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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 wear when drawing blood
Gloves
Those with liver problems and pregnant women
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
Contaminated food and water

2. Who should get the chicken pox vaccine
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

3. What is warn when suctioning?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - Goggles and a face shield
DISCONTINUE The ATB
HIV - HEP B - C - Cytmegalovirus

4. 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
Examples: Airborne - droplet - contact or standard
1.Gloves 2.Goggles 3.Gown 4.Mask
C Diff( Clostridium difficle)

5. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Examples: Airborne - droplet - contact or standard
HIV - HEP B - C - Cytmegalovirus
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

6. What is the most common cause of ATB associated diarrhea
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Gloves - Goggles and a face shield

7. When is a pt w/measles most contagious?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wrist ankles Palms - soles Forearm
COPD + Negative pressure room = Keep together
Before the rash appears

8. What should you teach pt's to wear for protect themselves against Lyme disease
Bleach
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
Contaminated food and water

9. Who is not able to start PPE
Bleach
People w/ egg allergies - pregnant - illness or fever
Those with liver problems and pregnant women
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

10. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

11. Which pt's can't the pregnant nurse care for
Rocky mountain fever and Lymes disease
A diet high in calories and low fat
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

12. Who needs Standard - Airbourne and Contact precautions
Small pox
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
People w/ egg allergies - pregnant - illness or fever

13. What should you have the patient sign after being stuck by a needle?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
A consent form to be signed for Hep B - C and HIV

14. When should you use Airborne Precautions
Those with liver problems and pregnant women
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Feces of infected people or animals

15. Where can you find Salmonella
Pink red maculopapules
Deet spray
Maculopapular rash and vesicular scabs
Feces of infected people or animals

16. What type of job should a person with hepatitis never have
Blue - Blue - green - GREEN means negative
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
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

17. Droplet precautions
Gown and gloves and disinfectant all the equipments
Mask will 3 feet
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

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

19. How is c diff transmitted?
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Kopliks spots

20. If aptient is going to surgery do not give them
Dry cough
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Swelling and tenderness of one or more salivary glands
Small pox

21. What should a Contact Precaution pt have
A diet high in calories and low fat
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Examples: Airborne - droplet - contact or standard
Gloves - Goggles and a face shield

22. What is a GUAIAC test?
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Rocky mountain fever and Lymes disease
A test to decect fecal occult blood assess for hidden blood in stool

23. What is the tx for Scabies
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

24. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Small pox
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

25. What is the two diseased caused by ticks
Gloves - Goggles and a face shield
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Rocky mountain fever and Lymes disease

26. Which Patient NEED To ISOLATE
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Private room with negative pressure
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

27. Rule: Transferring ADULT To PEDIATRIC WARDS
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Dry cough
Blue - Blue - green - GREEN means negative

28. After a bloodborne pathogen exposure what should be done later?
Glanders - Lassa
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

29. After getting the Varicella vacc who should you teach pt's to avoid
Those with liver problems and pregnant women
Private rooms or patient with same organisms
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

30. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

31. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Blue - Blue - green - GREEN means negative
A
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Those with liver problems and pregnant women

32. What kind of room would an Airborne precaution pt need
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
PRIVATE - NEGATIVE PRESSURE ROOM
N - V - D and Abd pain
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

33. GENERAL RuleS FOR VACCINES
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
Pink red maculopapules
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
Those with liver problems and pregnant women

34. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
C Diff( Clostridium difficle)
A consent form to be signed for Hep B - C and HIV
Bleach

35. Rule: DISCHARGE DURING AN EMERGENCY
Nausea - diarrhea and fatigue for up to 28 days
Gloves - Goggles and a face shield
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

36. How is Salmonella transmitted
Contaminated food and water
Feces of infected people or animals
Deet spray
Blue - Blue - green - GREEN means negative

37. DON'T TRANSFER Which Patient
Contaminated food and water
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Dry cough
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

38. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Chef
A
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

39. Rule: Transferring PEDS Patient To MS (MED SURGE)
1St provide care 2nd notify MD ( medical doctor
Mask will 3 feet
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

40. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves - Goggles and a face shield
Feces of infected people or animals

41. Rabies pt's would need

42. What pt's would be ok for a pregnant nurse to care for
Those with liver problems and pregnant women
-- 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
HIV - HEP B - C - Cytmegalovirus
Blue - Blue - green - GREEN means negative

43. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
EBOLI - MARBAR - CRIMEAN CONGO
Wrist ankles Palms - soles Forearm
Nothing unless the pt is in isolation

44. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Oral Flagyl and and Vancomycin
Fecal/oral
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

45. When To USE STAndARD PRECAUTIONS
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
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
Those with liver problems and pregnant women

46. What patients need Droplet precautions?

47. To be most effective when should postexposure prophylaxis (PPE) be started?
Bleach
Rest - warm - humid air
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

48. How is Hep A spread
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Oral Flagyl and and Vancomycin
Examples: Airborne - droplet - contact or standard
Fecal/oral

49. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
HIV - HEP B - C - Cytmegalovirus
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
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.

50. What other ATB might be prescribed to treat c diff
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
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin