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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 the nurse immediately do if she stuck by a used needle?
Rest - warm - humid air
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
Dry cough
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

2. Contact Precautions
EBOLI - MARBAR - CRIMEAN CONGO
Oral Flagyl and and Vancomycin
Gown and gloves and disinfectant all the equipments
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

3. 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
Those with liver problems and pregnant women
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves - gown - goggles and mask - Everything

4. After getting the Varicella vacc who should you teach pt's to avoid
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
Nausea - diarrhea and fatigue for up to 28 days
Wash their hands before and after handling pets
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

5. 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A consent form to be signed for Hep B - C and HIV
DISCONTINUE The ATB

6. What other ATB might be prescribed to treat c diff
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Oral Flagyl and and Vancomycin

7. Transferring Patient BETWEEN WARDS
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Contact which are gloves and gown - Toes - wet - warm - spots
Pink red maculopapules

8. patient what kind of room they should stay
Private rooms or patient with same organisms
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
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
EBOLI - MARBAR - CRIMEAN CONGO

9. How can you prevent Salmonella
Pink red maculopapules
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

10. What kind of room would an Airborne precaution pt need
Fecal/oral
Those with liver problems and pregnant women
Gloves
PRIVATE - NEGATIVE PRESSURE ROOM

11. What are the characteristics of Mumps
EBOLI - MARBAR - CRIMEAN CONGO
Rocky mountain fever and Lymes disease
Swelling and tenderness of one or more salivary glands
Contact which are gloves and gown - Toes - wet - warm - spots

12. What patients need Droplet precautions?

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13. Identify the type of precaution required
DISCONTINUE The ATB
Rest - warm - humid air
Examples: Airborne - droplet - contact or standard
Dry cough

14. 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
Wrist ankles Palms - soles Forearm
People w/ egg allergies - pregnant - illness or fever
Nothing unless the pt is in isolation

15. What are the S/S for Botulism
N - V - D and Abd pain
EBOLI - MARBAR - CRIMEAN CONGO
A
A test to decect fecal occult blood assess for hidden blood in stool

16. What are the char. of German measles( Rubella)
Pink red maculopapules
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

17. What type of job should a person with hepatitis never have
Bleach
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Chef
N - V - D and Abd pain

18. Where can you find Salmonella
Feces of infected people or animals
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Blue - Blue - green - GREEN means negative

19. What is a GUAIAC test?
PRIVATE - NEGATIVE PRESSURE ROOM
Gown and gloves and disinfectant all the equipments
A test to decect fecal occult blood assess for hidden blood in stool
A consent form to be signed for Hep B - C and HIV

20. Who is not able to start PPE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
HIV - HEP B - C - Cytmegalovirus
Those with liver problems and pregnant women
Bleach

21. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Feces of infected people or animals
1St provide care 2nd notify MD ( medical doctor

22. What is the two diseased caused by ticks
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
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
Rocky mountain fever and Lymes disease

23. Which pt's can't the pregnant nurse care for
Before the rash appears
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
N - V - D and Abd pain
Kopliks spots

24. What should you wear when drawing blood
Gloves
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Chef
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

25. Rule: Transferring ADULT To PEDIATRIC WARDS
Small pox
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
Oral Flagyl and and Vancomycin
Kopliks spots

26. When CAN INFECTED Patient LEAVE TheIR ROOM
Nothing unless the pt is in isolation
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.
Gloves - gown - goggles and mask - Everything
Before the rash appears

27. What are characteristics of Measles (Rubeola)
Kopliks spots
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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.. 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

28. What is the tx for Scabies
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
Glanders - Lassa
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Lindane - Crotmiton - Permethrine

29. What are char of Pertussis( whooping cough)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
COPD + Negative pressure room = Keep together

30. Who needs Standard Contact and Droplet precautions
-- 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
Wrist ankles Palms - soles Forearm
Glanders - Lassa
An order for and Anti Diarrhea med like Imodium

31. Rule: Transferring PEDS Patient To MS (MED SURGE)
Rocky mountain fever and Lymes disease
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Feces of infected people or animals

32. Who needs Standard and Contact precautions (SC)
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
Those with liver problems and pregnant women
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

33. GENERAL RuleS FOR VACCINES
Pencillins - Cephalosporins - Clindamycin
HIV - HEP B - C - Cytmegalovirus
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

34. What should a Contact Precaution pt have
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wrist ankles Palms - soles Forearm
An order for and Anti Diarrhea med like Imodium

35. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Private rooms or patient with same organisms
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

36. DON'T TRANSFER Which Patient
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

37. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Before the rash appears
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
Nausea - diarrhea and fatigue for up to 28 days

38. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

39. What are the major ATB associated w/ c diff
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
Pencillins - Cephalosporins - Clindamycin
Swelling and tenderness of one or more salivary glands
-- 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

40. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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41. BLEEDING PRECAUTION Patient. These Patients Who Are On...
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - Goggles and a face shield

42. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Gown and gloves and disinfectant all the equipments
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
PRIVATE - NEGATIVE PRESSURE ROOM

43. INTERVENTION FOR PREVENT ASPIRATION
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Those with liver problems and pregnant women
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

44. What is the most dangerous type of Hep?
Small pox
Nothing unless the pt is in isolation
An order for and Anti Diarrhea med like Imodium
A

45. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Wash their hands before and after handling pets
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Dry cough
EBOLI - MARBAR - CRIMEAN CONGO

46. What pt's would be ok for a pregnant nurse to care for
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
EBOLI - MARBAR - CRIMEAN CONGO
HIV - HEP B - C - Cytmegalovirus
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

47. How is Hep A spread
Fecal/oral
COPD + Negative pressure room = Keep together
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Mask will 3 feet

48. What is warn when suctioning?
Contaminated food and water
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Gloves - Goggles and a face shield

49. 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)
Contaminated food and water
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

50. What colors indicate blood in the stool when doing GUAIAC test
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Blue - Blue - green - GREEN means negative
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