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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. To be most effective when should postexposure prophylaxis (PPE) be started?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Chef

2. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Feces of infected people or animals
Gloves - Goggles and a face shield
Small pox

3. What is a GUAIAC test?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
COPD + Negative pressure room = Keep together
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A test to decect fecal occult blood assess for hidden blood in stool

4. What should you do if the c diff is linked to an ATB
Oral Flagyl and and Vancomycin
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect 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
DISCONTINUE The ATB

5. What patients need Droplet precautions?

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6. GENERAL RuleS FOR VACCINES
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
Gloves - Goggles and a face shield
Deet spray
Kopliks spots

7. What are char of Pertussis( whooping cough)
Kopliks spots
Private rooms or patient with same organisms
Dry cough
Small pox

8. Where can you find Salmonella
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
Feces of infected people or animals
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
PRIVATE - NEGATIVE PRESSURE ROOM

9. What should you wear when drawing blood
Gloves
N - V - D and Abd pain
PRIVATE - NEGATIVE PRESSURE 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

10. How can you prevent Salmonella
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Chef
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

11. What pt's would be ok for a pregnant nurse to care for
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Examples: Airborne - droplet - contact or standard
HIV - HEP B - C - Cytmegalovirus
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

12. What is warn when suctioning?
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 - Goggles and a face shield
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Gloves - gown - goggles and mask - Everything

13. Rule: Transferring ADULT To PEDIATRIC WARDS
Private rooms or patient with same organisms
Gloves
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
EBOLI - MARBAR - CRIMEAN CONGO

14. What should the nurse immediately do if she stuck by a used needle?
Contact which are gloves and gown - Toes - wet - warm - spots
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
People w/ egg allergies - pregnant - illness or fever
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

15. After a bloodborne pathogen exposure what should be done later?
Gloves - Goggles and a face shield
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard

16. When is a pt w/measles most contagious?
Private room with negative pressure
Oral Flagyl and and Vancomycin
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Before the rash appears

17. If aptient is going to surgery do not give them
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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

18. Which pt's can't the pregnant nurse care for
Pink red maculopapules
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Feces of infected people or animals
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

19. Rule: Transferring PEDS Patient To MS (MED SURGE)
N - V - D and Abd pain
Lindane - Crotmiton - Permethrine
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

20. What should a Contact Precaution pt have
A consent form to be signed for Hep B - C and HIV
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Gloves 2.Goggles 3.Gown 4.Mask
An order for and Anti Diarrhea med like Imodium

21. Who shouldn't get the measles vacc
Swelling and tenderness of one or more salivary glands
Before the rash appears
People w/ egg allergies - pregnant - illness or fever
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

22. patient what kind of room they should stay
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gloves - gown - goggles and mask - Everything
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms

23. What is the most common cause of ATB associated diarrhea
An order for and Anti Diarrhea med like Imodium
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Those with liver problems and pregnant women
C Diff( Clostridium difficle)

24. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium
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

25. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- 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
A test to decect fecal occult blood assess for hidden blood in stool
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

26. What should you wear if blood is spurting?
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
Gloves - gown - goggles and mask - Everything
A
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

27. INTERVENTION FOR PREVENT ASPIRATION
Gloves - gown - goggles and mask - Everything
Pink red maculopapules
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

28. Which Patient NEED To ISOLATE
A consent form to be signed for Hep B - C and HIV
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
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

29. What are common side effects of PPE
Blue - Blue - green - GREEN means negative
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Oral Flagyl and and Vancomycin
Nausea - diarrhea and fatigue for up to 28 days

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
DISCONTINUE The ATB
Gloves - gown - goggles and mask - Everything

31. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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32. What are the char. of German measles( Rubella)
Fecal/oral
N - V - D and Abd pain
Pink red maculopapules
Swelling and tenderness of one or more salivary glands

33. How is Hep A spread
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rocky mountain fever and Lymes disease
Fecal/oral
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

34. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves - gown - goggles and mask - Everything
Kopliks spots
Private room with negative pressure

35. Droplet precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets
Maculopapular rash and vesicular scabs
Mask will 3 feet

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

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37. What is the two diseased caused by ticks
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

38. What should you wear when taking a pt's VS?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Small pox
Nothing unless the pt is in isolation
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

39. How is c diff transmitted?
-- 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
C Diff( Clostridium difficle)
Dry cough
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

40. What are the major ATB associated w/ c diff
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Pink red maculopapules
Pencillins - Cephalosporins - Clindamycin
Contaminated food and water

41. Who is not able to start PPE
Nothing unless the pt is in isolation
Those with liver problems and pregnant women
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1St provide care 2nd notify MD ( medical doctor

42. When To USE STAndARD PRECAUTIONS
C Diff( Clostridium difficle)
N - V - D and Abd pain
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

43. Which Patient CAN KEEP In The SAME ROOM
Pink red maculopapules
Glanders - Lassa
COPD + Negative pressure room = Keep together
Nothing unless the pt is in isolation

44. What type of job should a person with hepatitis never have
A
Chef
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

45. When dealing w/ a Droplet percautions pt they require
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Glanders - Lassa
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

46. What is the tx for Scabies
Maculopapular rash and vesicular scabs
COPD + Negative pressure room = Keep together
Lindane - Crotmiton - Permethrine
A consent form to be signed for Hep B - C and HIV

47. Who shouldn't get the Chicken pox vaccine

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48. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
N - V - D and Abd pain
Wash their hands before and after handling pets
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

49. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
DISCONTINUE The ATB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

50. What are the S/S for Botulism
Swelling and tenderness of one or more salivary glands
Glanders - Lassa
N - V - D and Abd pain
Wrist ankles Palms - soles Forearm