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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 are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Bleach
Private rooms or patient with same organisms
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

2. Infected Air - borne precaution
1St provide care 2nd notify MD ( medical doctor
Private room with negative pressure
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contaminated food and water

3. What should you do if the c diff is linked to an ATB
Gown and gloves and disinfectant all the equipments
Chef
-- 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
DISCONTINUE The ATB

4. What is warn when suctioning?
DISCONTINUE The ATB
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
Examples: Airborne - droplet - contact or standard

5. Rule: Transferring ADULT To PEDIATRIC WARDS
A
PRIVATE - NEGATIVE PRESSURE ROOM
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

6. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Rocky mountain fever and Lymes disease
Bleach
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

7. DON'T TRANSFER Which Patient
Pencillins - Cephalosporins - Clindamycin
Oral Flagyl and and Vancomycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

8. Identify the type of precaution required
A diet high in calories and low fat
Examples: Airborne - droplet - contact or standard
Nausea - diarrhea and fatigue for up to 28 days
People w/ egg allergies - pregnant - illness or fever

9. What is the order for putting on personal protective gear?
C Diff( Clostridium difficle)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves - Goggles and a face shield
Fecal/oral

10. Transferring Patient BETWEEN WARDS
PRIVATE - NEGATIVE PRESSURE ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
C Diff( Clostridium difficle)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

11. Who is not able to start PPE
Those with liver problems and pregnant women
People w/ egg allergies - pregnant - illness or fever
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
COPD + Negative pressure room = Keep together

12. What type of job should a person with hepatitis never have
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. 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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Chef

13. 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
Nothing unless the pt is in isolation
EBOLI - MARBAR - CRIMEAN CONGO
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

14. What are the characteristics of Chicken pox Varicella?
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules
Maculopapular rash and vesicular scabs
An order for and Anti Diarrhea med like Imodium

15. What colors indicate blood in the stool when doing GUAIAC test
Maculopapular rash and vesicular scabs
Examples: Airborne - droplet - contact or standard
COPD + Negative pressure room = Keep together
Blue - Blue - green - GREEN means negative

16. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Wash their hands before and after handling pets
- 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

17. When dealing w/ a Droplet percautions pt they require
Feces of infected people or animals
N - V - D and Abd pain
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma

18. What are char of Pertussis( whooping cough)
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
Fecal/oral
Dry cough
Gloves - Goggles and a face shield

19. When CAN INFECTED Patient LEAVE TheIR ROOM
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
PRIVATE - NEGATIVE PRESSURE 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.
HIV - HEP B - C - Cytmegalovirus

20. After getting the Varicella vacc who should you teach pt's to avoid
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

21. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
People w/ egg allergies - pregnant - illness or fever
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
PRIVATE - NEGATIVE PRESSURE ROOM

22. How can you prevent Salmonella
Those with liver problems and pregnant women
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nothing unless the pt is in isolation
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

23. What kind of room would an Airborne precaution pt need
Swelling and tenderness of one or more salivary glands
PRIVATE - NEGATIVE PRESSURE ROOM
A test to decect fecal occult blood assess for hidden blood in stool
Rocky mountain fever and Lymes disease

24. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
A diet high in calories and low fat
Contaminated food and water
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

25. WHen should you use standard percautions
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

26. Who needs Standard - Airbourne and Contact precautions
Swelling and tenderness of one or more salivary glands
People w/ egg allergies - pregnant - illness or fever
Mask will 3 feet
Small pox

27. Rule: Transferring PEDS Patient To MS (MED SURGE)
Bleach
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Pencillins - Cephalosporins - Clindamycin
An order for and Anti Diarrhea med like Imodium

28. When To USE STAndARD PRECAUTIONS
Deet spray
Contact which are gloves and gown - Toes - wet - warm - spots
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

29. Who needs Standard and Contact precautions (SC)
Nothing unless the pt is in isolation
A diet high in calories and low fat
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

30. How is Salmonella transmitted
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Contaminated food and water
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB

31. To be most effective when should postexposure prophylaxis (PPE) be started?
Pink red maculopapules
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

32. After a bloodborne pathogen exposure what should be done later?
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard

33. 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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB

34. patient what kind of room they should stay
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
Chef
Private rooms or patient with same organisms
An order for and Anti Diarrhea med like Imodium

35. Where can you find Salmonella
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A consent form to be signed for Hep B - C and HIV
Feces of infected people or animals
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

37. What should a Contact Precaution pt have
A consent form to be signed for Hep B - C and HIV
A test to decect fecal occult blood assess for hidden blood in stool
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

38. GENERAL RuleS FOR VACCINES
An order for and Anti Diarrhea med like Imodium
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

39. What should you teach pt's to wear for protect themselves against Lyme disease
HIV - HEP B - C - Cytmegalovirus
DISCONTINUE The ATB
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

40. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Chef
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Glanders - Lassa

41. What would you question with a c diff pt
Bleach
Those with liver problems and pregnant women
1.Gloves 2.Goggles 3.Gown 4.Mask
An order for and Anti Diarrhea med like Imodium

42. What are the S/S for Botulism
Pink red maculopapules
1St provide care 2nd notify MD ( medical doctor
Those with liver problems and pregnant women
N - V - D and Abd pain

43. Who needs Standard Contact and Droplet precautions
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Swelling and tenderness of one or more salivary glands
Glanders - Lassa
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

44. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Maculopapular rash and vesicular scabs
1St provide care 2nd notify MD ( medical doctor
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

45. What is the most dangerous type of Hep?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Those with liver problems and pregnant women
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

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

47. What should you wear if blood is spurting?
Before the rash appears
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Dry cough
Gloves - gown - goggles and mask - Everything

48. What kind of diet is needed for a PT with hepatitis A
PRIVATE - NEGATIVE PRESSURE ROOM
A diet high in calories and low fat
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
-- 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

49. What are characteristics of Measles (Rubeola)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Kopliks spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

50. How is c diff transmitted?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wrist ankles Palms - soles Forearm