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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. Rabies pt's would need

2. Infected Air - borne precaution
Dry cough
Private room with negative pressure
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
C Diff( Clostridium difficle)

3. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

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

5. When should you use Airborne Precautions
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
Contact which are gloves and gown - Toes - wet - warm - spots
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

6. What kind of diet is needed for a PT with hepatitis A
Gloves - Goggles and a face shield
Pink red maculopapules
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A diet high in calories and low fat

7. Which pt's can't the pregnant nurse care for
Mask will 3 feet
COPD + Negative pressure room = Keep together
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A diet high in calories and low fat

8. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Feces of infected people or animals
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

9. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Deet spray
Swelling and tenderness of one or more salivary glands
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

10. What precaution are needed for Scabies pt
EBOLI - MARBAR - CRIMEAN CONGO
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

11. What are the characteristics of Mumps
A consent form to be signed for Hep B - C and HIV
Wash their hands before and after handling pets
Swelling and tenderness of one or more salivary glands
Glanders - Lassa

12. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Kopliks spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Small pox

13. 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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Wash their hands before and after handling pets
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

14. What should you do if the c diff is linked to an ATB
Nothing unless the pt is in isolation
Contact which are gloves and gown - Toes - wet - warm - spots
Mask will 3 feet
DISCONTINUE The ATB

15. How is Hep A spread
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

16. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

17. What is a GUAIAC test?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Fecal/oral
A test to decect fecal occult blood assess for hidden blood in stool
Feces of infected people or animals

18. What patients need Droplet precautions?

19. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB
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
A

20. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Deet spray

21. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
C Diff( Clostridium difficle)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Maculopapular rash and vesicular scabs

22. When To USE STAndARD PRECAUTIONS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Gloves 2.Goggles 3.Gown 4.Mask

23. What should you wash the toilet seat with
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
Bleach

24. patient what kind of room they should stay
N - V - D and Abd pain
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private rooms or patient with same organisms
A diet high in calories and low fat

25. Where can you find Salmonella
Lindane - Crotmiton - Permethrine
Feces of infected people or animals
An order for and Anti Diarrhea med like Imodium
Gown and gloves and disinfectant all the equipments

26. What are the Ni for Pertussis?
Rest - warm - humid air
A
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

27. What should you wear when taking a pt's VS?
Contaminated food and water
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
Nothing unless the pt is in isolation
Those with liver problems and pregnant women

28. How is Salmonella transmitted
Nothing unless the pt is in isolation
A test to decect fecal occult blood assess for hidden blood in stool
DISCONTINUE The ATB
Contaminated food and water

29. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
An order for and Anti Diarrhea med like Imodium
Blue - Blue - green - GREEN means negative
Gloves

30. When is a pt w/measles most contagious?
Pencillins - Cephalosporins - Clindamycin
-- 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
Before the rash appears
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

31. BLEEDING PRECAUTION Patient. These Patients Who Are On...
COPD + Negative pressure room = Keep together
Dry cough
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

32. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wrist ankles Palms - soles Forearm

33. 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
EBOLI - MARBAR - CRIMEAN CONGO
Private rooms or patient with same organisms
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

34. When CAN INFECTED Patient LEAVE TheIR ROOM
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
Those with liver problems and pregnant women
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.
Wrist ankles Palms - soles Forearm

35. What are the char. of German measles( Rubella)
Pink red maculopapules
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
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.
Gloves

36. Droplet precautions
Examples: Airborne - droplet - contact or standard
Mask will 3 feet
Wrist ankles Palms - soles Forearm
C Diff( Clostridium difficle)

37. What are char of Pertussis( whooping cough)
Dry cough
Private room with negative pressure
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

38. Transferring Patient BETWEEN WARDS
Oral Flagyl and and Vancomycin
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

39. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Bleach
Maculopapular rash and vesicular scabs
Contaminated food and water

40. When dealing w/ a Droplet percautions pt they require
Pink red maculopapules
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

41. Who needs Standard - Airbourne and Contact precautions
Small pox
Bleach
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
A test to decect fecal occult blood assess for hidden blood in stool

42. WHen should you use standard percautions
Swelling and tenderness of one or more salivary glands
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Gloves - gown - goggles and mask - Everything
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

43. What are the major ATB associated w/ c diff
Gloves - Goggles and a face shield
Chef
Pencillins - Cephalosporins - Clindamycin
Oral Flagyl and and Vancomycin

44. What is the order for putting on personal protective gear?
EBOLI - MARBAR - CRIMEAN CONGO
Contaminated food and water
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves

45. How can you stop the spread of c diff

46. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
COPD + Negative pressure room = Keep together
Mask will 3 feet
Glanders - Lassa

47. What pt's would be ok for a pregnant nurse to care for
Contaminated food and water
Small pox
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

48. What should you wear if blood is spurting?
Lindane - Crotmiton - Permethrine
Before the rash appears
Gown and gloves and disinfectant all the equipments
Gloves - gown - goggles and mask - Everything

49. Who needs Standard and Contact precautions (SC)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
PRIVATE - NEGATIVE PRESSURE ROOM
A

50. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
People w/ egg allergies - pregnant - illness or fever
DISCONTINUE The ATB
Private rooms or patient with same organisms