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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. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Gloves
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
-- 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
Feces of infected people or animals

2. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A test to decect fecal occult blood assess for hidden blood in stool

3. What should you wear when taking a pt's VS?
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
Lindane - Crotmiton - Permethrine
A diet high in calories and low fat

4. 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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms

5. To be most effective when should postexposure prophylaxis (PPE) be started?
Mask will 3 feet
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nausea - diarrhea and fatigue for up to 28 days

6. Who is not able to start PPE
Deet spray
Those with liver problems and pregnant women
Glanders - Lassa
Pink red maculopapules

7. After getting the Varicella vacc who should you teach pt's to avoid
Nausea - diarrhea and fatigue for up to 28 days
Private room with negative pressure
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

8. What is the most dangerous type of Hep?
A diet high in calories and low fat
Mask will 3 feet
Dry cough
A

9. Who needs Standard and Contact precautions (SC)
Wrist ankles Palms - soles Forearm
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private rooms or patient with same organisms
-- 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. 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)
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat
Gloves - gown - goggles and mask - Everything

11. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A consent form to be signed for Hep B - C and HIV
Nothing unless the pt is in isolation

12. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

13. Contact Precautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Small pox
Gown and gloves and disinfectant all the equipments
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

14. Identify the type of precaution required
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
Examples: Airborne - droplet - contact or standard
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

15. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
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
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

16. What are char of Pertussis( whooping cough)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Glanders - Lassa
Dry cough

17. What are the S/S for Botulism
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
N - V - D and Abd pain
PRIVATE - NEGATIVE PRESSURE ROOM

18. What are common side effects of PPE
Pink red maculopapules
Nausea - diarrhea and fatigue for up to 28 days
Rest - warm - humid air
DISCONTINUE The ATB

19. When is a pt w/measles most contagious?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Kopliks spots
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Before the rash appears

20. What precaution are needed for Scabies pt
HIV - HEP B - C - Cytmegalovirus
Contact which are gloves and gown - Toes - wet - warm - spots
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

21. What colors indicate blood in the stool when doing GUAIAC test
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pencillins - Cephalosporins - Clindamycin
Blue - Blue - green - GREEN means negative
Gloves - Goggles and a face shield

22. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1.Gloves 2.Goggles 3.Gown 4.Mask
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Rocky mountain fever and Lymes disease

23. What should the school teacher teach kids handleing pets
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets
DISCONTINUE The ATB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

24. How can you prevent Salmonella
Before the rash appears
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]
Gloves - Goggles and a face shield

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

26. Which Patient CAN KEEP In The SAME ROOM
Rocky mountain fever and Lymes disease
COPD + Negative pressure room = Keep together
An order for and Anti Diarrhea med like Imodium
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

27. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor
Rocky mountain fever and Lymes disease
Those with liver problems and pregnant women

28. What would you question with a c diff pt
Small pox
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
Fecal/oral

29. Who needs Standard - Airbourne and Contact precautions
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
Small pox
EBOLI - MARBAR - CRIMEAN CONGO

30. When To USE STAndARD PRECAUTIONS
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
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

31. Droplet precautions
N - V - D and Abd pain
Chef
Mask will 3 feet
Gloves

32. What patients need Droplet precautions?

33. 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
Pencillins - Cephalosporins - Clindamycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A

34. What should a Contact Precaution pt have
Gown and gloves and disinfectant all the equipments
Swelling and tenderness of one or more salivary glands
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

35. When should you use Airborne Precautions
Feces of infected people or animals
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
DISCONTINUE The ATB

36. Rabies pt's would need

37. What is the tx for Scabies
Mask will 3 feet
Chef
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
Lindane - Crotmiton - Permethrine

38. What are the Ni for Pertussis?
Deet spray
Gloves
Swelling and tenderness of one or more salivary glands
Rest - warm - humid air

39. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
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
C Diff( Clostridium difficle)
Nausea - diarrhea and fatigue for up to 28 days

40. Rule: Transferring ADULT To PEDIATRIC WARDS
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
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
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

41. What are the char. of German measles( Rubella)
Pink red maculopapules
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
EBOLI - MARBAR - CRIMEAN CONGO
Lindane - Crotmiton - Permethrine

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

43. How is c diff transmitted?
Glanders - Lassa
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Fecal/oral

44. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool

45. Who shouldn't get the Chicken pox vaccine

46. Infected Air - borne precaution
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
Pink red maculopapules
Private room with negative pressure

47. What is the two diseased caused by ticks
Blue - Blue - green - GREEN means negative
Contact which are gloves and gown - Toes - wet - warm - spots
Rocky mountain fever and Lymes disease
People w/ egg allergies - pregnant - illness or fever

48. What kind of diet is needed for a PT with hepatitis A
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Lindane - Crotmiton - Permethrine
A diet high in calories and low fat

49. Which pt's can't the pregnant nurse care for
Rocky mountain fever and Lymes disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

50. 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
An order for and Anti Diarrhea med like Imodium
Nothing unless the pt is in isolation
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