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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 kind of room would an Airborne precaution pt need
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

2. What precaution are needed for Scabies pt
Glanders - Lassa
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact which are gloves and gown - Toes - wet - warm - spots
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

3. BLEEDING PRECAUTION Patient. These Patients Who Are On...
C Diff( Clostridium difficle)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Swelling and tenderness of one or more salivary glands
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

4. Infected Air - borne precaution
Feces of infected people or animals
1.Gloves 2.Goggles 3.Gown 4.Mask
COPD + Negative pressure room = Keep together
Private room with negative pressure

5. What are the major ATB associated w/ c diff
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.
Pencillins - Cephalosporins - Clindamycin
HIV - HEP B - C - Cytmegalovirus
1St provide care 2nd notify MD ( medical doctor

6. What are the S/S for Botulism
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
Wash their hands before and after handling pets
N - V - D and Abd pain

7. When To USE STAndARD PRECAUTIONS
1.Gloves 2.Goggles 3.Gown 4.Mask
Bleach
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

8. 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
PRIVATE - NEGATIVE PRESSURE ROOM
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
A consent form to be signed for Hep B - C and HIV

9. 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
DISCONTINUE The ATB
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

10. Which Patient NEED To ISOLATE
Private rooms or patient with same organisms
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

11. What patients need Droplet precautions?

12. Who shouldn't get the Chicken pox vaccine

13. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nothing unless the pt is in isolation
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
N - V - D and Abd pain

14. How can you prevent Salmonella
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.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 hands before eating - after handling pets wash fruit and through cook meat and eggs
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

15. Identify the type of precaution required
An order for and Anti Diarrhea med like Imodium
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Examples: Airborne - droplet - contact or standard
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

16. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

17. Contact Precautions
Private room with negative pressure
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine
Gown and gloves and disinfectant all the equipments

18. What are the Ni for Pertussis?
Rest - warm - humid air
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever

19. After a bloodborne pathogen exposure what should be done later?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private room with negative pressure
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Bleach

20. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Oral Flagyl and and Vancomycin
EBOLI - MARBAR - CRIMEAN CONGO
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contaminated food and water

21. What are characteristics of Measles (Rubeola)
Private rooms or patient with same organisms
Chef
Wash their hands before and after handling pets
Kopliks spots

22. To be most effective when should postexposure prophylaxis (PPE) be started?
Nausea - diarrhea and fatigue for up to 28 days
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Examples: Airborne - droplet - contact or standard
Gloves - Goggles and a face shield

23. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
DISCONTINUE The ATB
Rest - warm - humid air
1St provide care 2nd notify MD ( medical doctor
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

24. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Gloves - gown - goggles and mask - Everything
Those with liver problems and pregnant women
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

25. What are the characteristics of Chicken pox Varicella?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Maculopapular rash and vesicular scabs
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

26. What is warn when suctioning?
Private room with negative pressure
Gloves - Goggles and a face shield
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

27. Where can you find Salmonella
COPD + Negative pressure room = Keep together
N - V - D and Abd pain
Feces of infected people or animals
Rocky mountain fever and Lymes disease

28. What kind of diet is needed for a PT with hepatitis A
DISCONTINUE The ATB
A diet high in calories and low fat
Blue - Blue - green - GREEN means negative
Gloves

29. What should you do if the c diff is linked to an ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contaminated food and water
Before the rash appears
DISCONTINUE The ATB

30. Who should get the chicken pox vaccine
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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 is the most common cause of ATB associated diarrhea
DISCONTINUE The ATB
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
C Diff( Clostridium difficle)
Kopliks spots

32. What should the nurse immediately do if she stuck by a used needle?
1St provide care 2nd notify MD ( medical doctor
A diet high in calories and low fat
DISCONTINUE The ATB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

33. What would you question with a c diff pt
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Those with liver problems and pregnant women
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
An order for and Anti Diarrhea med like Imodium

34. How is Hep A spread
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
-- 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 rooms or patient with same organisms
Fecal/oral

35. Rule: Transferring PEDS Patient To MS (MED SURGE)
Private rooms or patient with same organisms
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rocky mountain fever and Lymes disease

36. What other ATB might be prescribed to treat c diff
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Examples: Airborne - droplet - contact or standard
Oral Flagyl and and Vancomycin
A consent form to be signed for Hep B - C and HIV

37. What should you teach pt's to wear for protect themselves against Lyme disease
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Deet spray
Contaminated food and water
Rest - warm - humid air

38. Who needs Standard - Airbourne and Contact precautions
Small pox
-- 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
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
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

39. How can you stop the spread of c diff

40. Who needs Standard and Contact precautions (SC)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Contact which are gloves and gown - Toes - wet - warm - spots
Gloves - Goggles and a face shield

41. 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
EBOLI - MARBAR - CRIMEAN CONGO
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

42. patient what kind of room they should stay
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Private rooms or patient with same organisms

43. What should a Contact Precaution pt have
Feces of infected people or animals
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

44. What should you wear if blood is spurting?
Glanders - Lassa
N - V - D and Abd pain
Gloves - gown - goggles and mask - Everything
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

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

46. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Dry cough
Small pox

47. WHen should you use standard percautions
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

48. After getting the Varicella vacc who should you teach pt's to avoid
Blue - Blue - green - GREEN means negative
Small pox
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

49. What should you wear when drawing blood
Before the rash appears
Kopliks spots
Gloves
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

50. What is the tx for Scabies
A diet high in calories and low fat
Contact which are gloves and gown - Toes - wet - warm - spots
Lindane - Crotmiton - Permethrine
Maculopapular rash and vesicular scabs