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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 are the characteristics of Chicken pox Varicella?
Nothing unless the pt is in isolation
Maculopapular rash and vesicular scabs
Pink red maculopapules
Gown and gloves and disinfectant all the equipments

2. Who needs Standard and Contact precautions (SC)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Small pox
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

3. What is the tx for Scabies
Nausea - diarrhea and fatigue for up to 28 days
Kopliks spots
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
Lindane - Crotmiton - Permethrine

4. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

5. Which Patient NEED To ISOLATE
Gloves - Goggles and a face shield
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
Those with liver problems and pregnant women

6. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private rooms or patient with same organisms
Contact which are gloves and gown - Toes - wet - warm - spots

7. If aptient is going to surgery do not give them
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Nothing unless the pt is in isolation
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

8. Who needs Standard Contact and Droplet precautions
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
Glanders - Lassa
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

9. INTERVENTION FOR PREVENT ASPIRATION
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
Private room with negative pressure
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

10. Who shouldn't get the measles vacc
Glanders - Lassa
People w/ egg allergies - pregnant - illness or fever
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Lindane - Crotmiton - Permethrine

11. What pt's would be ok for a pregnant nurse to care for
Maculopapular rash and vesicular scabs
HIV - HEP B - C - Cytmegalovirus
Examples: Airborne - droplet - contact or standard
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

12. Rabies pt's would need

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13. Where can you find Salmonella
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus
Feces of infected people or animals

14. When To USE STAndARD PRECAUTIONS
Those with liver problems and pregnant women
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
EBOLI - MARBAR - CRIMEAN CONGO

15. What should the school teacher teach kids handleing pets
Swelling and tenderness of one or more salivary glands
Wash their hands before and after handling pets
Glanders - Lassa
N - V - D and Abd pain

16. Who needs Standard - Airbourne and Contact precautions
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Nothing unless the pt is in isolation
Small pox
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

17. What is the most common cause of ATB associated diarrhea
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
C Diff( Clostridium difficle)
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
Private rooms or patient with same organisms

18. What are the major ATB associated w/ c diff
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

19. What are the S/S for Botulism
Oral Flagyl and and Vancomycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
N - V - D and Abd pain
Glanders - Lassa

20. What is the most dangerous type of Hep?
HIV - HEP B - C - Cytmegalovirus
A
Deet spray
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

21. Who shouldn't get the Chicken pox vaccine

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22. What is the two diseased caused by ticks
Private room with negative pressure
Nausea - diarrhea and fatigue for up to 28 days
Rocky mountain fever and Lymes disease
Gloves - Goggles and a face shield

23. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Nothing unless the pt is in isolation
Small pox
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

24. How is Salmonella transmitted
Maculopapular rash and vesicular scabs
Contaminated food and water
Rocky mountain fever and Lymes disease
A consent form to be signed for Hep B - C and HIV

25. WHen should you use standard percautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Before the rash appears
DISCONTINUE The ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

26. When CAN INFECTED Patient LEAVE TheIR 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 test to decect fecal occult blood assess for hidden blood in stool
C Diff( Clostridium difficle)
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

27. When is a pt w/measles most contagious?
People w/ egg allergies - pregnant - illness or fever
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private rooms or patient with same organisms
Before the rash appears

28. How is c diff transmitted?
Feces of infected people or animals
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Bleach
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

29. What are char of Pertussis( whooping cough)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Feces of infected people or animals
A test to decect fecal occult blood assess for hidden blood in stool
Dry cough

30. What other ATB might be prescribed to treat c diff
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Oral Flagyl and and Vancomycin
Gown and gloves and disinfectant all the equipments
Bleach

31. What kind of diet is needed for a PT with hepatitis A
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
-- 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
A consent form to be signed for Hep B - C and HIV

32. DON'T TRANSFER Which Patient
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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

33. What are common side effects of PPE
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Nausea - diarrhea and fatigue for up to 28 days
PRIVATE - NEGATIVE PRESSURE ROOM
Small pox

34. After getting the Varicella vacc who should you teach pt's to avoid
Wash their hands before and after handling pets
N - V - D and Abd pain
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

35. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Before the rash appears
A consent form to be signed for Hep B - C and HIV
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor

36. patient what kind of room they should stay
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Private rooms or patient with same organisms
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
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

37. How would you take off Personal protective gear?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)
1.Gloves 2.Goggles 3.Gown 4.Mask

38. Who is not able to start PPE
Fecal/oral
Those with liver problems and pregnant women
A
Wrist ankles Palms - soles Forearm

39. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Before the rash appears

40. What should you wash the toilet seat with
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Bleach
COPD + Negative pressure room = Keep together
1St provide care 2nd notify MD ( medical doctor

41. What colors indicate blood in the stool when doing GUAIAC test
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Blue - Blue - green - GREEN means negative
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

42. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
-- 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
Pink red maculopapules

43. GENERAL RuleS FOR VACCINES
A diet high in calories and low fat
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
Mask will 3 feet
Wrist ankles Palms - soles Forearm

44. What are the characteristics of Mumps
Private room with negative pressure
Swelling and tenderness of one or more salivary glands
N - V - D and Abd pain
An order for and Anti Diarrhea med like Imodium

45. 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
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.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

46. What should the nurse immediately do if she stuck by a used needle?
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)

47. BLEEDING PRECAUTION Patient. These Patients Who Are On...
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
DISCONTINUE The ATB

48. Identify the type of precaution required
-- 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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Examples: Airborne - droplet - contact or standard

49. What should you wear when drawing blood
Gloves
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
N - V - D and Abd pain
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

50. Infected Air - borne precaution
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
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.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
Private room with negative pressure