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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 teach pt's to wear for protect themselves against Lyme disease
Kopliks spots
Deet spray
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

2. What are characteristics of Measles (Rubeola)
Chef
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Kopliks spots
EBOLI - MARBAR - CRIMEAN CONGO

3. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
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
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

4. Infected Air - borne precaution
Private room with negative pressure
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Feces of infected people or animals
DISCONTINUE The ATB

5. Which pt's can't the pregnant nurse care for
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
HIV - HEP B - C - Cytmegalovirus
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

6. What patients need Droplet precautions?

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7. Contact Precautions
Glanders - Lassa
An order for and Anti Diarrhea med like Imodium
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments

8. After getting the Varicella vacc who should you teach pt's to avoid
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Pink red maculopapules
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

9. After a bloodborne pathogen exposure what should be done later?
Feces of infected people or animals
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Small pox
C Diff( Clostridium difficle)

10. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Glanders - Lassa
Bleach

11. What precaution are needed for Scabies pt
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact which are gloves and gown - Toes - wet - warm - spots
Kopliks spots
HIV - HEP B - C - Cytmegalovirus

12. When is a pt w/measles most contagious?
A consent form to be signed for Hep B - C and HIV
Before the rash appears
Gloves - Goggles and a face shield
Private room with negative pressure

13. What should a Contact Precaution pt have
HIV - HEP B - C - Cytmegalovirus
Gloves - gown - goggles and mask - Everything
Wrist ankles Palms - soles Forearm
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

14. What should you wear when taking a pt's VS?
Fecal/oral
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV
C Diff( Clostridium difficle)

15. What would you question with a c diff pt
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wash their hands before and after handling pets
An order for and Anti Diarrhea med like Imodium
Pencillins - Cephalosporins - Clindamycin

16. Droplet precautions
C Diff( Clostridium difficle)
Mask will 3 feet
COPD + Negative pressure room = Keep together
Deet spray

17. Where can you find Salmonella
Pencillins - Cephalosporins - Clindamycin
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Feces of infected people or animals
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

18. What should you do if the c diff is linked to an ATB
COPD + Negative pressure room = Keep together
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
DISCONTINUE The ATB
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. Identify the type of precaution required
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Examples: Airborne - droplet - contact or standard
Gloves - gown - goggles and mask - Everything
Those with liver problems and pregnant women

20. What should you wash the toilet seat with
COPD + Negative pressure room = Keep together
Private room with negative pressure
Wash their hands before and after handling pets
Bleach

21. What are the char. of German measles( Rubella)
Pink red maculopapules
Gloves
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

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

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23. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wrist ankles Palms - soles Forearm
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

24. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus
Maculopapular rash and vesicular scabs
-- 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

25. 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. 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
Glanders - Lassa
1.Gloves 2.Goggles 3.Gown 4.Mask

26. Who needs Standard Contact and Droplet precautions
Kopliks spots
A diet high in calories and low fat
Glanders - Lassa
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

27. What kind of room would an Airborne precaution pt need
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
COPD + Negative pressure room = Keep together
PRIVATE - NEGATIVE PRESSURE ROOM
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

28. Transferring Patient BETWEEN WARDS
Lindane - Crotmiton - Permethrine
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Examples: Airborne - droplet - contact or standard

29. Rule: Transferring PEDS Patient To MS (MED SURGE)
Mask will 3 feet
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

30. INTERVENTION FOR PREVENT ASPIRATION
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
N - V - D and Abd pain
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
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

31. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Feces of infected people or animals
PRIVATE - NEGATIVE PRESSURE ROOM
Mask will 3 feet

32. Who shouldn't get the measles vacc
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

33. BLEEDING PRECAUTION Patient. These Patients Who Are On...
HIV - HEP B - C - Cytmegalovirus
Private room with negative pressure
Glanders - Lassa
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

34. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Kopliks spots
Rocky mountain fever and Lymes disease
Small pox

35. Who needs Standard - Airbourne and Contact precautions
EBOLI - MARBAR - CRIMEAN CONGO
Small pox
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

36. If aptient is going to surgery do not give them
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
EBOLI - MARBAR - CRIMEAN CONGO

37. What are the Ni for Pertussis?
Rocky mountain fever and Lymes disease
Rest - warm - humid air
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Fecal/oral

38. What should you wear if blood is spurting?
Blue - Blue - green - GREEN means negative
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Rocky mountain fever and Lymes disease
Gloves - gown - goggles and mask - Everything

39. How is Hep A spread
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
Fecal/oral
Blue - Blue - green - GREEN means negative
Rest - warm - humid air

40. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Maculopapular rash and vesicular scabs
Feces of infected people or animals
DISCONTINUE The ATB

41. When dealing w/ a Droplet percautions pt they require
Maculopapular rash and vesicular scabs
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

42. DON'T TRANSFER Which Patient
A
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Kopliks spots

43. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
N - V - D and Abd pain
Maculopapular rash and vesicular scabs
Those with liver problems and pregnant women
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

44. Rabies pt's would need

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45. What is a GUAIAC test?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Mask will 3 feet
N - V - D and Abd pain
A test to decect fecal occult blood assess for hidden blood in stool

46. What are common side effects of PPE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nausea - diarrhea and fatigue for up to 28 days
Deet spray
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

47. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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. When should you use Airborne Precautions
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Fecal/oral
Gloves

49. What should the school teacher teach kids handleing pets
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
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.
Wrist ankles Palms - soles Forearm
Wash their hands before and after handling pets

50. Which Patient NEED To ISOLATE
Wrist ankles Palms - soles Forearm
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Small pox