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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. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
Blue - Blue - green - GREEN means negative

2. When is a pt w/measles most contagious?
Before the rash appears
-- 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
Nausea - diarrhea and fatigue for up to 28 days
Swelling and tenderness of one or more salivary glands

3. After getting the Varicella vacc who should you teach pt's to avoid
Those with liver problems and pregnant women
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wrist ankles Palms - soles Forearm
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

4. Rule: Transferring PEDS Patient To MS (MED SURGE)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Kopliks spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

5. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Pink red maculopapules

6. After a bloodborne pathogen exposure what should be done later?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1St provide care 2nd notify MD ( medical doctor
Gloves - Goggles and a face shield

7. What are common side effects of PPE
Rest - warm - humid air
Nausea - diarrhea and fatigue for up to 28 days
Swelling and tenderness of one or more salivary glands
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.

8. How is c diff transmitted?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
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

9. Rule: DISCHARGE DURING AN EMERGENCY
N - V - D and Abd pain
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
-- 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 order for putting on personal protective gear?
A diet high in calories and low fat
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves - gown - goggles and mask - Everything
Kopliks spots

11. What pt's would be ok for a pregnant nurse to care for
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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.
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

12. What are the char. of German measles( Rubella)
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Pink red maculopapules
Lindane - Crotmiton - Permethrine

13. What is the most common cause of ATB associated diarrhea
Private rooms or patient with same organisms
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
C Diff( Clostridium difficle)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

14. Who needs Standard and Contact precautions (SC)
A
Gown and gloves and disinfectant all the equipments
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

15. What should you wear when drawing blood
Before the rash appears
Mask will 3 feet
Oral Flagyl and and Vancomycin
Gloves

16. What is the most dangerous type of Hep?
C Diff( Clostridium difficle)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Glanders - Lassa
A

17. Rabies pt's would need

18. WHen should you use standard percautions
Swelling and tenderness of one or more salivary glands
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
Maculopapular rash and vesicular scabs

19. Which pt's can't the pregnant nurse care for
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

20. patient what kind of room they should stay
Private rooms or patient with same organisms
1St provide care 2nd notify MD ( medical doctor
Fecal/oral
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

21. How is Salmonella transmitted
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves - Goggles and a face shield
Wash their hands before and after handling pets
Contaminated food and water

22. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
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
Fecal/oral
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

23. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
Feces of infected people or animals
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

24. What type of job should a person with hepatitis never have
1St provide care 2nd notify MD ( medical doctor
A consent form to be signed for Hep B - C and HIV
Chef
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

25. 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
PRIVATE - NEGATIVE PRESSURE ROOM
Glanders - Lassa

26. What should you teach pt's to wear for protect themselves against Lyme disease
Private rooms or patient with same organisms
DISCONTINUE The ATB
Wash their hands before and after handling pets
Deet spray

27. 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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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.
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

28. How can you stop the spread of c diff

29. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

30. What patients need Droplet precautions?

31. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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
A diet high in calories and low fat
Gloves - Goggles and a face shield

32. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves
People w/ egg allergies - pregnant - illness or fever
N - V - D and Abd pain

33. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Pink red maculopapules

34. What colors indicate blood in the stool when doing GUAIAC test
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

35. Who is not able to start PPE
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
Those with liver problems and pregnant women
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

36. What should the school teacher teach kids handleing pets
PRIVATE - NEGATIVE PRESSURE ROOM
Private room with negative pressure
Wash their hands before and after handling pets
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

37. Which Patient NEED To ISOLATE
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
Glanders - Lassa
Examples: Airborne - droplet - contact or standard

38. What should you wear when taking a pt's VS?
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
Before the rash appears
Nothing unless the pt is in isolation

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.Gloves 2.Goggles 3.Gown 4.Mask
Deet spray
Maculopapular rash and vesicular scabs

40. What should you wear if blood is spurting?
Rocky mountain fever and Lymes disease
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
Fecal/oral

41. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Glanders - Lassa
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

42. What is the tx for Scabies
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A consent form to be signed for Hep B - C and HIV
Lindane - Crotmiton - Permethrine
Gloves

43. How can you prevent Salmonella
HIV - HEP B - C - Cytmegalovirus
A test to decect fecal occult blood assess for hidden blood in stool
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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.

44. Which Patient CAN KEEP In The SAME ROOM
Small pox
A test to decect fecal occult blood assess for hidden blood in stool
HIV - HEP B - C - Cytmegalovirus
COPD + Negative pressure room = Keep together

45. What other ATB might be prescribed to treat c diff
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
PRIVATE - NEGATIVE PRESSURE ROOM
1St provide care 2nd notify MD ( medical doctor
Oral Flagyl and and Vancomycin

46. Infected Air - borne precaution
Gown and gloves and disinfectant all the equipments
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contaminated food and water
Private room with negative pressure

47. What is the two diseased caused by ticks
A
A diet high in calories and low fat
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

48. What kind of diet is needed for a PT with hepatitis A
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Kopliks 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
A diet high in calories and low fat

49. Where can you find Salmonella
Feces of infected people or animals
C Diff( Clostridium difficle)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Oral Flagyl and and Vancomycin

50. CONDITIONS REQUIRED SEIZURE PRECAUTIONS