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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. Contact Precautions
Nausea - diarrhea and fatigue for up to 28 days
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
Feces of infected people or animals
Gown and gloves and disinfectant all the equipments

2. What are char of Pertussis( whooping cough)
Private rooms or patient with same organisms
Contaminated food and water
Dry cough
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

3. Where can you find Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Kopliks spots
Feces of infected people or animals

4. Identify the type of precaution required
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
Examples: Airborne - droplet - contact or standard
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

5. Which Patient NEED To ISOLATE
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

6. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
N - V - D and Abd pain
HIV - HEP B - C - Cytmegalovirus
Kopliks spots

7. When is a pt w/measles most contagious?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days
Before the rash appears

8. What should you wear when taking a pt's VS?
A
Nothing unless the pt is in isolation
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

9. When dealing w/ a Droplet percautions pt they require
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Kopliks spots
People w/ egg allergies - pregnant - illness or fever

10. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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11. When To USE STAndARD PRECAUTIONS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Glanders - Lassa
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
Oral Flagyl and and Vancomycin

12. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Examples: Airborne - droplet - contact or standard

13. What should you teach pt's to wear for protect themselves against Lyme disease
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
Deet spray
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Pencillins - Cephalosporins - Clindamycin

14. What type of job should a person with hepatitis never have
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
Chef
COPD + Negative pressure room = Keep together
Gloves - gown - goggles and mask - Everything

15. Who needs Standard Contact and Droplet precautions
Maculopapular rash and vesicular scabs
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 test to decect fecal occult blood assess for hidden blood in stool
Glanders - Lassa

16. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
COPD + Negative pressure room = Keep together
Contaminated food and water

17. What should the school teacher teach kids handleing pets
Pink red maculopapules
Chef
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets

18. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
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)
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. Who needs Standard - Airbourne and Contact precautions
Oral Flagyl and and Vancomycin
N - V - D and Abd pain
C Diff( Clostridium difficle)
Small pox

20. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Gloves - Goggles and a face shield
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

21. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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 test to decect fecal occult blood assess for hidden blood in stool
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

22. patient what kind of room they should stay
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private rooms or patient with same organisms
A

23. 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.
C Diff( Clostridium difficle)
A diet high in calories and low fat
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

24. What should you tell the pt to prepare for the GUAIAC test

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25. 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
Kopliks spots
Glanders - Lassa
A

26. After getting the Varicella vacc who should you teach pt's to avoid
Wrist ankles Palms - soles Forearm
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nothing unless the pt is in isolation

27. How is Hep A spread
Gloves - gown - goggles and mask - Everything
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.
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Fecal/oral

28. If aptient is going to surgery do not give them
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
Fecal/oral

29. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool
COPD + Negative pressure room = Keep together

30. What pt's would be ok for a pregnant nurse to care for
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
HIV - HEP B - C - Cytmegalovirus
Dry cough
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

31. How can you prevent Salmonella
Contaminated food and water
C Diff( Clostridium difficle)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

32. What precaution are needed for Scabies pt
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
Kopliks spots
Contact which are gloves and gown - Toes - wet - warm - spots
Feces of infected people or animals

33. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Rest - warm - humid air
DISCONTINUE The ATB
Rocky mountain fever and Lymes disease

34. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Bleach
C Diff( Clostridium difficle)

35. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Rocky mountain fever and Lymes disease
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.

36. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
A

37. 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
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
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

38. When should you use Airborne Precautions
Deet spray
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Lindane - Crotmiton - Permethrine

39. How is Salmonella transmitted
Examples: Airborne - droplet - contact or standard
People w/ egg allergies - pregnant - illness or fever
Contaminated food and water
Deet spray

40. After a bloodborne pathogen exposure what should be done later?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

41. How is c diff transmitted?
Pink red maculopapules
Before the rash appears
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

42. What are common side effects of PPE
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Examples: Airborne - droplet - contact or standard
Nausea - diarrhea and fatigue for up to 28 days

43. How can you stop the spread of c diff

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44. INTERVENTION FOR PREVENT ASPIRATION
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Dry cough
Those with liver problems and pregnant women
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

45. What should you wear if blood is spurting?
Before the rash appears
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves - gown - goggles and mask - Everything
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

46. Rabies pt's would need

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47. What would you question with a c diff pt
Lindane - Crotmiton - Permethrine
An order for and Anti Diarrhea med like Imodium
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Before the rash appears

48. Which pt's can't the pregnant nurse care for
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
COPD + Negative pressure room = Keep together

49. What should you wear when drawing blood
Gloves
Kopliks 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
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

50. What should you wash the toilet seat with
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
Nausea - diarrhea and fatigue for up to 28 days
Bleach
N - V - D and Abd pain