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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. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Small pox
Oral Flagyl and and Vancomycin
Nausea - diarrhea and fatigue for up to 28 days
1St provide care 2nd notify MD ( medical doctor

2. Rule: DISCHARGE DURING AN EMERGENCY
Wash their hands before and after handling pets
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

3. How is c diff transmitted?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
- 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

4. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Small pox
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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

5. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
Bleach
Glanders - Lassa
Gloves - gown - goggles and mask - Everything

6. Transferring Patient BETWEEN WARDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Nausea - diarrhea and fatigue for up to 28 days
Those with liver problems and pregnant women
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

7. What are characteristics of Measles (Rubeola)
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
Kopliks spots
DISCONTINUE The ATB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. What should a Contact Precaution pt have
Gown and gloves and disinfectant all the equipments
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

9. Which Patient NEED To ISOLATE
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
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
An order for and Anti Diarrhea med like Imodium

10. 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
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
Wash their hands before and after handling pets

11. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Swelling and tenderness of one or more salivary glands

12. 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
Kopliks spots
EBOLI - MARBAR - CRIMEAN CONGO
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

13. Where can you find Salmonella
Small pox
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
DISCONTINUE The ATB
Feces of infected people or animals

14. When is a pt w/measles most contagious?
Before the rash appears
N - V - D and Abd pain
Small pox
PRIVATE - NEGATIVE PRESSURE ROOM

15. What should you wash the toilet seat with
Bleach
Nausea - diarrhea and fatigue for up to 28 days
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1St provide care 2nd notify MD ( medical doctor

16. How can you stop the spread of c diff

17. Who shouldn't get the Chicken pox vaccine

18. How is Salmonella transmitted
Examples: Airborne - droplet - contact or standard
Contaminated food and water
Wash their hands before and after handling pets
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

19. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Blue - Blue - green - GREEN means negative
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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

20. WHen should you use standard percautions
Mask will 3 feet
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pink red maculopapules

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

22. Who needs Standard and Contact precautions (SC)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
HIV - HEP B - C - Cytmegalovirus

23. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
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
Private rooms or patient with same organisms

24. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

25. What are the S/S for Botulism
N - V - D and Abd pain
Contaminated food and water
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Kopliks spots

26. What should you wear when drawing blood
Gloves
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
An order for and Anti Diarrhea med like Imodium
Lindane - Crotmiton - Permethrine

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

28. What kind of room would an Airborne precaution pt need
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nothing unless the pt is in isolation
PRIVATE - NEGATIVE PRESSURE ROOM
Bleach

29. What is the order for putting on personal protective gear?
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Blue - Blue - green - GREEN means negative

30. What is the most dangerous type of Hep?
A
Blue - Blue - green - GREEN means negative
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

31. Who shouldn't get the measles vacc
Blue - Blue - green - GREEN means negative
A
PRIVATE - NEGATIVE PRESSURE ROOM
People w/ egg allergies - pregnant - illness or fever

32. DON'T TRANSFER Which Patient
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1St provide care 2nd notify MD ( medical doctor

33. When should you use Airborne Precautions
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

34. What pt's would be ok for a pregnant nurse to care for
Rocky mountain fever and Lymes disease
HIV - HEP B - C - Cytmegalovirus
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
Private room with negative pressure

35. What is the tx for Scabies
Gloves - gown - goggles and mask - Everything
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Lindane - Crotmiton - Permethrine
Feces of infected people or animals

36. Identify the type of precaution required
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
EBOLI - MARBAR - CRIMEAN CONGO
Examples: Airborne - droplet - contact or standard
Mask will 3 feet

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

38. What type of job should a person with hepatitis never have
DISCONTINUE The ATB
Blue - Blue - green - GREEN means negative
EBOLI - MARBAR - CRIMEAN CONGO
Chef

39. What should you wear when taking a pt's VS?
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.
Nothing unless the pt is in isolation
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
Fecal/oral

40. What is the two diseased caused by ticks
Private room with negative pressure
Rocky mountain fever and Lymes disease
Lindane - Crotmiton - Permethrine
N - V - D and Abd pain

41. Contact Precautions
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Oral Flagyl and and Vancomycin
N - V - D and Abd pain
Gown and gloves and disinfectant all the equipments

42. How is Hep A spread
Examples: Airborne - droplet - contact or standard
Fecal/oral
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
PRIVATE - NEGATIVE PRESSURE ROOM

43. What is warn when suctioning?
HIV - HEP B - C - Cytmegalovirus
Rocky mountain fever and Lymes disease
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

44. What are the characteristics of Mumps
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Swelling and tenderness of one or more salivary glands

45. Infected Air - borne precaution
Private room with negative pressure
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
Chef
PRIVATE - NEGATIVE PRESSURE ROOM

46. How can you prevent Salmonella
Nausea - diarrhea and fatigue for up to 28 days
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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

47. Where would you see a rash w/ Rocky mountain spotted fever?
Deet spray
A consent form to be signed for Hep B - C and HIV
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
Wrist ankles Palms - soles Forearm

48. What are common side effects of PPE
Swelling and tenderness of one or more salivary glands
Nausea - diarrhea and fatigue for up to 28 days
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
HIV - HEP B - C - Cytmegalovirus

49. What colors indicate blood in the stool when doing GUAIAC test
PRIVATE - NEGATIVE PRESSURE ROOM
Blue - Blue - green - GREEN means negative
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
Lindane - Crotmiton - Permethrine

50. What is the most common cause of ATB associated diarrhea
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Deet spray
C Diff( Clostridium difficle)
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