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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 precaution are needed for Scabies pt
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
EBOLI - MARBAR - CRIMEAN CONGO

2. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
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
PRIVATE - NEGATIVE PRESSURE ROOM
HIV - HEP B - C - Cytmegalovirus

3. When CAN INFECTED Patient LEAVE TheIR ROOM
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Private room with negative pressure
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.
Glanders - Lassa

4. WHen should you use standard percautions
Before the rash appears
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Those with liver problems and pregnant women
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

5. How can you prevent Salmonella
Private rooms or patient with same organisms
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Dry 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

6. What is the most dangerous type of Hep?
Kopliks spots
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Pencillins - Cephalosporins - Clindamycin
A

7. What type of job should a person with hepatitis never have
Chef
Rest - warm - humid air
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
COPD + Negative pressure room = Keep together

8. GENERAL RuleS FOR VACCINES
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
Examples: Airborne - droplet - contact or standard
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

9. What pt's would be ok for a pregnant nurse to care for
-- 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
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus
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

10. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

11. To be most effective when should postexposure prophylaxis (PPE) be started?
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin
Private rooms or patient with same organisms
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

12. Who is not able to start PPE
Those with liver problems and pregnant women
Glanders - Lassa
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

13. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Maculopapular rash and vesicular scabs
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
PRIVATE - NEGATIVE PRESSURE ROOM

14. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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15. DON'T TRANSFER Which Patient
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

16. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Glanders - Lassa
Nausea - diarrhea and fatigue for up to 28 days

17. What should the nurse immediately do if she stuck by a used needle?
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Those with liver problems and pregnant women
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

18. Who needs Standard Contact and Droplet precautions
Pencillins - Cephalosporins - Clindamycin
Gloves - Goggles and a face shield
Glanders - Lassa
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

19. When should you use Airborne Precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard
Private room with negative pressure

20. What would you question with a c diff pt
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
An order for and Anti Diarrhea med like Imodium
People w/ egg allergies - pregnant - illness or fever
Deet spray

21. 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
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
Bleach
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

22. Who should get the chicken pox vaccine
Maculopapular rash and vesicular scabs
Lindane - Crotmiton - Permethrine
Fecal/oral
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

23. What is the two diseased caused by ticks
Contaminated food and water
Rest - warm - humid air
Rocky mountain fever and Lymes disease
Private room with negative pressure

24. Infected Air - borne precaution
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private room with negative pressure

25. How can you stop the spread of c diff

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26. What is the tx for Scabies
1St provide care 2nd notify MD ( medical doctor
Lindane - Crotmiton - Permethrine
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves

27. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
A
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Feces of infected people or animals
EBOLI - MARBAR - CRIMEAN CONGO

28. What other ATB might be prescribed to treat c diff
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact which are gloves and gown - Toes - wet - warm - spots

29. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
EBOLI - MARBAR - CRIMEAN CONGO
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private rooms or patient with same organisms
1St provide care 2nd notify MD ( medical doctor

30. How is Salmonella transmitted
Contaminated food and water
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

31. Which Patient CAN KEEP In The SAME ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A
COPD + Negative pressure room = Keep together
-- 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

32. What are the Ni for Pertussis?
COPD + Negative pressure room = Keep together
Fecal/oral
Rest - warm - humid air
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

33. What are common side effects of PPE
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
Nausea - diarrhea and fatigue for up to 28 days
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
EBOLI - MARBAR - CRIMEAN CONGO

34. How is Hep A spread
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Fecal/oral
Contact which are gloves and gown - Toes - wet - warm - spots
Swelling and tenderness of one or more salivary glands

35. Rabies pt's would need

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36. When is a pt w/measles most contagious?
A consent form to be signed for Hep B - C and HIV
Before the rash appears
Those with liver problems and pregnant women
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

37. Which Patient NEED To ISOLATE
Rest - warm - humid air
Maculopapular rash and vesicular scabs
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
1.Gloves 2.Goggles 3.Gown 4.Mask

38. What are the char. of German measles( Rubella)
Oral Flagyl and and Vancomycin
Gloves
Gloves - gown - goggles and mask - Everything
Pink red maculopapules

39. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

40. BLEEDING PRECAUTION Patient. These Patients Who Are On...
A test to decect fecal occult blood assess for hidden blood in stool
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Deet spray
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

41. Transferring Patient BETWEEN WARDS
Pink red maculopapules
Contaminated food and water
People w/ egg allergies - pregnant - illness or fever
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

42. When dealing w/ a Droplet percautions pt they require
Oral Flagyl and and Vancomycin
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
PRIVATE - NEGATIVE PRESSURE ROOM
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

43. What should you do if the c diff is linked to an ATB
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
DISCONTINUE The ATB
Bleach
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

44. After a bloodborne pathogen exposure what should be done later?
Deet spray
Mask will 3 feet
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rocky mountain fever and Lymes disease

45. When To USE STAndARD PRECAUTIONS
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
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves

46. Which pt's can't the pregnant nurse care for
Blue - Blue - green - GREEN means negative
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

47. What are char of Pertussis( whooping cough)
Those with liver problems and pregnant women
Dry cough
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Kopliks spots

48. Who shouldn't get the measles vacc
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
Pencillins - Cephalosporins - Clindamycin
People w/ egg allergies - pregnant - illness or fever
-- 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

49. What should you wash the toilet seat with
Dry cough
Bleach
Maculopapular rash and vesicular scabs
Glanders - Lassa

50. What are characteristics of Measles (Rubeola)
Rest - warm - humid air
Those with liver problems and pregnant women
1St provide care 2nd notify MD ( medical doctor
Kopliks spots