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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 you wear when taking a pt's VS?
Nothing unless the pt is in isolation
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1St provide care 2nd notify MD ( medical doctor
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

2. What pt's would be ok for a pregnant nurse to care for
Mask will 3 feet
Nausea - diarrhea and fatigue for up to 28 days
HIV - HEP B - C - Cytmegalovirus
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

3. 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
Gloves
A consent form to be signed for Hep B - C and HIV
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.

4. What is warn when suctioning?
Gloves
Kopliks spots
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

5. 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
Fecal/oral
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A consent form to be signed for Hep B - C and HIV

6. What are the char. of German measles( Rubella)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Before the rash appears
Those with liver problems and pregnant women
Pink red maculopapules

7. Who needs Standard - Airbourne and Contact precautions
Small pox
Maculopapular rash and vesicular scabs
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Deet spray

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

9. Where can you find Salmonella
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Feces of infected people or animals
COPD + Negative pressure room = Keep together

10. Who should get the chicken pox vaccine
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
C Diff( Clostridium difficle)
Dry cough

11. Contact Precautions
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments
Blue - Blue - green - GREEN means negative
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

12. What are char of Pertussis( whooping cough)
A test to decect fecal occult blood assess for hidden blood in stool
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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

13. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves - gown - goggles and mask - Everything
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

14. What precaution are needed for Scabies pt
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact which are gloves and gown - Toes - wet - warm - spots
Small pox
Wrist ankles Palms - soles Forearm

15. What are the S/S for Botulism
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
N - V - D and Abd pain
Feces of infected people or animals

16. How would you take off Personal protective gear?
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.Gloves 2.Goggles 3.Gown 4.Mask
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

17. What are characteristics of Measles (Rubeola)
A
Kopliks spots
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

18. What should the school teacher teach kids handleing pets
N - V - D and Abd pain
Private rooms or patient with same organisms
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash their hands before and after handling pets

19. What are the Ni for Pertussis?
Gown and gloves and disinfectant all the equipments
Rest - warm - humid air
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Mask will 3 feet

20. WHen should you use standard percautions
-- 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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - Goggles and a face shield
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

21. Rule: Transferring PEDS Patient To MS (MED SURGE)
A consent form to be signed for Hep B - C and HIV
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

22. What should you wash the toilet seat with
Pencillins - Cephalosporins - Clindamycin
Bleach
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

23. If aptient is going to surgery do not give them
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.
Contaminated food and water
Oral Flagyl and and Vancomycin
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

24. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rest - warm - humid air
Contact which are gloves and gown - Toes - wet - warm - spots

25. What patients need Droplet precautions?

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26. Who needs Standard Contact and Droplet precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Kopliks spots
Glanders - Lassa
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.

27. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
DISCONTINUE The ATB
Nothing unless the pt is in isolation
-- 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

28. Transferring Patient BETWEEN WARDS
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
Gloves - gown - goggles and mask - Everything
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

29. After a bloodborne pathogen exposure what should be done later?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A

30. BLEEDING PRECAUTION Patient. These Patients Who Are On...
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Nausea - diarrhea and fatigue for up to 28 days
COPD + Negative pressure room = Keep together
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

31. How is Hep A spread
PRIVATE - NEGATIVE PRESSURE ROOM
Chef
Fecal/oral
Deet spray

32. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
DISCONTINUE The ATB
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

33. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Small pox
People w/ egg allergies - pregnant - illness or fever

34. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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35. What should you wear when drawing blood
Gloves
N - V - D and Abd pain
Fecal/oral
DISCONTINUE The ATB

36. What type of job should a person with hepatitis never have
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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.
Chef
Oral Flagyl and and Vancomycin

37. What is a GUAIAC test?
A diet high in calories and low fat
Those with liver problems and pregnant women
A test to decect fecal occult blood assess for hidden blood in stool
Before the rash appears

38. Which Patient NEED To ISOLATE
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.. 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
A
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

39. What are the characteristics of Chicken pox Varicella?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Chef
Maculopapular rash and vesicular scabs
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

40. How is Salmonella transmitted
Contaminated food and water
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
Those with liver problems and pregnant women
Pink red maculopapules

41. INTERVENTION FOR PREVENT ASPIRATION
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Lindane - Crotmiton - Permethrine
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

42. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Private room with negative pressure
1.Gloves 2.Goggles 3.Gown 4.Mask
Private rooms or patient with same organisms

43. Who shouldn't get the measles vacc
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
Fecal/oral
People w/ egg allergies - pregnant - illness or fever
HIV - HEP B - C - Cytmegalovirus

44. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus

45. Droplet precautions
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
Mask will 3 feet
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

46. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Kopliks spots
Nothing unless the pt is in isolation
-- 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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

47. What kind of diet is needed for a PT with hepatitis A
Rest - warm - humid air
A diet high in calories and low fat
Pencillins - Cephalosporins - Clindamycin
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

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

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49. What is the order for putting on personal protective gear?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

50. 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
Private rooms or patient with same organisms
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