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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 is a GUAIAC test?
C Diff( Clostridium difficle)
Glanders - Lassa
EBOLI - MARBAR - CRIMEAN CONGO
A test to decect fecal occult blood assess for hidden blood in stool

2. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

3. To be most effective when should postexposure prophylaxis (PPE) be started?
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
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
Dry cough

4. What is the two diseased caused by ticks
Gloves - Goggles and a face shield
Rocky mountain fever and Lymes disease
Nausea - diarrhea and fatigue for up to 28 days
Glanders - Lassa

5. Rule: Transferring ADULT To PEDIATRIC 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
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
Nothing unless the pt is in isolation
Mask will 3 feet

6. When CAN INFECTED Patient LEAVE TheIR ROOM
Wrist ankles Palms - soles Forearm
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.
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
Lindane - Crotmiton - Permethrine

7. Who is not able to start PPE
Gloves - gown - goggles and mask - Everything
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Those with liver problems and pregnant women
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

8. If aptient is going to surgery do not give them
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

9. How is Hep A spread
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
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.
-- 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
Fecal/oral

10. What should you do if the c diff is linked to an ATB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1St provide care 2nd notify MD ( medical doctor
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB

11. INTERVENTION FOR PREVENT ASPIRATION
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

12. GENERAL RuleS FOR VACCINES
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash their hands before and after handling pets
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

13. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

14. Rabies pt's would need

15. Who needs Standard Contact and Droplet precautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A diet high in calories and low fat
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Glanders - Lassa

16. What pt's would be ok for a pregnant nurse to care for
Bleach
HIV - HEP B - C - Cytmegalovirus
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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

17. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
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 room with negative pressure
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

18. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium

19. What kind of diet is needed for a PT with hepatitis A
Dry cough
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nothing unless the pt is in isolation

20. patient what kind of room they should stay
Pencillins - Cephalosporins - Clindamycin
Private rooms or patient with same organisms
Rocky mountain fever and Lymes disease
Glanders - Lassa

21. Rule: Transferring PEDS Patient To MS (MED SURGE)
Maculopapular rash and vesicular scabs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

22. What are common side effects of PPE
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
Nausea - diarrhea and fatigue for up to 28 days
EBOLI - MARBAR - CRIMEAN CONGO
Bleach

23. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Gloves

24. How would you take off Personal protective gear?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain
1.Gloves 2.Goggles 3.Gown 4.Mask
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

25. What type of job should a person with hepatitis never have
People w/ egg allergies - pregnant - illness or fever
COPD + Negative pressure room = Keep together
Chef
PRIVATE - NEGATIVE PRESSURE ROOM

26. DON'T TRANSFER Which Patient
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1St provide care 2nd notify MD ( medical doctor
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves - Goggles and a face shield

27. What should you wear when taking a pt's VS?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
Private rooms or patient with same organisms
Nothing unless the pt is in isolation

28. What should you have the patient sign after being stuck by a needle?
Those with liver problems and pregnant women
A consent form to be signed for Hep B - C and HIV
Maculopapular rash and vesicular scabs
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

29. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Private rooms or patient with same organisms
Gown and gloves and disinfectant all the equipments
Deet spray

30. What should you wear if blood is spurting?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves - gown - goggles and mask - Everything
Examples: Airborne - droplet - contact or standard
Nothing unless the pt is in isolation

31. Who should get the chicken pox vaccine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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.

32. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Those with liver problems and pregnant women
A
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

33. What are the characteristics of Mumps
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Swelling and tenderness of one or more salivary glands

34. What is the order for putting on personal protective gear?
Oral Flagyl and and Vancomycin
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

35. How can you prevent Salmonella
N - V - D and Abd pain
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pencillins - Cephalosporins - Clindamycin
Rest - warm - humid air

36. What are characteristics of Measles (Rubeola)
C Diff( Clostridium difficle)
Kopliks spots
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

37. Where can you find Salmonella
A test to decect fecal occult blood assess for hidden blood in stool
Feces of infected people or animals
Lindane - Crotmiton - Permethrine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

38. Who needs Standard - Airbourne and Contact precautions
Feces of infected people or animals
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Kopliks spots
Small pox

39. After getting the Varicella vacc who should you teach pt's to avoid
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

40. What are char of Pertussis( whooping cough)
Chef
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Dry cough
A diet high in calories and low fat

41. 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
People w/ egg allergies - pregnant - illness or fever
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

42. Infected Air - borne precaution
Dry cough
Rest - warm - humid air
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private room with negative pressure

43. What are the Ni for Pertussis?
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves
Mask will 3 feet
Rest - warm - humid air

44. What are the characteristics of Chicken pox Varicella?
N - V - D and Abd pain
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
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.

45. Who shouldn't get the Chicken pox vaccine

46. Transferring Patient BETWEEN WARDS
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Bleach

47. What are the S/S for Botulism
A diet high in calories and low fat
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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. When is a pt w/measles most contagious?
HIV - HEP B - C - Cytmegalovirus
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
Before the rash appears

49. How is Salmonella transmitted
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Small pox
Contaminated food and water

50. What are the major ATB associated w/ c diff
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
Pencillins - Cephalosporins - Clindamycin
HIV - HEP B - C - Cytmegalovirus
Before the rash appears