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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 should get the chicken pox vaccine
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

2. What colors indicate blood in the stool when doing GUAIAC test
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Blue - Blue - green - GREEN means negative
1.Gloves 2.Goggles 3.Gown 4.Mask
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

3. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Small pox
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

4. INTERVENTION FOR PREVENT ASPIRATION
Swelling and tenderness of one or more salivary glands
Dry cough
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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

5. What are the characteristics of Chicken pox Varicella?
Bleach
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Maculopapular rash and vesicular scabs

6. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
N - V - D and Abd pain
-- 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

7. How is c diff transmitted?
Kopliks spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

8. 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
A test to decect fecal occult blood assess for hidden blood in stool
Before the rash appears
Contaminated food and water

9. What should a Contact Precaution pt have
Contaminated food and water
HIV - HEP B - C - Cytmegalovirus
Kopliks spots
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

10. Which pt's can't the pregnant nurse care for
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

11. What should you teach pt's to wear for protect themselves against Lyme disease
Rest - warm - humid air
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Deet spray
Lindane - Crotmiton - Permethrine

12. What are the char. of German measles( Rubella)
Small pox
Blue - Blue - green - GREEN means negative
Gown and gloves and disinfectant all the equipments
Pink red maculopapules

13. Who needs Standard Contact and Droplet 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.
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Glanders - Lassa
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

14. 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
Oral Flagyl and and Vancomycin
Private room with negative pressure
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

15. Who needs Standard and Contact precautions (SC)
Contact which are gloves and gown - Toes - wet - warm - spots
Nausea - diarrhea and fatigue for up to 28 days
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Contaminated food and water

16. How is Hep A spread
Fecal/oral
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pencillins - Cephalosporins - Clindamycin

17. To be most effective when should postexposure prophylaxis (PPE) be started?
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 - gown - goggles and mask - Everything
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

18. If aptient is going to surgery do not give them
PRIVATE - NEGATIVE PRESSURE ROOM
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Private rooms or patient with same organisms
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

19. What patients need Droplet precautions?

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20. 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Gloves - Goggles and a face shield
Nothing unless the pt is in isolation

21. Who needs Standard - Airbourne and Contact precautions
Kopliks spots
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Small pox

22. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
PRIVATE - NEGATIVE PRESSURE ROOM
Contact which are gloves and gown - Toes - wet - warm - spots
DISCONTINUE The ATB

23. How would you take off Personal protective gear?
N - V - D and Abd pain
1.Gloves 2.Goggles 3.Gown 4.Mask
A diet high in calories and low fat
Gloves - gown - goggles and mask - Everything

24. When should you use Airborne Precautions
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Feces of infected people or animals

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

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26. Where would you see a rash w/ Rocky mountain spotted fever?
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
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments

27. WHen should you use standard percautions
A diet high in calories and low fat
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
COPD + Negative pressure room = Keep together

28. What is warn when suctioning?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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
Gloves - Goggles and a face shield

29. Where can you find Salmonella
Nothing unless the pt is in isolation
Feces of infected people or animals
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.. 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

30. What is the two diseased caused by ticks
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Dry cough
Bleach
Rocky mountain fever and Lymes disease

31. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Rocky mountain fever and Lymes disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

32. What should you wash the toilet seat with
Bleach
Nothing unless the pt is in isolation
Private room with negative pressure
Swelling and tenderness of one or more salivary glands

33. What should the school teacher teach kids handleing pets
Nothing unless the pt is in isolation
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 their hands before and after handling pets
Kopliks spots

34. What should the nurse immediately do if she stuck by a used needle?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
N - V - D and Abd pain
C Diff( Clostridium difficle)

35. Droplet precautions
Rocky mountain fever and Lymes disease
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
Nothing unless the pt is in isolation
Mask will 3 feet

36. How can you prevent Salmonella
Chef
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wash their hands before and after handling pets
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

37. What should you wear when drawing blood
Glanders - Lassa
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gloves

38. What is the most dangerous type of Hep?
Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A
Glanders - Lassa

39. Who is not able to start PPE
A consent form to be signed for Hep B - C and HIV
Feces of infected people or animals
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

40. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

41. When dealing w/ a Droplet percautions pt they require
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
N - V - D and Abd pain
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

42. What are the Ni for Pertussis?
N - V - D and Abd pain
DISCONTINUE The ATB
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

43. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Glanders - Lassa
A test to decect fecal occult blood assess for hidden blood in stool
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

44. How is Salmonella transmitted
Contaminated food and water
Oral Flagyl and and Vancomycin
Bleach
A diet high in calories and low fat

45. What are common side effects of PPE
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Blue - Blue - green - GREEN means negative
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

46. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Private room with negative pressure
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
An order for and Anti Diarrhea med like Imodium

47. What other ATB might be prescribed to treat c diff
Glanders - Lassa
EBOLI - MARBAR - CRIMEAN CONGO
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Oral Flagyl and and Vancomycin

48. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
-- 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
Bleach
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

49. What are characteristics of Measles (Rubeola)
Nothing unless the pt is in isolation
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Lindane - Crotmiton - Permethrine
Kopliks spots

50. When is a pt w/measles most contagious?
Before the rash appears
PRIVATE - NEGATIVE PRESSURE ROOM
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards