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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. Who needs Standard - Airbourne and Contact precautions
Small pox
DISCONTINUE The ATB
Examples: Airborne - droplet - contact or standard
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

2. How is c diff transmitted?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Dry cough
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Glanders - Lassa

3. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Fecal/oral
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

4. Rule: Transferring ADULT To PEDIATRIC WARDS
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

5. What precaution are needed for Scabies pt
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
N - V - D and Abd pain
Contact which are gloves and gown - Toes - wet - warm - spots

6. What is the two diseased caused by ticks
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
Kopliks spots
Oral Flagyl and and Vancomycin
Rocky mountain fever and Lymes disease

7. Droplet precautions
An order for and Anti Diarrhea med like Imodium
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Mask will 3 feet
Small pox

8. When is a pt w/measles most contagious?
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium
Before the rash appears
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

9. patient what kind of room they should stay
Private rooms or patient with same organisms
C Diff( Clostridium difficle)
N - V - D and Abd pain
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

10. Rule: DISCHARGE DURING AN EMERGENCY
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1St provide care 2nd notify MD ( medical doctor
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

11. When dealing w/ a Droplet percautions pt they require
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
DISCONTINUE The ATB
Pink red maculopapules
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

12. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Glanders - Lassa
Nausea - diarrhea and fatigue for up to 28 days
Rocky mountain fever and Lymes disease
1St provide care 2nd notify MD ( medical doctor

13. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Private room with negative pressure
Bleach

14. What is the most common cause of ATB associated diarrhea
Gown and gloves and disinfectant all the equipments
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots
C Diff( Clostridium difficle)

15. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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
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

16. What colors indicate blood in the stool when doing GUAIAC test
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine
Blue - Blue - green - GREEN means negative
PRIVATE - NEGATIVE PRESSURE ROOM

17. 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
Chef
Private room with negative pressure

18. Where would you see a rash w/ Rocky mountain spotted fever?
Maculopapular rash and vesicular scabs
Private rooms or patient with same organisms
Wrist ankles Palms - soles Forearm
Gloves - Goggles and a face shield

19. What should you wear when drawing blood
Gloves
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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

20. What is the tx for Scabies
Glanders - Lassa
Lindane - Crotmiton - Permethrine
Oral Flagyl and and Vancomycin
Rest - warm - humid air

21. 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
Mask will 3 feet
Kopliks spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

22. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Chef
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

23. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
Those with liver problems and pregnant women
Mask will 3 feet

24. What are characteristics of Measles (Rubeola)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Kopliks spots
Pencillins - Cephalosporins - Clindamycin
Contaminated food and water

25. How is Salmonella transmitted
PRIVATE - NEGATIVE PRESSURE ROOM
Private rooms or patient with same organisms
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water

26. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gloves - gown - goggles and mask - Everything
Contact which are gloves and gown - Toes - wet - warm - spots
Pencillins - Cephalosporins - Clindamycin

27. Infected Air - borne precaution
Fecal/oral
Private room with negative pressure
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific 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

28. What are the Ni for Pertussis?
1St provide care 2nd notify MD ( medical doctor
Rest - warm - humid air
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

29. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
EBOLI - MARBAR - CRIMEAN CONGO
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

30. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
A diet high in calories and low fat
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.
Gown and gloves and disinfectant all the equipments

31. What patients need Droplet precautions?

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32. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Rest - warm - humid air
People w/ egg allergies - pregnant - illness or fever
Swelling and tenderness of one or more salivary glands

33. Which Patient CAN KEEP In The SAME ROOM
HIV - HEP B - C - Cytmegalovirus
COPD + Negative pressure room = Keep together
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

34. What is a GUAIAC test?
Feces of infected people or animals
A test to decect fecal occult blood assess for hidden blood in stool
HIV - HEP B - C - Cytmegalovirus
Kopliks spots

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

36. If aptient is going to surgery do not give them
Dry cough
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

37. When CAN INFECTED Patient LEAVE TheIR ROOM
Gloves - Goggles and a face shield
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.
-- 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. 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

38. DON'T TRANSFER Which Patient
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1.Gloves 2.Goggles 3.Gown 4.Mask
Oral Flagyl and and Vancomycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

39. What is warn when suctioning?
Gloves - Goggles and a face shield
PRIVATE - NEGATIVE PRESSURE ROOM
Rest - warm - humid air
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

40. Who is not able to start PPE
EBOLI - MARBAR - CRIMEAN CONGO
DISCONTINUE The ATB
Those with liver problems and pregnant women
Mask will 3 feet

41. Contact Precautions
Gown and gloves and disinfectant all the equipments
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

42. What are the major ATB associated w/ c diff
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Bleach
A diet high in calories and low fat
Pencillins - Cephalosporins - Clindamycin

43. What type of job should a person with hepatitis never have
Chef
N - V - D and Abd pain
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 which are gloves and gown - Toes - wet - warm - spots

44. What pt's would be ok for a pregnant nurse to care for
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
HIV - HEP B - C - Cytmegalovirus
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.

45. What are the characteristics of Mumps
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
Glanders - Lassa
Oral Flagyl and and Vancomycin
Swelling and tenderness of one or more salivary glands

46. What are the char. of German measles( Rubella)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

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

48. How would you take off Personal protective gear?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Gloves 2.Goggles 3.Gown 4.Mask
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

49. Which Patient NEED To ISOLATE
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
Bleach
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 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

50. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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