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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: DISCHARGE DURING AN EMERGENCY
Rest - warm - humid air
Private rooms or patient with same organisms
Lindane - Crotmiton - Permethrine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

2. How can you stop the spread of c diff

3. What is the most common cause of ATB associated diarrhea
Private rooms or patient with same organisms
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
C Diff( Clostridium difficle)
N - V - D and Abd pain

4. What kind of room would an Airborne precaution pt need
Rest - warm - humid air
1.Gloves 2.Goggles 3.Gown 4.Mask
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
PRIVATE - NEGATIVE PRESSURE ROOM

5. How is Salmonella transmitted
Pink red maculopapules
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
Contaminated food and water

6. How would you take off Personal protective gear?
HIV - HEP B - C - Cytmegalovirus
Wrist ankles Palms - soles Forearm
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
1.Gloves 2.Goggles 3.Gown 4.Mask

7. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus
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.Gloves 2.Goggles 3.Gown 4.Mask

8. What is the order for putting on personal protective gear?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

9. Which pt's can't the pregnant nurse care for
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium

10. BLEEDING PRECAUTION Patient. These Patients Who Are On...
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Lindane - Crotmiton - Permethrine
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

11. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

12. Who shouldn't get the Chicken pox vaccine

13. What is the most dangerous type of Hep?
Nausea - diarrhea and fatigue for up to 28 days
Gown and gloves and disinfectant all the equipments
Kopliks spots
A

14. What should you wear when taking a pt's VS?
Feces of infected people or animals
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm
Nothing unless the pt is in isolation

15. What are the S/S for Botulism
People w/ egg allergies - pregnant - illness or fever
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
N - V - D and Abd pain
Deet spray

16. To be most effective when should postexposure prophylaxis (PPE) be started?
1St provide care 2nd notify MD ( medical doctor
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

17. Who is not able to start PPE
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Those with liver problems and pregnant women
Dry cough

18. When CAN INFECTED Patient LEAVE TheIR ROOM
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
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.
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

19. If aptient is going to surgery do not give them
Gloves - gown - goggles and mask - Everything
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
-- 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

20. What should you have the patient sign after being stuck by a needle?
A
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
COPD + Negative pressure room = Keep together
A consent form to be signed for Hep B - C and HIV

21. How can you prevent Salmonella
Lindane - Crotmiton - Permethrine
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

22. Transferring Patient BETWEEN WARDS
Rest - warm - humid air
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Contaminated food and water
Gown and gloves and disinfectant all the equipments

23. What is a GUAIAC test?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Chef
Private rooms or patient with same organisms
A test to decect fecal occult blood assess for hidden blood in stool

24. When dealing w/ a Droplet percautions pt they require
DISCONTINUE The ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

25. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
N - V - D and Abd pain
Private rooms or patient with same organisms

26. Who needs Standard - Airbourne and Contact precautions
Small pox
COPD + Negative pressure room = Keep together
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

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

28. What patients need Droplet precautions?

29. What type of job should a person with hepatitis never have
Examples: Airborne - droplet - contact or standard
Maculopapular rash and vesicular scabs
Chef
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

30. INTERVENTION FOR PREVENT ASPIRATION
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Fecal/oral

31. When is a pt w/measles most contagious?
Before the rash appears
HIV - HEP B - C - Cytmegalovirus
-- 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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma

32. What are common side effects of PPE
Contact which are gloves and gown - Toes - wet - warm - spots
Chef
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

33. What colors indicate blood in the stool when doing GUAIAC test
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gloves
Blue - Blue - green - GREEN means negative

34. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

35. What are char of Pertussis( whooping cough)
COPD + Negative pressure room = Keep together
Kopliks spots
Dry cough
Fecal/oral

36. When To USE STAndARD PRECAUTIONS
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

37. What should you wear when drawing blood
Gloves
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
EBOLI - MARBAR - CRIMEAN CONGO

38. Droplet precautions
- 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
Mask will 3 feet
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

39. After a bloodborne pathogen exposure what should be done later?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves - Goggles and a face shield
COPD + Negative pressure room = Keep together
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

40. What should the school teacher teach kids handleing pets
HIV - HEP B - C - Cytmegalovirus
Wrist ankles Palms - soles Forearm
Swelling and tenderness of one or more salivary glands
Wash their hands before and after handling pets

41. What should you wash the toilet seat with
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Bleach
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

42. Contact Precautions
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative
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
Gown and gloves and disinfectant all the equipments

43. What would you question with a c diff pt
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.
Chef
Gloves
An order for and Anti Diarrhea med like Imodium

44. Who needs Standard and Contact precautions (SC)
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private room with negative pressure
Dry cough

45. WHen should you use standard percautions
HIV - HEP B - C - Cytmegalovirus
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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

46. What should you wear if blood is spurting?
Nothing unless the pt is in isolation
Pink red maculopapules
Wrist ankles Palms - soles Forearm
Gloves - gown - goggles and mask - Everything

47. What should you teach pt's to wear for protect themselves against Lyme disease
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Deet spray
A diet high in calories and low fat

48. GENERAL RuleS FOR VACCINES
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

49. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
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
An order for and Anti Diarrhea med like Imodium

50. What are the characteristics of Chicken pox Varicella?
COPD + Negative pressure room = Keep together
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
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
Maculopapular rash and vesicular scabs