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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. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Gloves 2.Goggles 3.Gown 4.Mask
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
PRIVATE - NEGATIVE PRESSURE ROOM

2. Which Patient NEED To ISOLATE
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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
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

3. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
People w/ egg allergies - pregnant - illness or fever

4. What are the S/S for Botulism
N - V - D and Abd pain
Rocky mountain fever and Lymes disease
Gown and gloves and disinfectant all the equipments
C Diff( Clostridium difficle)

5. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Feces of infected people or animals
Contact which are gloves and gown - Toes - wet - warm - spots
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

6. Infected Air - borne precaution
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wrist ankles Palms - soles Forearm
Dry cough
Private room with negative pressure

7. Who shouldn't get the measles vacc
Contaminated food and water
People w/ egg allergies - pregnant - illness or fever
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

8. What is the two diseased caused by ticks
A test to decect fecal occult blood assess for hidden blood in stool
Rocky mountain fever and Lymes disease
Chef
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

9. What type of job should a person with hepatitis never have
Chef
Oral Flagyl and and Vancomycin
Gloves - Goggles and a face shield
Gown and gloves and disinfectant all the equipments

10. Rabies pt's would need

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11. 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A test to decect fecal occult blood assess for hidden blood in stool
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

12. What colors indicate blood in the stool when doing GUAIAC test
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
Pink red maculopapules
Blue - Blue - green - GREEN means negative

13. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
An order for and Anti Diarrhea med like Imodium
Contaminated food and water
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

14. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
N - V - D and Abd pain
Gloves - Goggles and a face shield

15. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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.
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

16. When should you use Airborne Precautions
Pink red maculopapules
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Oral Flagyl and and Vancomycin
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

17. When CAN INFECTED Patient LEAVE 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
Mask will 3 feet
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.
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

18. To be most effective when should postexposure prophylaxis (PPE) be started?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves - gown - goggles and mask - Everything
Examples: Airborne - droplet - contact or standard

19. What pt's would be ok for a pregnant nurse to care for
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
HIV - HEP B - C - Cytmegalovirus

20. What is the most dangerous type of Hep?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Those with liver problems and pregnant women
A
An order for and Anti Diarrhea med like Imodium

21. What should a Contact Precaution pt have
Rest - warm - humid air
An order for and Anti Diarrhea med like Imodium
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

22. What should the school teacher teach kids handleing pets
People w/ egg allergies - pregnant - illness or fever
Kopliks spots
Wash their hands before and after handling pets
1St provide care 2nd notify MD ( medical doctor

23. What is the most common cause of ATB associated diarrhea
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
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
C Diff( Clostridium difficle)

24. How is Hep A spread
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Fecal/oral
A test to decect fecal occult blood assess for hidden blood in stool
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

25. How can you stop the spread of c diff

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26. Who is not able to start PPE
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Those with liver problems and pregnant women
Rest - warm - humid air

27. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Wash their hands before and after handling pets
-- 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 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private room with negative pressure

28. Droplet precautions
Rocky mountain fever and Lymes disease
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Mask will 3 feet
A test to decect fecal occult blood assess for hidden blood in stool

29. What are characteristics of Measles (Rubeola)
Kopliks spots
Wash their hands before and after handling pets
C Diff( Clostridium difficle)
COPD + Negative pressure room = Keep together

30. Where can you find Salmonella
Feces of infected people or animals
COPD + Negative pressure room = Keep together
An order for and Anti Diarrhea med like Imodium
Gown and gloves and disinfectant all the equipments

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

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32. Who should get the chicken pox vaccine
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Swelling and tenderness of one or more salivary glands

33. What are the major ATB associated w/ c diff
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Pencillins - Cephalosporins - Clindamycin
-- 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
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

34. What kind of room would an Airborne precaution pt need
An order for and Anti Diarrhea med like Imodium
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

35. What kind of diet is needed for a PT with hepatitis A
-- 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
An order for and Anti Diarrhea med like Imodium
A diet high in calories and low fat
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

36. How would you take off Personal protective gear?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Chef
A consent form to be signed for Hep B - C and HIV
1.Gloves 2.Goggles 3.Gown 4.Mask

37. What should you wear when taking a pt's VS?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
HIV - HEP B - C - Cytmegalovirus
Nothing unless the pt is in isolation
1.Gloves 2.Goggles 3.Gown 4.Mask

38. What are the Ni for Pertussis?
Rest - warm - humid air
Before the rash appears
1.Gloves 2.Goggles 3.Gown 4.Mask
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

39. What should you wash the toilet seat with
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
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Bleach

40. Rule: Transferring ADULT To PEDIATRIC WARDS
Oral Flagyl and and Vancomycin
A diet high in calories and low fat
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

41. What are the characteristics of Mumps
COPD + Negative pressure room = Keep together
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV
Swelling and tenderness of one or more salivary glands

42. When is a pt w/measles most contagious?
A test to decect fecal occult blood assess for hidden blood in stool
Before the rash appears
Kopliks spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

43. GENERAL RuleS FOR VACCINES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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 their hands before and after handling pets
Private room with negative pressure

44. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Deet spray
Gloves

45. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

46. Which Patient CAN KEEP In The SAME ROOM
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
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.
COPD + Negative pressure room = Keep together
Dry cough

47. Who shouldn't get the Chicken pox vaccine

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48. If aptient is going to surgery do not give them
1.Gloves 2.Goggles 3.Gown 4.Mask
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
A test to decect fecal occult blood assess for hidden blood in stool
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private rooms or patient with same organisms
Contaminated food and water

50. After a bloodborne pathogen exposure what should be done later?
Gloves - Goggles and a face shield
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months