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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. When is a pt w/measles most contagious?
Before the rash appears
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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. To be most effective when should postexposure prophylaxis (PPE) be started?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Lindane - Crotmiton - Permethrine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Maculopapular rash and vesicular scabs

3. Rule: Transferring ADULT To PEDIATRIC WARDS
People w/ egg allergies - pregnant - illness or fever
A
Deet spray
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

4. What type of job should a person with hepatitis never have
Examples: Airborne - droplet - contact or standard
Chef
Pink red maculopapules
Nausea - diarrhea and fatigue for up to 28 days

5. What kind of diet is needed for a PT with hepatitis A
Swelling and tenderness of one or more salivary glands
A diet high in calories and low fat
Gloves
People w/ egg allergies - pregnant - illness or fever

6. Infected Air - borne precaution
Bleach
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
Private room with negative pressure

7. What should you wash the toilet seat with
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Bleach
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

8. What pt's would be ok for a pregnant nurse to care for
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Mask will 3 feet
HIV - HEP B - C - Cytmegalovirus

9. When CAN INFECTED Patient LEAVE TheIR ROOM
EBOLI - MARBAR - CRIMEAN CONGO
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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.
Gloves - gown - goggles and mask - Everything

10. When should you use Airborne Precautions
PRIVATE - NEGATIVE PRESSURE ROOM
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
People w/ egg allergies - pregnant - illness or fever
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

11. Who shouldn't get the measles vacc
Feces of infected people or animals
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
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.

12. What colors indicate blood in the stool when doing GUAIAC test
Glanders - Lassa
Before the rash appears
Swelling and tenderness of one or more salivary glands
Blue - Blue - green - GREEN means negative

13. 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
Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
COPD + Negative pressure room = Keep together

14. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Wash their hands before and after handling pets
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

15. Transferring Patient BETWEEN WARDS
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Those with liver problems and pregnant women
Contact which are gloves and gown - Toes - wet - warm - spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

16. What should you do if the c diff is linked to an ATB
Nausea - diarrhea and fatigue for up to 28 days
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
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

17. Rabies pt's would need

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18. What should you wear when drawing blood
Swelling and tenderness of one or more salivary glands
Small pox
Contact which are gloves and gown - Toes - wet - warm - spots
Gloves

19. When To USE STAndARD PRECAUTIONS
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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Small pox

20. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
A consent form to be signed for Hep B - C and HIV
An order for and Anti Diarrhea med like Imodium
Chef

21. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
Gown and gloves and disinfectant all the equipments
An order for and Anti Diarrhea med like Imodium
Chef

22. What is the order for putting on personal protective gear?
Examples: Airborne - droplet - contact or standard
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

23. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Dry cough
Lindane - Crotmiton - Permethrine
Deet spray

24. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Those with liver problems and pregnant women
Nothing unless the pt is in isolation
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

25. Contact Precautions
HIV - HEP B - C - Cytmegalovirus
An order for and Anti Diarrhea med like Imodium
Contaminated food and water
Gown and gloves and disinfectant all the equipments

26. WHen should you use standard percautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Pink red maculopapules
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

27. What are common side effects of PPE
Wash their hands before and after handling pets
Nausea - diarrhea and fatigue for up to 28 days
Gloves - Goggles and a face shield
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

28. What kind of room would an Airborne precaution pt need
Rest - warm - humid air
PRIVATE - NEGATIVE PRESSURE ROOM
COPD + Negative pressure room = Keep together
Pencillins - Cephalosporins - Clindamycin

29. What should you wear if blood is spurting?
Gloves - Goggles and a face shield
Gloves - gown - goggles and mask - Everything
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Mask will 3 feet

30. 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
Lindane - Crotmiton - Permethrine
Chef
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

31. DON'T TRANSFER Which Patient
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Lindane - Crotmiton - Permethrine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

32. What is the most dangerous type of Hep?
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.
A
1St provide care 2nd notify MD ( medical doctor

33. Identify the type of precaution required
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
Those with liver problems and pregnant women
Examples: Airborne - droplet - contact or standard

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

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35. What are char of Pertussis( whooping cough)
Deet spray
Dry cough
Pink red maculopapules
Nothing unless the pt is in isolation

36. patient what kind of room they should stay
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
Mask will 3 feet
Private rooms or patient with same organisms

37. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Blue - Blue - green - GREEN means negative

38. What should you teach pt's to wear for protect themselves against Lyme disease
Mask will 3 feet
Deet spray
Kopliks spots
Private rooms or patient with same organisms

39. How is Salmonella transmitted
Bleach
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Contaminated food and water

40. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
COPD + Negative pressure room = Keep together
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Examples: Airborne - droplet - contact or standard

41. GENERAL RuleS FOR VACCINES
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
A
Pencillins - Cephalosporins - Clindamycin
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

42. What are characteristics of Measles (Rubeola)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Kopliks spots
Pink red maculopapules
Deet spray

43. What are the Ni for Pertussis?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contact which are gloves and gown - Toes - wet - warm - spots
DISCONTINUE The ATB
Rest - warm - humid air

44. Who needs Standard and Contact precautions (SC)
Those with liver problems and pregnant women
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rocky mountain fever and Lymes disease

45. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Mask will 3 feet
People w/ egg allergies - pregnant - illness or fever
1St provide care 2nd notify MD ( medical doctor
Feces of infected people or animals

46. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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47. How can you prevent Salmonella
A
People w/ egg allergies - pregnant - illness or fever
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wash their hands before and after handling pets

48. What are the major ATB associated w/ c diff
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool
Wrist ankles Palms - soles Forearm

49. How can you stop the spread of c diff

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50. How is c diff transmitted?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Pink red maculopapules