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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 precaution are needed for Scabies pt
PRIVATE - NEGATIVE PRESSURE ROOM
Contact which are gloves and gown - Toes - wet - warm - spots
Wash their hands before and after handling pets
DISCONTINUE The ATB

2. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
1.Gloves 2.Goggles 3.Gown 4.Mask
N - V - D and Abd pain
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

3. How would you take off Personal protective gear?
Examples: Airborne - droplet - contact or standard
1.Gloves 2.Goggles 3.Gown 4.Mask
Fecal/oral
1St provide care 2nd notify MD ( medical doctor

4. Which Patient NEED To ISOLATE
A test to decect fecal occult blood assess for hidden blood in stool
Contact which are gloves and gown - Toes - wet - warm - spots
Private rooms or patient with same organisms
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

5. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Deet spray
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
People w/ egg allergies - pregnant - illness or fever

6. Who needs Standard - Airbourne and Contact precautions
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Small pox
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

7. How is Hep A spread
Fecal/oral
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
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

8. What kind of room would an Airborne precaution pt need
Glanders - Lassa
PRIVATE - NEGATIVE PRESSURE ROOM
Pencillins - Cephalosporins - Clindamycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

9. Which Patient CAN KEEP In The SAME ROOM
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
COPD + Negative pressure room = Keep together
Private room with negative pressure
People w/ egg allergies - pregnant - illness or fever

10. What are the char. of German measles( Rubella)
Fecal/oral
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
Private room with negative pressure
Pink red maculopapules

11. What is the most common cause of ATB associated diarrhea
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)

12. How is c diff transmitted?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Private room with negative pressure

13. DON'T TRANSFER Which Patient
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Deet spray
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 which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

14. What should you wash the toilet seat with
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
HIV - HEP B - C - Cytmegalovirus
Oral Flagyl and and Vancomycin
Bleach

15. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rocky mountain fever and Lymes disease
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine

16. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

17. 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Kopliks spots
Fecal/oral

18. GENERAL RuleS FOR VACCINES
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
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
Fecal/oral
Gown and gloves and disinfectant all the equipments

19. What should the school teacher teach kids handleing pets
PRIVATE - NEGATIVE PRESSURE ROOM
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets
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. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A test to decect fecal occult blood assess for hidden blood in stool
Contact which are gloves and gown - Toes - wet - warm - spots
Chef

21. What type of job should a person with hepatitis never have
Bleach
Private room with negative pressure
Chef
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

22. When CAN INFECTED Patient LEAVE TheIR ROOM
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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.
Chef
Mask will 3 feet

23. What colors indicate blood in the stool when doing GUAIAC test
Kopliks spots
Contaminated food and water
Blue - Blue - green - GREEN means negative
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

24. 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
Maculopapular rash and vesicular scabs
Rest - warm - humid air
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

25. What should a Contact Precaution pt have
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.Gloves 2.Goggles 3.Gown 4.Mask
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

26. Rule: Transferring PEDS Patient To MS (MED SURGE)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

27. What patients need Droplet precautions?

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28. Infected Air - borne precaution
Private room with negative pressure
Contact which are gloves and gown - Toes - wet - warm - spots
Blue - Blue - green - GREEN means negative
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

29. What are the characteristics of Chicken pox Varicella?
Oral Flagyl and and Vancomycin
Maculopapular rash and vesicular scabs
COPD + Negative pressure room = Keep together
Those with liver problems and pregnant women

30. Who needs Standard and Contact precautions (SC)
Nausea - diarrhea and fatigue for up to 28 days
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Chef
Wash their hands before and after handling pets

31. Droplet precautions
Mask will 3 feet
Chef
PRIVATE - NEGATIVE PRESSURE ROOM
Swelling and tenderness of one or more salivary glands

32. Who shouldn't get the Chicken pox vaccine

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33. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
EBOLI - MARBAR - CRIMEAN CONGO
An order for and Anti Diarrhea med like Imodium
- 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

34. Who shouldn't get the measles vacc
A consent form to be signed for Hep B - C and HIV
People w/ egg allergies - pregnant - illness or fever
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

35. What are the major ATB associated w/ c diff
Wash their hands before and after handling pets
Rocky mountain fever and Lymes disease
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Pencillins - Cephalosporins - Clindamycin

36. What other ATB might be prescribed to treat c diff
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Dry cough
Oral Flagyl and and Vancomycin
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

37. What is the most dangerous type of Hep?
Lindane - Crotmiton - Permethrine
Nausea - diarrhea and fatigue for up to 28 days
Chef
A

38. Who should get the chicken pox vaccine
Private rooms or patient with same organisms
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A consent form to be signed for Hep B - C and HIV

39. What are char of Pertussis( whooping cough)
Nausea - diarrhea and fatigue for up to 28 days
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
PRIVATE - NEGATIVE PRESSURE ROOM
Dry cough

40. Who is not able to start PPE
Those with liver problems and pregnant women
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus

41. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Wrist ankles Palms - soles Forearm
1St provide care 2nd notify MD ( medical doctor
DISCONTINUE The ATB
Deet spray

42. Where can you find Salmonella
Fecal/oral
Feces of infected people or animals
Private rooms or patient with same organisms
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

43. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Pencillins - Cephalosporins - Clindamycin
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

44. When is a pt w/measles most contagious?
People w/ egg allergies - pregnant - illness or fever
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Before the rash appears
Blue - Blue - green - GREEN means negative

45. After a bloodborne pathogen exposure what should be done later?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash their hands before and after handling pets
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
HIV - HEP B - C - Cytmegalovirus

46. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
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

47. When dealing w/ a Droplet percautions pt they require
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
Feces of infected people or animals
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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

48. Rabies pt's would need

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49. What would you question with a c diff pt
Kopliks spots
An order for and Anti Diarrhea med like Imodium
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Deet spray

50. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES