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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 drawing blood
Small pox
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gloves
Chef

2. If aptient is going to surgery do not give them
1.Gloves 2.Goggles 3.Gown 4.Mask
Chef
C Diff( Clostridium difficle)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

3. What should you wear when taking a pt's VS?
Gloves - Goggles and a face shield
EBOLI - MARBAR - CRIMEAN CONGO
Maculopapular rash and vesicular scabs
Nothing unless the pt is in isolation

4. What is warn when suctioning?
Swelling and tenderness of one or more salivary glands
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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 - Goggles and a face shield

5. Droplet precautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Mask will 3 feet
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

6. How would you take off Personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Maculopapular rash and vesicular scabs
1.Gloves 2.Goggles 3.Gown 4.Mask
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

7. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Bleach
Swelling and tenderness of one or more salivary glands
EBOLI - MARBAR - CRIMEAN CONGO

8. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
EBOLI - MARBAR - CRIMEAN CONGO
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
N - V - D and Abd pain

9. What other ATB might be prescribed to treat c diff
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative
A test to decect fecal occult blood assess for hidden blood in stool
Oral Flagyl and and Vancomycin

10. What is the tx for Scabies
A consent form to be signed for Hep B - C and HIV
Pink red maculopapules
Gown and gloves and disinfectant all the equipments
Lindane - Crotmiton - Permethrine

11. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
Bleach
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

12. What are the Ni for Pertussis?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Kopliks spots
Rest - warm - humid air
Mask will 3 feet

13. Where can you find Salmonella
Rest - warm - humid air
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Feces of infected people or animals
Private rooms or patient with same organisms

14. 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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contact which are gloves and gown - Toes - wet - warm - spots
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

15. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
People w/ egg allergies - pregnant - illness or fever
A test to decect fecal occult blood assess for hidden blood in stool
Private rooms or patient with same organisms

16. INTERVENTION FOR PREVENT ASPIRATION
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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 test to decect fecal occult blood assess for hidden blood in stool
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

17. What kind of diet is needed for a PT with hepatitis A
Deet spray
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A diet high in calories and low fat

18. Identify the type of precaution required
Lindane - Crotmiton - Permethrine
Chef
Examples: Airborne - droplet - contact or standard
Oral Flagyl and and Vancomycin

19. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
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.
Pencillins - Cephalosporins - Clindamycin
Feces of infected people or animals

20. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
HIV - HEP B - C - Cytmegalovirus
Dry cough
Maculopapular rash and vesicular scabs

21. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

22. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1St provide care 2nd notify MD ( medical doctor

23. Who needs Standard - Airbourne and Contact precautions
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nothing unless the pt is in isolation
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Small pox

24. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Examples: Airborne - droplet - contact or standard
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - gown - goggles and mask - Everything
1St provide care 2nd notify MD ( medical doctor

25. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Oral Flagyl and and Vancomycin
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

26. Rabies pt's would need

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27. What are characteristics of Measles (Rubeola)
A
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Kopliks spots
Gloves - gown - goggles and mask - Everything

28. What should the school teacher teach kids handleing pets
Gloves
Wash their hands before and after handling pets
Mask will 3 feet
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

29. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Pink red maculopapules
-- 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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A

30. Who should get the chicken pox vaccine
Gloves - Goggles and a face shield
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus

31. To be most effective when should postexposure prophylaxis (PPE) be started?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gown and gloves and disinfectant all the equipments
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

32. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
COPD + Negative pressure room = Keep together
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Contact which are gloves and gown - Toes - wet - warm - spots

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

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34. When is a pt w/measles most contagious?
Contaminated food and water
People w/ egg allergies - pregnant - illness or fever
Before the rash appears
Maculopapular rash and vesicular scabs

35. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Those with liver problems and pregnant women

36. Which Patient CAN KEEP In The SAME ROOM
Deet spray
COPD + Negative pressure room = Keep together
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.Gloves 2.Goggles 3.Gown 4.Mask

37. What patients need Droplet precautions?

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38. What kind of room would an Airborne precaution pt need
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
Rocky mountain fever and Lymes disease
PRIVATE - NEGATIVE PRESSURE ROOM

39. What are common side effects of PPE
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nausea - diarrhea and fatigue for up to 28 days
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

40. What are char of Pertussis( whooping cough)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Glanders - Lassa
Bleach
Dry cough

41. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Examples: Airborne - droplet - contact or standard
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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

42. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

43. Who shouldn't get the measles vacc
Gloves - gown - goggles and mask - Everything
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
People w/ egg allergies - pregnant - illness or fever

44. How can you stop the spread of c diff

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45. WHen should you use standard percautions
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

46. patient what kind of room they should stay
A test to decect fecal occult blood assess for hidden blood in stool
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms
Contact which are gloves and gown - Toes - wet - warm - spots

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

48. Which Patient NEED To ISOLATE
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

49. Contact Precautions
Maculopapular rash and vesicular scabs
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
Gown and gloves and disinfectant all the equipments
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

50. What should you wash the toilet seat with
A diet high in calories and low fat
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Bleach
Pencillins - Cephalosporins - Clindamycin