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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. Transferring Patient BETWEEN WARDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1St provide care 2nd notify MD ( medical doctor

2. Who needs Standard and Contact precautions (SC)
Wash their hands before and after handling pets
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Chef

3. INTERVENTION FOR PREVENT ASPIRATION
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
COPD + Negative pressure room = Keep together

4. What are the major ATB associated w/ c diff
Wrist ankles Palms - soles Forearm
Chef
Pencillins - Cephalosporins - Clindamycin
Mask will 3 feet

5. How can you stop the spread of c diff

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6. Rule: Transferring PEDS Patient To MS (MED SURGE)
Wash their hands before and after handling pets
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus

7. What patients need Droplet precautions?

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8. What kind of diet is needed for a PT with hepatitis A
Swelling and tenderness of one or more salivary glands
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
A diet high in calories and low fat

9. What is the order for putting on personal protective gear?
A
Those with liver problems and pregnant women
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Feces of infected people or animals

10. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Chef
Wrist ankles Palms - soles Forearm
Lindane - Crotmiton - Permethrine

11. What are char of Pertussis( whooping cough)
Mask will 3 feet
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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.
Dry cough

12. When dealing w/ a Droplet percautions pt they require
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
COPD + Negative pressure room = Keep together
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

13. What is the most common cause of ATB associated diarrhea
Gown and gloves and disinfectant all the equipments
C Diff( Clostridium difficle)
Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

14. What should you wear when taking a pt's VS?
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nothing unless the pt is in isolation
1.Gloves 2.Goggles 3.Gown 4.Mask

15. patient what kind of room they should stay
Feces of infected people or animals
PRIVATE - NEGATIVE PRESSURE ROOM
A test to decect fecal occult blood assess for hidden blood in stool
Private rooms or patient with same organisms

16. What are common side effects of PPE
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
Nausea - diarrhea and fatigue for up to 28 days
Glanders - Lassa

17. What is a GUAIAC test?
Rocky mountain fever and Lymes disease
Gloves - Goggles and a face shield
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
A test to decect fecal occult blood assess for hidden blood in stool

18. Which pt's can't the pregnant nurse care for
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Nausea - diarrhea and fatigue for up to 28 days
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
-- 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

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

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20. What other ATB might be prescribed to treat c diff
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Oral Flagyl and and Vancomycin
Pink red maculopapules
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

21. To be most effective when should postexposure prophylaxis (PPE) be started?
Contaminated food and water
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Rocky mountain fever and Lymes disease

22. How is Salmonella transmitted
Contaminated food and water
Contact which are gloves and gown - Toes - wet - warm - spots
Bleach
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

23. What is the tx for Scabies
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Lindane - Crotmiton - Permethrine
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
Wash their hands before and after handling pets

24. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Contact which are gloves and gown - Toes - wet - warm - spots
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Chef
Private rooms or patient with same organisms

25. Where can you find Salmonella
Feces of infected people or animals
A test to decect fecal occult blood assess for hidden blood in stool
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

26. What pt's would be ok for a pregnant nurse to care for
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Nausea - diarrhea and fatigue for up to 28 days

27. Rule: Transferring ADULT To PEDIATRIC WARDS
Dry cough
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
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

28. Who should get the chicken pox vaccine
Swelling and tenderness of one or more salivary glands
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contaminated food and water
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

29. 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
Swelling and tenderness of one or more salivary glands
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Nausea - diarrhea and fatigue for up to 28 days

30. After a bloodborne pathogen exposure what should be done later?
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Oral Flagyl and and Vancomycin

31. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

32. Contact Precautions
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gown and gloves and disinfectant all the equipments
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
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

33. What is the most dangerous type of Hep?
-- 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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A
DISCONTINUE The ATB

34. When CAN INFECTED Patient LEAVE TheIR ROOM
Nothing unless the pt is in isolation
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Glanders - Lassa
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.

35. How is Hep A spread
Fecal/oral
People w/ egg allergies - pregnant - illness or fever
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
-- 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

36. Infected Air - borne precaution
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
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
Private room with negative pressure
A diet high in calories and low fat

37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rest - warm - humid air
Wrist ankles Palms - soles Forearm

38. What is the two diseased caused by ticks
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Pencillins - Cephalosporins - Clindamycin

39. What should you wear when drawing blood
Oral Flagyl and and Vancomycin
Those with liver problems and pregnant women
Gloves
Nothing unless the pt is in isolation

40. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rocky mountain fever and Lymes disease
Contaminated food and water

41. What should you wash the toilet seat with
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Bleach
1.Gloves 2.Goggles 3.Gown 4.Mask
Pencillins - Cephalosporins - Clindamycin

42. What should the school teacher teach kids handleing pets
Mask will 3 feet
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

43. What are characteristics of Measles (Rubeola)
Pink red maculopapules
Kopliks spots
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Bleach

44. Droplet precautions
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Mask will 3 feet
EBOLI - MARBAR - CRIMEAN CONGO

45. Who shouldn't get the measles vacc
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
People w/ egg allergies - pregnant - illness or fever
Mask will 3 feet

46. Where would you see a rash w/ Rocky mountain spotted fever?
DISCONTINUE The ATB
Wrist ankles Palms - soles Forearm
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
Mask will 3 feet

47. What should the nurse immediately do if she stuck by a used needle?
Private rooms or patient with same organisms
Lindane - Crotmiton - Permethrine
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash their hands before and after handling pets

48. What should a Contact Precaution pt have
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
-- 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
Feces of infected people or animals
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

49. What should you have the patient sign after being stuck by a needle?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A diet high in calories and low fat
A consent form to be signed for Hep B - C and HIV

50. Who is not able to start PPE
Chef
Those with liver problems and pregnant women
Swelling and tenderness of one or more salivary glands
Deet spray