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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?
A consent form to be signed for Hep B - C and HIV
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Nothing unless the pt is in isolation
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

2. Contact Precautions
Gown and gloves and disinfectant all the equipments
A
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

3. What are the S/S for Botulism
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
N - V - D and Abd pain
DISCONTINUE The ATB
Oral Flagyl and and Vancomycin

4. 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
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Swelling and tenderness of one or more salivary glands

5. When is a pt w/measles most contagious?
Those with liver problems and pregnant women
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Before the rash appears

6. Which Patient NEED To ISOLATE
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. 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
Wrist ankles Palms - soles Forearm
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

7. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. Who needs Standard - Airbourne and Contact precautions
Private rooms or patient with same organisms
Small pox
Fecal/oral
Bleach

9. What type of job should a person with hepatitis never have
Chef
Small pox
People w/ egg allergies - pregnant - illness or fever
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

10. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Oral Flagyl and and Vancomycin
Nausea - diarrhea and fatigue for up to 28 days

11. 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
HIV - HEP B - C - Cytmegalovirus
C Diff( Clostridium difficle)

12. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
1.Gloves 2.Goggles 3.Gown 4.Mask
Oral Flagyl and and Vancomycin
Gloves - gown - goggles and mask - Everything

13. Droplet precautions
Blue - Blue - green - GREEN means negative
Dry cough
Mask will 3 feet
Nothing unless the pt is in isolation

14. Who needs Standard Contact and Droplet precautions
Mask will 3 feet
Gloves - Goggles and a face shield
Swelling and tenderness of one or more salivary glands
Glanders - Lassa

15. What should the nurse immediately do if she stuck by a used needle?
Glanders - Lassa
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wrist ankles Palms - soles Forearm
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

16. Who shouldn't get the measles vacc
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)

17. How would you take off Personal protective gear?
Those with liver problems and pregnant women
Gloves
1.Gloves 2.Goggles 3.Gown 4.Mask
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

18. What pt's would be ok for a pregnant nurse to care for
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

19. What kind of diet is needed for a PT with hepatitis A
Private room with negative pressure
A diet high in calories and low fat
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

20. After a bloodborne pathogen exposure what should be done later?
Deet spray
Blue - Blue - green - GREEN means negative
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

21. What would you question with a c diff pt
Rocky mountain fever and Lymes disease
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
An order for and Anti Diarrhea med like Imodium
Dry cough

22. How can you stop the spread of c diff

23. After getting the Varicella vacc who should you teach pt's to avoid
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gown and gloves and disinfectant all the equipments
Feces of infected people or animals

24. What is the most dangerous type of Hep?
Deet spray
-- 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A

25. Infected Air - borne precaution
Private room with negative pressure
Chef
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

26. Who shouldn't get the Chicken pox vaccine

27. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gown and gloves and disinfectant all the equipments
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Kopliks spots

28. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

29. If aptient is going to surgery do not give them
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Private room with negative pressure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

30. What is warn when suctioning?
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
Lindane - Crotmiton - Permethrine
Gloves - Goggles and a face shield

31. What is the tx for Scabies
Deet spray
People w/ egg allergies - pregnant - illness or fever
Lindane - Crotmiton - Permethrine
Gown and gloves and disinfectant all the equipments

32. What is a GUAIAC test?
COPD + Negative pressure room = Keep together
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Before the rash appears
A test to decect fecal occult blood assess for hidden blood in stool

33. Where can you find Salmonella
Examples: Airborne - droplet - contact or standard
Feces of infected people or animals
EBOLI - MARBAR - CRIMEAN CONGO
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

34. When To USE STAndARD PRECAUTIONS
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
EBOLI - MARBAR - CRIMEAN CONGO
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. 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

35. Rabies pt's would need

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

37. patient what kind of room they should stay
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
DISCONTINUE The ATB
Those with liver problems and pregnant women

38. What should the school teacher teach kids handleing pets
Pink red maculopapules
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1St provide care 2nd notify MD ( medical doctor
Wash their hands before and after handling pets

39. DON'T TRANSFER Which Patient
People w/ egg allergies - pregnant - illness or fever
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Rocky mountain fever and Lymes disease
Wash their hands before and after handling pets

40. What should you wear when drawing blood
Gloves
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Before the rash appears
Wrist ankles Palms - soles Forearm

41. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
-- 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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Those with liver problems and pregnant women

42. How is c diff transmitted?
-- 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
Dry cough
1.Gloves 2.Goggles 3.Gown 4.Mask
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

43. When should you use Airborne Precautions
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

44. How is Hep A spread
Before the rash appears
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A diet high in calories and low fat
Fecal/oral

45. What should you teach pt's to wear for protect themselves against Lyme disease
1St provide care 2nd notify MD ( medical doctor
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Deet spray
HIV - HEP B - C - Cytmegalovirus

46. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Gown and gloves and disinfectant all the equipments
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Before the rash appears

47. When dealing w/ a Droplet percautions pt they require
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
A test to decect fecal occult blood assess for hidden blood in stool
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
Maculopapular rash and vesicular scabs

48. What are the Ni for Pertussis?
Rest - warm - humid air
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

49. Identify the type of precaution required
-- 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
Examples: Airborne - droplet - contact or standard
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Feces of infected people or animals

50. What are the characteristics of Chicken pox Varicella?
Gloves - Goggles and a face shield
Maculopapular rash and vesicular scabs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS