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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. What should you wash the toilet seat with
Bleach
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
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.

2. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
DISCONTINUE The ATB
Dry cough
An order for and Anti Diarrhea med like Imodium

3. After a bloodborne pathogen exposure what should be done later?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

4. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Small pox
DISCONTINUE The ATB

5. What are common side effects of PPE
Fecal/oral
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
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
Nausea - diarrhea and fatigue for up to 28 days

6. Who needs Standard and Contact precautions (SC)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
- 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

7. Where can you find Salmonella
Small pox
A consent form to be signed for Hep B - C and HIV
Feces of infected people or animals
Fecal/oral

8. Droplet precautions
Private room with negative pressure
Mask will 3 feet
COPD + Negative pressure room = Keep together
Before the rash appears

9. Who shouldn't get the measles vacc
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus
People w/ egg allergies - pregnant - illness or fever
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

10. Contact Precautions
Nausea - diarrhea and fatigue for up to 28 days
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB
Gown and gloves and disinfectant all the equipments

11. Infected Air - borne precaution
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
Before the rash appears
Deet spray
Private room with negative pressure

12. Which pt's can't the pregnant nurse care for
Examples: Airborne - droplet - contact or standard
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

13. How can you prevent Salmonella
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Mask will 3 feet
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

14. Which Patient CAN KEEP In The SAME ROOM
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
COPD + Negative pressure room = Keep together
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
Glanders - Lassa

15. What is the most dangerous type of Hep?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A
1.Gloves 2.Goggles 3.Gown 4.Mask
Bleach

16. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Glanders - Lassa
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

17. What are characteristics of Measles (Rubeola)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Kopliks 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
Gloves - Goggles and a face shield

18. What kind of diet is needed for a PT with hepatitis A
Gloves - Goggles and a face shield
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
C Diff( Clostridium difficle)
A diet high in calories and low fat

19. What should you have the patient sign after being stuck by a needle?
Mask will 3 feet
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
Gloves - gown - goggles and mask - Everything
A consent form to be signed for Hep B - C and HIV

20. When To USE STAndARD PRECAUTIONS
Lindane - Crotmiton - Permethrine
Private room with negative pressure
Contaminated food and water
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

21. What should you do if the c diff is linked to an ATB
Mask will 3 feet
An order for and Anti Diarrhea med like Imodium
DISCONTINUE The ATB
HIV - HEP B - C - Cytmegalovirus

22. WHen should you use standard percautions
Dry cough
Examples: Airborne - droplet - contact or standard
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private rooms or patient with same organisms

23. What other ATB might be prescribed to treat c diff
A test to decect fecal occult blood assess for hidden blood in stool
EBOLI - MARBAR - CRIMEAN CONGO
Oral Flagyl and and Vancomycin
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

24. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Kopliks spots
Oral Flagyl and and Vancomycin

25. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
COPD + Negative pressure room = Keep together
People w/ egg allergies - pregnant - illness or fever
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

26. Where would you see a rash w/ Rocky mountain spotted fever?
Pencillins - Cephalosporins - Clindamycin
Wrist ankles Palms - soles Forearm
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.
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

27. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

28. How is c diff transmitted?
Contaminated food and water
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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.
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

29. 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

30. Rule: DISCHARGE DURING AN EMERGENCY
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gloves - Goggles and a face shield
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

31. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
1St provide care 2nd notify MD ( medical doctor

32. Who shouldn't get the Chicken pox vaccine

33. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
Rocky mountain fever and Lymes disease
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 - Goggles and a face shield

34. What are the char. of German measles( Rubella)
PRIVATE - NEGATIVE PRESSURE ROOM
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules
Gown and gloves and disinfectant all the equipments

35. What kind of room would an Airborne precaution pt need
Lindane - Crotmiton - Permethrine
1.Gloves 2.Goggles 3.Gown 4.Mask
PRIVATE - NEGATIVE PRESSURE ROOM
HIV - HEP B - C - Cytmegalovirus

36. GENERAL RuleS FOR VACCINES
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pink red maculopapules

37. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Small pox
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

38. What should you wear when drawing blood
Gloves
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
A test to decect fecal occult blood assess for hidden blood in stool

39. What is the two diseased caused by ticks
Nausea - diarrhea and fatigue for up to 28 days
Rocky mountain fever and Lymes disease
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

40. What are char of Pertussis( whooping cough)
COPD + Negative pressure room = Keep together
Pencillins - Cephalosporins - Clindamycin
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Dry cough

41. What should you wear when taking a pt's VS?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nothing unless the pt is in isolation

42. What should the school teacher teach kids handleing pets
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wash their hands before and after handling pets
Glanders - Lassa
Those with liver problems and pregnant women

43. What is warn when suctioning?
Chef
Mask will 3 feet
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves - Goggles and a face shield

44. Identify the type of precaution required
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
Examples: Airborne - droplet - contact or standard
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
Wrist ankles Palms - soles Forearm

45. What would you question with a c diff pt
Chef
An order for and Anti Diarrhea med like Imodium
A test to decect fecal occult blood assess for hidden blood in stool
N - V - D and Abd pain

46. Who needs Standard - Airbourne and Contact precautions
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
Maculopapular rash and vesicular scabs
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

47. What type of job should a person with hepatitis never have
Pencillins - Cephalosporins - Clindamycin
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.
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Chef

48. 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
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
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.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. patient what kind of room they should stay
Maculopapular rash and vesicular scabs
Private rooms or patient with same organisms
DISCONTINUE The ATB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

50. What are the characteristics of Mumps
Oral Flagyl and and Vancomycin
Swelling and tenderness of one or more salivary glands
Pink red maculopapules
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)