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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. How would you take off Personal protective gear?
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
Gloves - gown - goggles and mask - Everything
1.Gloves 2.Goggles 3.Gown 4.Mask
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

2. What should you have the patient sign after being stuck by a needle?
1.Gloves 2.Goggles 3.Gown 4.Mask
A consent form to be signed for Hep B - C and HIV
Chef
Oral Flagyl and and Vancomycin

3. What should you wear if blood is spurting?
Before the rash appears
Gloves - gown - goggles and mask - Everything
Swelling and tenderness of one or more salivary glands
A test to decect fecal occult blood assess for hidden blood in stool

4. What is a GUAIAC test?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A test to decect fecal occult blood assess for hidden blood in stool

5. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

6. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

7. Contact Precautions
PRIVATE - NEGATIVE PRESSURE ROOM
A consent form to be signed for Hep B - C and HIV
Gown and gloves and disinfectant all the equipments
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

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

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

10. WHen should you use standard percautions
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Feces of infected people or animals
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1St provide care 2nd notify MD ( medical doctor

11. Rule: Transferring PEDS Patient To MS (MED SURGE)
Pink red maculopapules
Private room with negative pressure
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

12. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
-- 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
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
Blue - Blue - green - GREEN means negative

13. What patients need Droplet precautions?

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14. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - gown - goggles and mask - Everything
-- 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

15. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Maculopapular rash and vesicular scabs
N - V - D and Abd pain

16. What are the characteristics of Mumps
Maculopapular rash and vesicular scabs
Swelling and tenderness of one or more salivary glands
A
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

17. Who needs Standard Contact and Droplet precautions
HIV - HEP B - C - Cytmegalovirus
Glanders - Lassa
Wrist ankles Palms - soles Forearm
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

18. What precaution are needed for Scabies pt
PRIVATE - NEGATIVE PRESSURE ROOM
Contact which are gloves and gown - Toes - wet - warm - spots
A
A consent form to be signed for Hep B - C and HIV

19. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

20. Rule: Transferring ADULT To PEDIATRIC WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific 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
Rocky mountain fever and Lymes disease
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

21. What kind of diet is needed for a PT with hepatitis A
Contaminated food and water
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A diet high in calories and low fat
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

22. When is a pt w/measles most contagious?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Before the rash appears
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
Mask will 3 feet

23. 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
Kopliks spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Bleach

24. What is warn when suctioning?
Gloves
Examples: Airborne - droplet - contact or standard
Gloves - Goggles and a face shield
Contact which are gloves and gown - Toes - wet - warm - spots

25. DON'T TRANSFER Which Patient
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. 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
Gown and gloves and disinfectant all the equipments

26. patient what kind of room they should stay
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private rooms or patient with same organisms
Chef
A test to decect fecal occult blood assess for hidden blood in stool

27. What should you teach pt's to wear for protect themselves against Lyme disease
Contact which are gloves and gown - Toes - wet - warm - spots
-- 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
Deet spray
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

28. Which Patient CAN KEEP In The SAME 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
COPD + Negative pressure room = Keep together
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contaminated food and water

29. What pt's would be ok for a pregnant nurse to care for
Feces of infected people or animals
Mask will 3 feet
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
HIV - HEP B - C - Cytmegalovirus

30. How can you prevent Salmonella
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
N - V - D and Abd pain

31. What are the major ATB associated w/ c diff
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pencillins - Cephalosporins - Clindamycin
-- 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
Lindane - Crotmiton - Permethrine

32. INTERVENTION FOR PREVENT ASPIRATION
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
Private rooms or patient with same organisms
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

33. What are characteristics of Measles (Rubeola)
Kopliks spots
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
Nothing unless the pt is in isolation
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

34. What is the order for putting on personal protective gear?
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A
Feces of infected people or animals

35. What are the char. of German measles( Rubella)
Pink red maculopapules
Kopliks spots
N - V - D and Abd pain
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

36. What is the most common cause of ATB associated diarrhea
Before the rash appears
Private room with negative pressure
Examples: Airborne - droplet - contact or standard
C Diff( Clostridium difficle)

37. Who needs Standard and Contact precautions (SC)
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

38. Rabies pt's would need

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39. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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40. When CAN INFECTED Patient LEAVE TheIR ROOM
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Pink red maculopapules
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.
Chef

41. What is the most dangerous type of Hep?
Lindane - Crotmiton - Permethrine
Wrist ankles Palms - soles Forearm
A
Maculopapular rash and vesicular scabs

42. What kind of room would an Airborne precaution pt need
A consent form to be signed for Hep B - C and HIV
Pencillins - Cephalosporins - Clindamycin
Before the rash appears
PRIVATE - NEGATIVE PRESSURE ROOM

43. If aptient is going to surgery do not give them
A
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
Gloves - gown - goggles and mask - Everything

44. When should you use Airborne Precautions
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.
Fecal/oral
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women

45. Where would you see a rash w/ Rocky mountain spotted fever?
Nothing unless the pt is in isolation
COPD + Negative pressure room = Keep together
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

46. What type of job should a person with hepatitis never have
Gown and gloves and disinfectant all the equipments
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Kopliks spots
Chef

47. Who should get the chicken pox vaccine
A diet high in calories and low fat
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
Private rooms or patient with same organisms
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

48. Which Patient NEED To ISOLATE
Lindane - Crotmiton - Permethrine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

49. What would you question with a c diff pt
A diet high in calories and low fat
An order for and Anti Diarrhea med like Imodium
Examples: Airborne - droplet - contact or standard
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

50. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Examples: Airborne - droplet - contact or standard
PRIVATE - NEGATIVE PRESSURE ROOM
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1St provide care 2nd notify MD ( medical doctor