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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 would you question with a c diff pt
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
An order for and Anti Diarrhea med like Imodium
Contaminated food and water
Private rooms or patient with same organisms

2. DON'T TRANSFER Which Patient
Private room with negative pressure
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
Contaminated food and water
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

3. How can you prevent Salmonella
People w/ egg allergies - pregnant - illness or fever
Those with liver problems and pregnant women
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs

4. Which Patient NEED To ISOLATE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
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
Gloves

5. Who needs Standard Contact and Droplet precautions
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Deet spray
Glanders - Lassa
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

6. Who should get the chicken pox vaccine
Lindane - Crotmiton - Permethrine
Pink red maculopapules
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

7. INTERVENTION FOR PREVENT ASPIRATION
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
COPD + Negative pressure room = Keep together

8. 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.
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
COPD + Negative pressure room = Keep together
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

9. How would you take off Personal protective gear?
1St provide care 2nd notify MD ( medical doctor
1.Gloves 2.Goggles 3.Gown 4.Mask
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
Gloves - gown - goggles and mask - Everything

10. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
1.Gloves 2.Goggles 3.Gown 4.Mask
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

11. How is c diff transmitted?
Wrist ankles Palms - soles Forearm
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Pink red maculopapules

12. What should you wear when drawing blood
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms
Gloves
Chef

13. What is warn when suctioning?
Gown and gloves and disinfectant all the equipments
A
Gloves - Goggles and a face shield
EBOLI - MARBAR - CRIMEAN CONGO

14. When should you use Airborne Precautions
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
Wash their hands before and after handling pets

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

16. Identify the type of precaution required
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
-- 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
Examples: Airborne - droplet - contact or standard

17. Who needs Standard and Contact precautions (SC)
Examples: Airborne - droplet - contact or standard
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Deet spray
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

18. What are characteristics of Measles (Rubeola)
Rest - warm - humid air
Lindane - Crotmiton - Permethrine
Kopliks spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

19. When is a pt w/measles most contagious?
Blue - Blue - green - GREEN means negative
PRIVATE - NEGATIVE PRESSURE ROOM
People w/ egg allergies - pregnant - illness or fever
Before the rash appears

20. When To USE STAndARD PRECAUTIONS
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
PRIVATE - NEGATIVE PRESSURE ROOM
People w/ egg allergies - pregnant - illness or fever
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

21. Where would you see a rash w/ Rocky mountain spotted fever?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wrist ankles Palms - soles Forearm

22. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
1St provide care 2nd notify MD ( medical doctor
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative

23. How is Hep A spread
Fecal/oral
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
PRIVATE - NEGATIVE PRESSURE ROOM

24. 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
Wash their hands before and after handling pets
Rocky mountain fever and Lymes disease
HIV - HEP B - C - Cytmegalovirus

25. Rule: DISCHARGE DURING AN EMERGENCY
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gown and gloves and disinfectant all the equipments
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Private rooms or patient with same organisms

26. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Wash their hands before and after handling pets
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1St provide care 2nd notify MD ( medical doctor
Gown and gloves and disinfectant all the equipments

27. What are common side effects of PPE
HIV - HEP B - C - Cytmegalovirus
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
Nausea - diarrhea and fatigue for up to 28 days

28. What should a Contact Precaution pt have
A diet high in calories and low fat
Nothing unless the pt is in isolation
Private room with negative pressure
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

29. What patients need Droplet precautions?

30. How can you stop the spread of c diff

31. Rule: Transferring PEDS Patient To MS (MED SURGE)
Private room with negative pressure
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Examples: Airborne - droplet - contact or standard
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

32. What is the order for putting on personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Deet spray

33. Infected Air - borne precaution
Private room with negative pressure
Gloves
-- 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
Chef

34. When dealing w/ a Droplet percautions pt they require
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
Rest - warm - humid air
A
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

35. Who shouldn't get the Chicken pox vaccine

36. What kind of diet is needed for a PT with hepatitis A
Pink red maculopapules
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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 diet high in calories and low fat

37. What should you wear if blood is spurting?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Deet spray
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

38. What colors indicate blood in the stool when doing GUAIAC test
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
Blue - Blue - green - GREEN means negative
Contact which are gloves and gown - Toes - wet - warm - spots

39. 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
Blue - Blue - green - GREEN means negative
An order for and Anti Diarrhea med like Imodium
Chef

40. What is the most dangerous type of Hep?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
A
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

41. What should you do if the c diff is linked to an ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
DISCONTINUE The ATB
Pink red maculopapules
Gloves

42. Where can you find Salmonella
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Feces of infected people or animals
Lindane - Crotmiton - Permethrine
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

43. 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
Gown and gloves and disinfectant all the equipments
Small pox
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

44. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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 is a GUAIAC test?
COPD + Negative pressure room = Keep together
A
Rest - warm - humid air
A test to decect fecal occult blood assess for hidden blood in stool

46. What should you wear when taking a pt's VS?
Swelling and tenderness of one or more salivary glands
Nothing unless the pt is in isolation
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
Glanders - Lassa

47. What should you teach pt's to wear for protect themselves against Lyme disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Deet spray
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

48. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A diet high in calories and low fat
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

49. What are char of Pertussis( whooping cough)
Private rooms or patient with same organisms
Those with liver problems and pregnant women
Lindane - Crotmiton - Permethrine
Dry cough

50. WHen should you use standard percautions
N - V - D and Abd pain
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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