28 days

21. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Gloves

22. Infected Air - borne precaution
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private room with negative pressure
COPD + Negative pressure room = Keep together

23. What pt's would be ok for a pregnant nurse to care for
Lindane - Crotmiton - Permethrine
Wash their hands before and after handling pets
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days

24. What should you wash the toilet seat with
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Bleach
Gloves
Nausea - diarrhea and fatigue for up to 28 days

25. Rule: DISCHARGE DURING AN EMERGENCY
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

26. What is warn when suctioning?
Gloves - Goggles and a face shield
Blue - Blue - green - GREEN means negative
Pencillins - Cephalosporins - Clindamycin
Private rooms or patient with same organisms

27. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Private room with negative pressure
Rocky mountain fever and Lymes disease
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

28. Who needs Standard and Contact precautions (SC)
Deet spray
Gloves - gown - goggles and mask - Everything
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

29. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Those with liver problems and pregnant women
C Diff( Clostridium difficle)
Fecal/oral

30. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Nothing unless the pt is in isolation
Pencillins - Cephalosporins - Clindamycin
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

31. What are the characteristics of Chicken pox Varicella?
EBOLI - MARBAR - CRIMEAN CONGO
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Maculopapular rash and vesicular scabs
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

32. What is the most dangerous type of Hep?
DISCONTINUE The ATB
A
COPD + Negative pressure room = Keep together
Maculopapular rash and vesicular scabs

33. How can you stop the spread of c diff

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34. DON'T TRANSFER Which Patient
PRIVATE - NEGATIVE PRESSURE ROOM
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
Those with liver problems and pregnant women
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

35. What are the char. of German measles( Rubella)
EBOLI - MARBAR - CRIMEAN CONGO
Pink red maculopapules
C Diff( Clostridium difficle)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

36. Who is not able to start PPE
Wrist ankles Palms - soles Forearm
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Those with liver problems and pregnant women
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

37. How is c diff transmitted?
Glanders - Lassa
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Blue - Blue - green - GREEN means negative

38. Transferring Patient BETWEEN WARDS
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1St provide care 2nd notify MD ( medical doctor

39. When is a pt w/measles most contagious?
Mask will 3 feet
Small pox
Wrist ankles Palms - soles Forearm
Before the rash appears

40. WHen should you use standard percautions
HIV - HEP B - C - Cytmegalovirus
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - gown - goggles and mask - Everything

41. What is the most common cause of ATB associated diarrhea
Oral Flagyl and and Vancomycin
Mask will 3 feet
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
C Diff( Clostridium difficle)

42. What are the Ni for Pertussis?
Bleach
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
Rest - warm - humid air

43. What should you wear when drawing blood
Gloves
Contaminated food and water
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

44. What is the order for putting on personal protective gear?
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
Gloves - Goggles and a face shield
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
HIV - HEP B - C - Cytmegalovirus

45. What would you question with a c diff pt
DISCONTINUE The ATB
Gloves
Kopliks spots
An order for and Anti Diarrhea med like Imodium

46. What are char of Pertussis( whooping cough)
Glanders - Lassa
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
Dry cough

47. When CAN INFECTED Patient LEAVE TheIR ROOM
EBOLI - MARBAR - CRIMEAN CONGO
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.
Feces of infected people or animals

48. What should you have the patient sign after being stuck by a needle?
Bleach
A consent form to be signed for Hep B - C and HIV
Rocky mountain fever and Lymes disease
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

49. 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
1.Gloves 2.Goggles 3.Gown 4.Mask
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.
Examples: Airborne - droplet - contact or standard

50. What should a Contact Precaution pt have
Dry cough
Gloves - Goggles and a face shield
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
People w/ egg allergies - pregnant - illness or fever