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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. Rule: Transferring PEDS Patient To MS (MED SURGE)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Glanders - Lassa
Examples: Airborne - droplet - contact or standard
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

2. INTERVENTION FOR PREVENT ASPIRATION
Maculopapular rash and vesicular scabs
Feces of infected people or animals
Mask will 3 feet
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

3. What are the char. of German measles( Rubella)
Contact which are gloves and gown - Toes - wet - warm - spots
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
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

4. GENERAL RuleS FOR VACCINES
Bleach
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
Gown and gloves and disinfectant all the equipments
Kopliks spots

5. What is the two diseased caused by ticks
Dry cough
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease
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

6. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Wash their hands before and after handling pets
A consent form to be signed for Hep B - C and HIV
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
1St provide care 2nd notify MD ( medical doctor

7. Who shouldn't get the measles vacc
Glanders - Lassa
People w/ egg allergies - pregnant - illness or fever
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
Maculopapular rash and vesicular scabs

8. What should you teach pt's to wear for protect themselves against Lyme disease
Contaminated food and water
Deet spray
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Wash their hands before and after handling pets

9. How would you take off Personal protective gear?
Nothing unless the pt is in isolation
1.Gloves 2.Goggles 3.Gown 4.Mask
Fecal/oral
C Diff( Clostridium difficle)

10. Rabies pt's would need

11. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
C Diff( Clostridium difficle)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

12. Contact Precautions
A test to decect fecal occult blood assess for hidden blood in stool
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Pencillins - Cephalosporins - Clindamycin
Gown and gloves and disinfectant all the equipments

13. What should you do if the c diff is linked to an ATB
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
DISCONTINUE The ATB

14. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private rooms or patient with same organisms
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

15. Who is not able to start PPE
Deet spray
Those with liver problems and pregnant women
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
Dry cough

16. Identify the type of precaution required
Deet spray
Examples: Airborne - droplet - contact or standard
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

17. What colors indicate blood in the stool when doing GUAIAC test
Dry cough
Blue - Blue - green - GREEN means negative
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.
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

18. Droplet precautions
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Mask will 3 feet

19. When is a pt w/measles most contagious?
Before the rash appears
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A

20. What pt's would be ok for a pregnant nurse to care for
A test to decect fecal occult blood assess for hidden blood in stool
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
HIV - HEP B - C - Cytmegalovirus
1St provide care 2nd notify MD ( medical doctor

21. What should you wear when taking a pt's VS?
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Nothing unless the pt is in isolation
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

22. What are common side effects of PPE
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
DISCONTINUE The ATB
N - V - D and Abd pain
Nausea - diarrhea and fatigue for up to 28 days

23. What are the S/S for Botulism
1.Gloves 2.Goggles 3.Gown 4.Mask
-- 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
N - V - D and Abd pain
Contact which are gloves and gown - Toes - wet - warm - spots

24. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Small pox
EBOLI - MARBAR - CRIMEAN CONGO
Pink red maculopapules
1.Gloves 2.Goggles 3.Gown 4.Mask

25. How is c diff transmitted?
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
Gloves
Gloves - gown - goggles and mask - Everything
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

26. What are the Ni for Pertussis?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets
Rest - warm - humid air
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

27. Who should get the chicken pox vaccine
- 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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

28. What kind of diet is needed for a PT with hepatitis A
Chef
Bleach
A diet high in calories and low fat
COPD + Negative pressure room = Keep together

29. What is warn when suctioning?
1.Gloves 2.Goggles 3.Gown 4.Mask
An order for and Anti Diarrhea med like Imodium
Gloves - Goggles and a face shield
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

30. What type of job should a person with hepatitis never have
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
COPD + Negative pressure room = Keep together

31. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm
Rest - warm - humid air

32. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

33. What should the school teacher teach kids handleing pets
Rest - warm - humid air
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets
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

34. 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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

35. How is Salmonella transmitted
Contaminated food and water
Fecal/oral
PRIVATE - NEGATIVE PRESSURE ROOM
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

36. When dealing w/ a Droplet percautions pt they require
An order for and Anti Diarrhea med like Imodium
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
Private rooms or patient with same organisms
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

37. What would you question with a c diff pt
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
An order for and Anti Diarrhea med like Imodium
Chef
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

38. After getting the Varicella vacc who should you teach pt's to avoid
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash their hands before and after handling pets
Mask will 3 feet

39. How is Hep A spread
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
People w/ egg allergies - pregnant - illness or fever
Fecal/oral
C Diff( Clostridium difficle)

40. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Dry cough
-- 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
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

41. Transferring Patient BETWEEN WARDS
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.. 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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gloves

42. Which Patient CAN KEEP In The SAME ROOM
Rest - warm - humid air
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
COPD + Negative pressure room = Keep together

43. What should the nurse immediately do if she stuck by a used needle?
Rest - warm - humid air
-- 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
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

44. patient what kind of room they should stay
Private rooms or patient with same organisms
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
EBOLI - MARBAR - CRIMEAN CONGO
N - V - D and Abd pain

45. What is the tx for Scabies
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Lindane - Crotmiton - Permethrine

46. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Bleach
A consent form to be signed for Hep B - C and HIV

47. If aptient is going to surgery do not give them
Pink red maculopapules
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contaminated food and water
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

48. Where can you find Salmonella
Contact which are gloves and gown - Toes - wet - warm - spots
Deet spray
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
Feces of infected people or animals

49. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
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)
Lindane - Crotmiton - Permethrine
Gloves - gown - goggles and mask - Everything

50. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
1.Gloves 2.Goggles 3.Gown 4.Mask
-- 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