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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: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Nausea - diarrhea and fatigue for up to 28 days
Wash their hands before and after handling pets
1St provide care 2nd notify MD ( medical doctor

2. What should you have the patient sign after being stuck by a needle?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A consent form to be signed for Hep B - C and HIV
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Gloves 2.Goggles 3.Gown 4.Mask

3. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Rocky mountain fever and Lymes disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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

4. INTERVENTION FOR PREVENT ASPIRATION
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
COPD + Negative pressure room = Keep together
-- 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

5. What are the Ni for Pertussis?
Lindane - Crotmiton - Permethrine
An order for and Anti Diarrhea med like Imodium
Rest - warm - humid air
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

6. What is warn when suctioning?
Blue - Blue - green - GREEN means negative
Gloves - Goggles and a face shield
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears

7. What should you wear when drawing blood
Private rooms or patient with same organisms
Gloves
Gloves - gown - goggles and mask - Everything
Pink red maculopapules

8. What is the most dangerous type of Hep?
Private room with negative pressure
A
1St provide care 2nd notify MD ( medical doctor
Gloves - gown - goggles and mask - Everything

9. Where would you see a rash w/ Rocky mountain spotted fever?
Gloves - Goggles and a face shield
Dry cough
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
Wrist ankles Palms - soles Forearm

10. What should you wear if blood is spurting?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - gown - goggles and mask - Everything
Wash their hands before and after handling pets
Gown and gloves and disinfectant all the equipments

11. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

12. What are common side effects of PPE
COPD + Negative pressure room = Keep together
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
Nausea - diarrhea and fatigue for up to 28 days
A diet high in calories and low fat

13. What are the major ATB associated w/ c diff
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
Nothing unless the pt is in isolation
Pencillins - Cephalosporins - Clindamycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

14. Contact Precautions
Gloves - Goggles and a face shield
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gown and gloves and disinfectant all the equipments

15. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
HIV - HEP B - C - Cytmegalovirus

16. What should you teach pt's to wear for protect themselves against Lyme 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
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
Oral Flagyl and and Vancomycin
Deet spray

17. How is Hep A spread
Fecal/oral
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
Swelling and tenderness of one or more salivary glands

18. When dealing w/ a Droplet percautions pt they require
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
Private rooms or patient with same organisms
HIV - HEP B - C - Cytmegalovirus
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

19. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private room with negative pressure
Pencillins - Cephalosporins - Clindamycin

20. What are char of Pertussis( whooping cough)
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
Dry cough
PRIVATE - NEGATIVE PRESSURE ROOM
A diet high in calories and low fat

21. Rule: Transferring PEDS Patient To MS (MED SURGE)
A diet high in calories and low fat
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

22. Which Patient CAN KEEP In The SAME ROOM
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Nausea - diarrhea and fatigue for up to 28 days
COPD + Negative pressure room = Keep together

23. patient what kind of room they should stay
Private rooms or patient with same organisms
People w/ egg allergies - pregnant - illness or fever
Blue - Blue - green - GREEN means negative
COPD + Negative pressure room = Keep together

24. What should you do if the c diff is linked to an ATB
Kopliks spots
DISCONTINUE The ATB
Private room with negative pressure
An order for and Anti Diarrhea med like Imodium

25. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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26. Droplet precautions
Mask will 3 feet
Lindane - Crotmiton - Permethrine
Before the rash appears
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

27. What should the school teacher teach kids handleing pets
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
Wash their hands before and after handling pets
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

28. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
EBOLI - MARBAR - CRIMEAN CONGO
Examples: Airborne - droplet - contact or standard
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

29. How can you prevent Salmonella
Before the rash appears
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs

30. What kind of room would an Airborne precaution pt need
A
PRIVATE - NEGATIVE PRESSURE ROOM
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

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

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32. What is the tx for Scabies
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Lindane - Crotmiton - Permethrine
Nothing unless the pt is in isolation
Gloves - gown - goggles and mask - Everything

33. Which pt's can't the pregnant nurse care for
Dry cough
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
N - V - D and Abd pain
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

34. What is a GUAIAC test?
Gloves - gown - goggles and mask - Everything
PRIVATE - NEGATIVE PRESSURE ROOM
A test to decect fecal occult blood assess for hidden blood in stool
Contact which are gloves and gown - Toes - wet - warm - spots

35. GENERAL RuleS FOR VACCINES
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Glanders - Lassa
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
Nausea - diarrhea and fatigue for up to 28 days

36. Where can you find Salmonella
Private room with negative pressure
Contaminated food and water
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
Feces of infected people or animals

37. 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
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
Private room with negative pressure
Rocky mountain fever and Lymes disease

38. What should you wash the toilet seat with
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
Feces of infected people or animals
Private rooms or patient with same organisms
Bleach

39. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Contact which are gloves and gown - Toes - wet - warm - spots
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

40. When To USE STAndARD PRECAUTIONS
Small pox
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Rocky mountain fever and Lymes disease

41. DON'T TRANSFER Which Patient
1.Gloves 2.Goggles 3.Gown 4.Mask
Private room with negative pressure
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

42. What should you wear when taking a pt's VS?
Oral Flagyl and and Vancomycin
Contaminated food and water
Bleach
Nothing unless the pt is in isolation

43. If aptient is going to surgery do not give them
People w/ egg allergies - pregnant - illness or fever
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

44. How is c diff transmitted?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

45. Rule: DISCHARGE DURING AN EMERGENCY
Feces of infected people or animals
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Private rooms or patient with same organisms

46. Who shouldn't get the Chicken pox vaccine

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47. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms
A diet high in calories and low fat
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

48. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
Contaminated food and water

49. After getting the Varicella vacc who should you teach pt's to avoid
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Pink red maculopapules
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

50. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
A diet high in calories and low fat
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Chef
Rest - warm - humid air