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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. Who shouldn't get the measles vacc
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
Gloves
Nausea - diarrhea and fatigue for up to 28 days
People w/ egg allergies - pregnant - illness or fever

2. When To USE STAndARD PRECAUTIONS
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
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Chef

3. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
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
Glanders - Lassa
DISCONTINUE The ATB

4. How is Hep A spread
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Fecal/oral
Nothing unless the pt is in isolation

5. What is the order for putting on personal protective gear?
A
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

6. What are characteristics of Measles (Rubeola)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease
Nausea - diarrhea and fatigue for up to 28 days
Kopliks spots

7. Rule: Transferring ADULT To PEDIATRIC WARDS
Rocky mountain fever and Lymes disease
Maculopapular rash and vesicular scabs
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

8. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
PRIVATE - NEGATIVE PRESSURE ROOM
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

9. When is a pt w/measles most contagious?
EBOLI - MARBAR - CRIMEAN CONGO
Before the rash appears
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

10. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

11. To be most effective when should postexposure prophylaxis (PPE) be started?
Nausea - diarrhea and fatigue for up to 28 days
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

12. How is c diff transmitted?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

13. What should the nurse immediately do if she stuck by a used needle?
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
HIV - HEP B - C - Cytmegalovirus
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

14. Who is not able to start PPE
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
-- 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
Those with liver problems and pregnant women
Before the rash appears

15. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

16. What should you wear when drawing blood
DISCONTINUE The ATB
Gloves - gown - goggles and mask - Everything
Gloves
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

17. Rule: DISCHARGE DURING AN EMERGENCY
-- 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
Contaminated food and water
Rocky mountain fever and Lymes disease
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

18. What is the most dangerous type of Hep?
An order for and Anti Diarrhea med like Imodium
Maculopapular rash and vesicular scabs
A
Chef

19. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
EBOLI - MARBAR - CRIMEAN CONGO
Feces of infected people or animals
Fecal/oral

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

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21. WHen should you use standard percautions
-- 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 test to decect fecal occult blood assess for hidden blood in stool
Private room with negative pressure
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

22. Identify the type of precaution required
Feces of infected people or animals
Nothing unless the pt is in isolation
Examples: Airborne - droplet - contact or standard
Bleach

23. Which Patient NEED To ISOLATE
Contaminated food and water
Gloves - gown - goggles and mask - Everything
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

24. Where can you find Salmonella
Kopliks spots
Glanders - Lassa
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Feces of infected people or animals

25. What would you question with a c diff pt
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium
Bleach
HIV - HEP B - C - Cytmegalovirus

26. What should you do if the c diff is linked to an ATB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rest - warm - humid air
DISCONTINUE The ATB
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

27. How can you stop the spread of c diff

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28. What is the most common cause of ATB associated diarrhea
HIV - HEP B - C - Cytmegalovirus
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A consent form to be signed for Hep B - C and HIV
C Diff( Clostridium difficle)

29. What is a GUAIAC test?
People w/ egg allergies - pregnant - illness or fever
A test to decect fecal occult blood assess for hidden blood in stool
Pink red maculopapules
Contact which are gloves and gown - Toes - wet - warm - spots

30. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Contact which are gloves and gown - Toes - wet - warm - spots
Feces of infected people or animals

31. How would you take off Personal protective gear?
Gown and gloves and disinfectant all the equipments
Wash their hands before and after handling pets
1.Gloves 2.Goggles 3.Gown 4.Mask
Nothing unless the pt is in isolation

32. Where would you see a rash w/ Rocky mountain spotted fever?
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
C Diff( Clostridium difficle)
Wrist ankles Palms - soles Forearm

33. What are the Ni for Pertussis?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Rest - warm - humid air
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
N - V - D and Abd pain

34. What type of job should a person with hepatitis never have
Deet spray
Chef
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Feces of infected people or animals

35. What other ATB might be prescribed to treat c diff
Private room with negative pressure
Maculopapular rash and vesicular scabs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Oral Flagyl and and Vancomycin

36. Droplet precautions
Kopliks spots
Those with liver problems and pregnant women
Mask will 3 feet
Glanders - Lassa

37. patient what kind of room they should stay
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A consent form to be signed for Hep B - C and HIV
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 rooms or patient with same organisms

38. Rule: Transferring PEDS Patient To MS (MED SURGE)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Mask will 3 feet
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

39. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Oral Flagyl and and Vancomycin
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

40. What patients need Droplet precautions?

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41. Who needs Standard and Contact precautions (SC)
Wash their hands before and after handling pets
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private room with negative pressure

42. What should you have the patient sign after being stuck by a needle?
Chef
Examples: Airborne - droplet - contact or standard
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV

43. What are char of Pertussis( whooping cough)
Dry cough
Gloves
Pencillins - Cephalosporins - Clindamycin
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.

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

45. What kind of room would an Airborne precaution pt need
Kopliks spots
A consent form to be signed for Hep B - C and HIV
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

46. GENERAL RuleS FOR VACCINES
Contact which are gloves and gown - Toes - wet - warm - spots
Pencillins - Cephalosporins - Clindamycin
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
Dry cough

47. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
Glanders - Lassa
1St provide care 2nd notify MD ( medical doctor

48. What should you wear if blood is spurting?
Examples: Airborne - droplet - contact or standard
Gloves - gown - goggles and mask - Everything
Chef
Feces of infected people or animals

49. After a bloodborne pathogen exposure what should be done later?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves - Goggles and a face shield
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

50. Infected Air - borne precaution
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
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