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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. patient what kind of room they should stay
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
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
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.

2. How can you stop the spread of c diff

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

4. What should you wear if blood is spurting?
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms
Gloves - gown - goggles and mask - Everything
HIV - HEP B - C - Cytmegalovirus

5. Identify the type of precaution required
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Examples: Airborne - droplet - contact or standard

6. Which Patient NEED To ISOLATE
Bleach
Rest - warm - humid air
Nothing unless the pt is in isolation
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

7. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - Goggles and a face shield
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Lindane - Crotmiton - Permethrine

8. What is the most common cause of ATB associated diarrhea
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
C Diff( Clostridium difficle)
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. Who needs Standard Contact and Droplet precautions
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
PRIVATE - NEGATIVE PRESSURE ROOM
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Glanders - Lassa

10. What are the char. of German measles( Rubella)
EBOLI - MARBAR - CRIMEAN CONGO
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
Maculopapular rash and vesicular scabs

11. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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
Rest - warm - humid air
Deet spray

12. When To USE STAndARD PRECAUTIONS
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Swelling and tenderness of one or more salivary glands
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

13. GENERAL RuleS FOR VACCINES
Kopliks spots
Deet spray
PRIVATE - NEGATIVE PRESSURE ROOM
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

14. What should you have the patient sign after being stuck by a needle?
Blue - Blue - green - GREEN means negative
Fecal/oral
A consent form to be signed for Hep B - C and HIV
Rest - warm - humid air

15. What is a GUAIAC test?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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 test to decect fecal occult blood assess for hidden blood in stool
Examples: Airborne - droplet - contact or standard

16. Who should get the chicken pox vaccine
COPD + Negative pressure room = Keep together
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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)

17. Who shouldn't get the Chicken pox vaccine

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18. Who needs Standard - Airbourne and Contact precautions
Rocky mountain fever and Lymes disease
-- 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
People w/ egg allergies - pregnant - illness or fever
Small pox

19. What are char of Pertussis( whooping cough)
Oral Flagyl and and Vancomycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Dry cough
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

20. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
Before the rash appears
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

21. Who is not able to start PPE
Lindane - Crotmiton - Permethrine
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
A diet high in calories and low fat
Those with liver problems and pregnant women

22. What should you do if the c diff is linked to an ATB
Feces of infected people or animals
Gown and gloves and disinfectant all the equipments
C Diff( Clostridium difficle)
DISCONTINUE The ATB

23. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Oral Flagyl and and Vancomycin
Gloves
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

24. What is the tx for Scabies
A test to decect fecal occult blood assess for hidden blood in stool
N - V - D and Abd pain
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Lindane - Crotmiton - Permethrine

25. What is the most dangerous type of Hep?
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
Private rooms or patient with same organisms
Fecal/oral

26. Rule: Transferring ADULT To PEDIATRIC WARDS
Swelling and tenderness of one or more salivary glands
Nausea - diarrhea and fatigue for up to 28 days
Gown and gloves and disinfectant all the equipments
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

27. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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28. What colors indicate blood in the stool when doing GUAIAC test
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Blue - Blue - green - GREEN means negative
Lindane - Crotmiton - Permethrine
PRIVATE - NEGATIVE PRESSURE ROOM

29. After getting the Varicella vacc who should you teach pt's to avoid
Wash their hands before and after handling pets
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
People w/ egg allergies - pregnant - illness or fever

30. What are the S/S for Botulism
Gown and gloves and disinfectant all the equipments
1.Gloves 2.Goggles 3.Gown 4.Mask
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
N - V - D and Abd pain

31. What is warn when suctioning?
Examples: Airborne - droplet - contact or standard
Lindane - Crotmiton - Permethrine
Gloves - Goggles and a face shield
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

32. What should a Contact Precaution pt have
Pencillins - Cephalosporins - Clindamycin
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

33. How is c diff transmitted?
Rest - warm - humid air
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Deet spray
A diet high in calories and low fat

34. Which Patient CAN KEEP In The SAME ROOM
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
Swelling and tenderness of one or more salivary glands
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

35. Where would you see a rash w/ Rocky mountain spotted fever?
A consent form to be signed for Hep B - C and HIV
Wrist ankles Palms - soles Forearm
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contact which are gloves and gown - Toes - wet - warm - spots

36. How is Salmonella transmitted
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

37. DON'T TRANSFER Which Patient
Pink red maculopapules
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach

38. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
EBOLI - MARBAR - CRIMEAN CONGO
A consent form to be signed for Hep B - C and HIV

39. 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Contaminated food and water

40. When should you use Airborne Precautions
Wrist ankles Palms - soles Forearm
Gloves - gown - goggles and mask - Everything
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Deet spray

41. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
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
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
EBOLI - MARBAR - CRIMEAN CONGO

42. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
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
Fecal/oral
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

43. 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
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

44. Which pt's can't the pregnant nurse care for
Those with liver problems and pregnant women
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine
DISCONTINUE The ATB

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

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46. What precaution are needed for Scabies pt
DISCONTINUE The ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact which are gloves and gown - Toes - wet - warm - spots
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

47. What is the order for putting on personal protective gear?
Deet spray
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

48. 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
Nothing unless the pt is in isolation
Wash their hands before and after handling pets
Oral Flagyl and and Vancomycin

49. If aptient is going to surgery do not give them
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
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

50. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Rocky mountain fever and Lymes disease
Oral Flagyl and and Vancomycin
-- 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