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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 have the patient sign after being stuck by a needle?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
DISCONTINUE The ATB
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

2. What is the most dangerous type of Hep?
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB
A

3. Who needs Standard - Airbourne and Contact precautions
Contaminated food and water
Small pox
Rocky mountain fever and Lymes disease
Blue - Blue - green - GREEN means negative

4. What are the characteristics of Chicken pox Varicella?
A consent form to be signed for Hep B - C and HIV
Rest - warm - humid air
Before the rash appears
Maculopapular rash and vesicular scabs

5. BLEEDING PRECAUTION Patient. These Patients Who Are On...
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

6. What is the two diseased caused by ticks
Private room with negative pressure
Lindane - Crotmiton - Permethrine
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease

7. When dealing w/ a Droplet percautions pt they require
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
A consent form to be signed for Hep B - C and HIV
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

8. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor
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

9. How is Hep A spread
Private rooms or patient with same organisms
Fecal/oral
Wrist ankles Palms - soles Forearm
Gloves - gown - goggles and mask - Everything

10. Droplet precautions
Wash their hands before and after handling pets
Contact which are gloves and gown - Toes - wet - warm - spots
Mask will 3 feet
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

11. How is Salmonella transmitted
Mask will 3 feet
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
Contaminated food and water
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

12. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
HIV - HEP B - C - Cytmegalovirus
-- 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

13. Where can you find Salmonella
Dry cough
Kopliks spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Feces of infected people or animals

14. Contact Precautions
EBOLI - MARBAR - CRIMEAN CONGO
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
Gown and gloves and disinfectant all the equipments
Swelling and tenderness of one or more salivary glands

15. Who should get the chicken pox vaccine
Before the rash appears
Chef
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rest - warm - humid air

16. Infected Air - borne precaution
Gloves - gown - goggles and mask - Everything
Private room with negative pressure
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm

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

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18. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves - Goggles and a face shield
Wash their hands before and after handling pets
A

19. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
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
Gown and gloves and disinfectant all the equipments
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

20. What pt's would be ok for a pregnant nurse to care for
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Kopliks spots
HIV - HEP B - C - Cytmegalovirus

21. What should the school teacher teach kids handleing pets
Gown and gloves and disinfectant all the equipments
Gloves - Goggles and a face shield
Before the rash appears
Wash their hands before and after handling pets

22. What should you teach pt's to wear for protect themselves against Lyme disease
Gloves
Deet spray
Small pox
Contact which are gloves and gown - Toes - wet - warm - spots

23. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Examples: Airborne - droplet - contact or standard
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

24. Who needs Standard Contact and Droplet precautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves - Goggles and a face shield
Glanders - Lassa
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

25. What are the characteristics of Mumps
Nothing unless the pt is in isolation
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Swelling and tenderness of one or more salivary glands

26. DON'T TRANSFER Which Patient
Blue - Blue - green - GREEN means negative
An order for and Anti Diarrhea med like Imodium
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Mask will 3 feet

27. What should you wash the toilet seat with
Bleach
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
Rest - warm - humid air
Blue - Blue - green - GREEN means negative

28. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Fecal/oral
Nausea - diarrhea and fatigue for up to 28 days

29. What are characteristics of Measles (Rubeola)
Kopliks spots
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Private room with negative pressure
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

30. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
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
Pencillins - Cephalosporins - Clindamycin
C Diff( Clostridium difficle)

31. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - gown - goggles and mask - Everything
Oral Flagyl and and Vancomycin
Dry cough

32. What kind of room would an Airborne precaution pt need
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Those with liver problems and pregnant women
-- 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 - NEGATIVE PRESSURE ROOM

33. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Small pox
Lindane - Crotmiton - Permethrine
Contact which are gloves and gown - Toes - wet - warm - spots
1St provide care 2nd notify MD ( medical doctor

34. What would you question with a c diff pt
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gown and gloves and disinfectant all the equipments
COPD + Negative pressure room = Keep together
An order for and Anti Diarrhea med like Imodium

35. When To USE STAndARD PRECAUTIONS
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
N - V - D and Abd pain
Bleach
Maculopapular rash and vesicular scabs

36. 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
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
Deet spray
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.

37. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
C Diff( Clostridium difficle)
Nothing unless the pt is in isolation
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
EBOLI - MARBAR - CRIMEAN CONGO

38. 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
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

39. INTERVENTION FOR PREVENT ASPIRATION
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever
Gloves - Goggles and a face shield

40. What should you wear when drawing blood
Examples: Airborne - droplet - contact or standard
Gloves
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

41. What are common side effects of PPE
A test to decect fecal occult blood assess for hidden blood in stool
Glanders - Lassa
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
Nausea - diarrhea and fatigue for up to 28 days

42. When is a pt w/measles most contagious?
Before the rash appears
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
Rest - warm - humid air
C Diff( Clostridium difficle)

43. What type of job should a person with hepatitis never have
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
Chef
Wash their hands before and after handling pets
Nothing unless the pt is in isolation

44. Rule: Transferring ADULT To PEDIATRIC WARDS
An order for and Anti Diarrhea med like Imodium
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
C Diff( Clostridium difficle)
Deet spray

45. 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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor

46. GENERAL RuleS FOR VACCINES
Pencillins - Cephalosporins - Clindamycin
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
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

47. Who shouldn't get the Chicken pox vaccine

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48. patient what kind of room they should stay
A consent form to be signed for Hep B - C and HIV
Private rooms or patient with same organisms
Pink red maculopapules
C Diff( Clostridium difficle)

49. Identify the type of precaution required
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Blue - Blue - green - GREEN means negative
Wash their hands before and after handling pets
Examples: Airborne - droplet - contact or standard

50. What is the tx for Scabies
Gown and gloves and disinfectant all the equipments
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Lindane - Crotmiton - Permethrine
Chef