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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. 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
A consent form to be signed for Hep B - C and HIV
Gloves - Goggles and a face shield
Maculopapular rash and vesicular scabs

2. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Blue - Blue - green - GREEN means negative
People w/ egg allergies - pregnant - illness or fever
Bleach

3. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact which are gloves and gown - Toes - wet - warm - spots

4. Who needs Standard - Airbourne and Contact precautions
Small pox
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

5. What are common side effects of PPE
1St provide care 2nd notify MD ( medical doctor
COPD + Negative pressure room = Keep together
Lindane - Crotmiton - Permethrine
Nausea - diarrhea and fatigue for up to 28 days

6. Rabies pt's would need

7. What are the S/S for Botulism
Gown and gloves and disinfectant all the equipments
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]
N - V - D and Abd pain

8. What should you wash the toilet seat with
Gown and gloves and disinfectant all the equipments
Bleach
Private rooms or patient with same organisms
DISCONTINUE The ATB

9. What should the nurse immediately do if she stuck by a used needle?
Dry cough
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard

10. Who needs Standard Contact and Droplet precautions
1.Gloves 2.Goggles 3.Gown 4.Mask
Glanders - Lassa
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma

11. DON'T TRANSFER Which Patient
Gloves - gown - goggles and mask - Everything
Contaminated food and water
1St provide care 2nd notify MD ( medical doctor
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

12. 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1St provide care 2nd notify MD ( medical doctor
Small pox

13. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Pink red maculopapules
PRIVATE - NEGATIVE PRESSURE ROOM
Wash their hands before and after handling pets

14. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Gloves - Goggles and a face shield
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
Rest - warm - humid air

15. If aptient is going to surgery do not give them
Mask will 3 feet
DISCONTINUE The ATB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

16. Which Patient NEED To ISOLATE
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
Those with liver problems and pregnant women
Lindane - Crotmiton - Permethrine
Gloves

17. How is Salmonella transmitted
Contaminated food and water
A diet high in calories and low fat
EBOLI - MARBAR - CRIMEAN CONGO
Before the rash appears

18. What are the Ni for Pertussis?
Rest - warm - humid air
Oral Flagyl and and Vancomycin
Wash their hands before and after handling pets
Dry cough

19. How would you take off Personal protective gear?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A
Gloves - gown - goggles and mask - Everything
1.Gloves 2.Goggles 3.Gown 4.Mask

20. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

21. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A diet high in calories and low fat
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

22. Contact Precautions
HIV - HEP B - C - Cytmegalovirus
Gown and gloves and disinfectant all the equipments
People w/ egg allergies - pregnant - illness or fever
Dry cough

23. When dealing w/ a Droplet percautions pt they require
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
COPD + Negative pressure room = Keep together

24. patient what kind of room they should stay
Private rooms or patient with same organisms
Rest - warm - humid air
Mask will 3 feet
Wrist ankles Palms - soles Forearm

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

26. Droplet precautions
A
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
Mask will 3 feet

27. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
Swelling and tenderness of one or more salivary glands
EBOLI - MARBAR - CRIMEAN CONGO
PRIVATE - NEGATIVE PRESSURE ROOM

28. What are char of Pertussis( whooping cough)
Dry cough
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A test to decect fecal occult blood assess for hidden blood in stool

29. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Chef
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.
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

30. What should you wear when drawing blood
C Diff( Clostridium difficle)
N - V - D and Abd pain
Gloves
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

31. What pt's would be ok for a pregnant nurse to care for
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
HIV - HEP B - C - Cytmegalovirus
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

32. What should you teach pt's to wear for protect themselves against Lyme disease
Pencillins - Cephalosporins - Clindamycin
1.Gloves 2.Goggles 3.Gown 4.Mask
A consent form to be signed for Hep B - C and HIV
Deet spray

33. What is the tx for Scabies
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Before the rash appears
Lindane - Crotmiton - Permethrine
Gloves - gown - goggles and mask - Everything

34. Identify the type of precaution required
Bleach
Examples: Airborne - droplet - contact or standard
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

35. What are the major ATB associated w/ c diff
People w/ egg allergies - pregnant - illness or fever
Maculopapular rash and vesicular scabs
A consent form to be signed for Hep B - C and HIV
Pencillins - Cephalosporins - Clindamycin

36. What is the most dangerous type of Hep?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A
Oral Flagyl and and Vancomycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

37. Who shouldn't get the measles vacc
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
People w/ egg allergies - pregnant - illness or fever

38. What should you do if the c diff is linked to an ATB
Private rooms or patient with same organisms
DISCONTINUE The ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
People w/ egg allergies - pregnant - illness or fever

39. What is the order for putting on personal protective gear?
Swelling and tenderness of one or more salivary glands
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A test to decect fecal occult blood assess for hidden blood in stool
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

40. 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
Gown and gloves and disinfectant all the equipments
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Examples: Airborne - droplet - contact or standard

41. INTERVENTION FOR PREVENT ASPIRATION
Those with liver problems and pregnant women
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
Gloves

42. What type of job should a person with hepatitis never have
Chef
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Those with liver problems and pregnant women
Kopliks spots

43. GENERAL RuleS FOR VACCINES
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

44. Infected Air - borne precaution
N - V - D and Abd pain
Private room with negative pressure
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

45. What patients need Droplet precautions?

46. Where would you see a rash w/ Rocky mountain spotted fever?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private room with negative pressure
HIV - HEP B - C - Cytmegalovirus
Wrist ankles Palms - soles Forearm

47. How is c diff transmitted?
Swelling and tenderness of one or more salivary glands
Deet spray
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

48. Which Patient CAN KEEP In The SAME ROOM
A
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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.
COPD + Negative pressure room = Keep together

49. How is Hep A spread
Gown and gloves and disinfectant all the equipments
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Fecal/oral

50. When is a pt w/measles most contagious?
Pink red maculopapules
Fecal/oral
Before the rash appears
Mask will 3 feet