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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 the school teacher teach kids handleing pets
Wash their hands before and after handling pets
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
Private room with negative pressure

2. 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
-- 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
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
C Diff( Clostridium difficle)

3. What is the most common cause of ATB associated diarrhea
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard
A
C Diff( Clostridium difficle)

4. What colors indicate blood in the stool when doing GUAIAC test
Small pox
Blue - Blue - green - GREEN means negative
Gown and gloves and disinfectant all the equipments
Dry cough

5. How is c diff transmitted?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

6. What are the Ni for Pertussis?
Dry cough
Small pox
Rest - warm - humid air
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

7. Identify the type of precaution required
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Examples: Airborne - droplet - contact or standard
Private room with negative pressure

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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves - gown - goggles and mask - Everything

9. What pt's would be ok for a pregnant nurse to care for
Gloves - Goggles and a face shield
HIV - HEP B - C - Cytmegalovirus
Feces of infected people or animals
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

10. Rule: DISCHARGE DURING AN EMERGENCY
Private room with negative pressure
Glanders - Lassa
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A diet high in calories and low fat

11. 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
1.Gloves 2.Goggles 3.Gown 4.Mask
Private room with negative pressure
Rocky mountain fever and Lymes disease

12. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
DISCONTINUE The ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

13. What is the most dangerous type of Hep?
Nothing unless the pt is in isolation
Glanders - Lassa
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A

14. What are the char. of German measles( Rubella)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pink red maculopapules
Oral Flagyl and and Vancomycin
Examples: Airborne - droplet - contact or standard

15. Rabies pt's would need

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16. What should you wear if blood is spurting?
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
Gloves - gown - goggles and mask - Everything
EBOLI - MARBAR - CRIMEAN CONGO
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

17. Transferring Patient BETWEEN WARDS
Gown and gloves and disinfectant all the equipments
A diet high in calories and low fat
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease

18. What kind of room would an Airborne precaution pt need
Small pox
Gown and gloves and disinfectant all the equipments
PRIVATE - NEGATIVE PRESSURE ROOM
Fecal/oral

19. 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
A
PRIVATE - NEGATIVE PRESSURE ROOM
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

20. What is the two diseased caused by ticks
Contaminated food and water
Rocky mountain fever and Lymes disease
Those with liver problems and pregnant women
HIV - HEP B - C - Cytmegalovirus

21. What would you question with a c diff pt
Gown and gloves and disinfectant all the equipments
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
An order for and Anti Diarrhea med like Imodium
Fecal/oral

22. What patients need Droplet precautions?

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23. INTERVENTION FOR PREVENT ASPIRATION
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Private room with negative pressure
Gloves

24. Who needs Standard - Airbourne and Contact precautions
Before the rash appears
Small pox
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

25. DON'T TRANSFER Which Patient
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.. 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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

26. Who should get the chicken pox vaccine
Gloves - gown - goggles and mask - Everything
Gown and gloves and disinfectant all the equipments
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

27. Droplet precautions
Mask will 3 feet
Small pox
HIV - HEP B - C - Cytmegalovirus
DISCONTINUE The ATB

28. What should you wear when drawing blood
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves
An order for and Anti Diarrhea med like Imodium

29. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
EBOLI - MARBAR - CRIMEAN CONGO
Gloves - Goggles and a face shield
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

30. patient what kind of room they should stay
Private rooms or patient with same organisms
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

31. When To USE STAndARD PRECAUTIONS
Blue - Blue - green - GREEN means negative
Mask will 3 feet
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

32. What should you do if the c diff is linked to an ATB
-- 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
C Diff( Clostridium difficle)
DISCONTINUE The ATB
Examples: Airborne - droplet - contact or standard

33. Where can you find Salmonella
Pink red maculopapules
EBOLI - MARBAR - CRIMEAN CONGO
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
Feces of infected people or animals

34. What are the S/S for Botulism
N - V - D and Abd pain
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
EBOLI - MARBAR - CRIMEAN CONGO
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

35. What are the characteristics of Mumps
EBOLI - MARBAR - CRIMEAN CONGO
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Swelling and tenderness of one or more salivary glands

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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37. When dealing w/ a Droplet percautions pt they require
A test to decect fecal occult blood assess for hidden blood in stool
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
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
Examples: Airborne - droplet - contact or standard

38. What are common side effects of PPE
Small pox
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Nausea - diarrhea and fatigue for up to 28 days
EBOLI - MARBAR - CRIMEAN CONGO

39. After a bloodborne pathogen exposure what should be done later?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rest - warm - humid air
Gloves - gown - goggles and mask - Everything

40. How is Salmonella transmitted
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Private room with negative pressure
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

41. What should you wash the toilet seat with
-- 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
Bleach
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Blue - Blue - green - GREEN means negative

42. What should you have the patient sign after being stuck by a needle?
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 consent form to be signed for Hep B - C and HIV
Gloves
An order for and Anti Diarrhea med like Imodium

43. What type of job should a person with hepatitis never have
Contact which are gloves and gown - Toes - wet - warm - spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A test to decect fecal occult blood assess for hidden blood in stool
Chef

44. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
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
Deet spray
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

45. What other ATB might be prescribed to treat c diff
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Oral Flagyl and and Vancomycin
Gloves - gown - goggles and mask - Everything
Rest - warm - humid air

46. Infected Air - borne precaution
1St provide care 2nd notify MD ( medical doctor
Private room with negative pressure
Blue - Blue - green - GREEN means negative
EBOLI - MARBAR - CRIMEAN CONGO

47. If aptient is going to surgery do not give them
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rocky mountain fever and Lymes disease

48. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
C Diff( Clostridium difficle)
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor

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

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50. Which Patient CAN KEEP In The SAME ROOM
Those with liver problems and pregnant women
COPD + Negative pressure room = Keep together
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)