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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 the nurse immediately do if she stuck by a used needle?
A diet high in calories and low fat
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves
Kopliks spots

2. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

3. What should you do if the c diff is linked to an 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
Blue - Blue - green - GREEN means negative
DISCONTINUE The ATB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

4. What are the S/S for Botulism
Fecal/oral
N - V - D and Abd pain
DISCONTINUE The ATB
Lindane - Crotmiton - Permethrine

5. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Gown and gloves and disinfectant all the equipments
People w/ egg allergies - pregnant - illness or fever
Contaminated food and water

6. Which Patient NEED To ISOLATE
Gloves - gown - goggles and mask - Everything
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
C Diff( Clostridium difficle)

7. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Gown and gloves and disinfectant all the equipments
Lindane - Crotmiton - Permethrine
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

8. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Lindane - Crotmiton - Permethrine
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
EBOLI - MARBAR - CRIMEAN CONGO
Swelling and tenderness of one or more salivary glands

9. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
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
Before the rash appears
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

10. What should a Contact Precaution pt have
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Nothing unless the pt is in isolation

11. How can you stop the spread of c diff

12. Rule: DISCHARGE DURING AN EMERGENCY
A diet high in calories and low fat
Private rooms or patient with same organisms
Bleach
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

13. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves - Goggles and a face shield
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
An order for and Anti Diarrhea med like Imodium

14. What should you wear when drawing blood
Oral Flagyl and and Vancomycin
Wrist ankles Palms - soles Forearm
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

15. What is a GUAIAC test?
Before the rash appears
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A test to decect fecal occult blood assess for hidden blood in stool
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

16. What are the characteristics of Mumps
Examples: Airborne - droplet - contact or standard
Swelling and tenderness of one or more salivary glands
Rocky mountain fever and Lymes disease
Lindane - Crotmiton - Permethrine

17. What is the tx for Scabies
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Maculopapular rash and vesicular scabs
An order for and Anti Diarrhea med like Imodium
Lindane - Crotmiton - Permethrine

18. What is warn when suctioning?
Gloves - Goggles and a face shield
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.
PRIVATE - NEGATIVE PRESSURE ROOM
Swelling and tenderness of one or more salivary glands

19. What should you wear when taking a pt's VS?
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.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
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

20. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

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

22. 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
Nausea - diarrhea and fatigue for up to 28 days
DISCONTINUE The ATB
Pink red maculopapules

23. Who needs Standard and Contact precautions (SC)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

24. What should you teach pt's to wear for protect themselves against Lyme disease
C Diff( Clostridium difficle)
Gloves
Feces of infected people or animals
Deet spray

25. How would you take off Personal protective gear?
Pencillins - Cephalosporins - Clindamycin
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Gloves 2.Goggles 3.Gown 4.Mask
An order for and Anti Diarrhea med like Imodium

26. What precaution are needed for Scabies pt
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Contact which are gloves and gown - Toes - wet - warm - spots
-- 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

27. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Bleach
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

28. Droplet precautions
Nothing unless the pt is in isolation
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

29. Who shouldn't get the Chicken pox vaccine

30. DON'T TRANSFER Which Patient
Kopliks spots
An order for and Anti Diarrhea med like Imodium
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Maculopapular rash and vesicular scabs

31. When dealing w/ a Droplet percautions pt they require
1St provide care 2nd notify MD ( medical doctor
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
Oral Flagyl and and Vancomycin
Maculopapular rash and vesicular scabs

32. Who should get the chicken pox vaccine
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gown and gloves and disinfectant all the equipments
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

33. When should you use Airborne Precautions
PRIVATE - NEGATIVE PRESSURE ROOM
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

34. WHen should you use standard percautions
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.
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

35. Transferring Patient BETWEEN WARDS
Contaminated food and water
Fecal/oral
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

36. INTERVENTION FOR PREVENT ASPIRATION
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
N - V - D and Abd pain
A consent form to be signed for Hep B - C and HIV

37. After getting the Varicella vacc who should you teach pt's to avoid
Rocky mountain fever and Lymes disease
1.Gloves 2.Goggles 3.Gown 4.Mask
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
An order for and Anti Diarrhea med like Imodium

38. GENERAL RuleS FOR VACCINES
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

39. How is Hep A spread
People w/ egg allergies - pregnant - illness or fever
Examples: Airborne - droplet - contact or standard
A test to decect fecal occult blood assess for hidden blood in stool
Fecal/oral

40. What other ATB might be prescribed to treat c diff
Deet spray
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Oral Flagyl and and Vancomycin

41. What patients need Droplet precautions?

42. What are the major ATB associated w/ c diff
Swelling and tenderness of one or more salivary glands
People w/ egg allergies - pregnant - illness or fever
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pencillins - Cephalosporins - Clindamycin

43. What would you question with a c diff pt
Blue - Blue - green - GREEN means negative
An order for and Anti Diarrhea med like Imodium
1.Gloves 2.Goggles 3.Gown 4.Mask
A consent form to be signed for Hep B - C and HIV

44. What are common side effects of PPE
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Nausea - diarrhea and fatigue for up to 28 days
Wrist ankles Palms - soles Forearm
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

45. How is c diff transmitted?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Contact which are gloves and gown - Toes - wet - warm - spots
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

46. What should you wear if blood is spurting?
N - V - D and Abd pain
Pencillins - Cephalosporins - Clindamycin
Gloves - gown - goggles and mask - Everything
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

47. What is the most dangerous type of Hep?
Wash their hands before and after handling pets
A
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Examples: Airborne - droplet - contact or standard

48. Which Patient CAN KEEP In The SAME ROOM
Gloves - gown - goggles and mask - Everything
COPD + Negative pressure room = Keep together
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

49. Who shouldn't get the measles vacc
Gown and gloves and disinfectant all the equipments
Nothing unless the pt is in isolation
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
People w/ egg allergies - pregnant - illness or fever

50. Where can you find Salmonella
Gloves - Goggles and a face shield
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
Rocky mountain fever and Lymes disease
Feces of infected people or animals