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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. How is c diff transmitted?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
DISCONTINUE The ATB

2. How is Salmonella transmitted
Contaminated food and water
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
Glanders - Lassa
Small pox

3. WHen should you use standard percautions
Fecal/oral
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Feces of infected people or animals
Contact which are gloves and gown - Toes - wet - warm - spots

4. Who is not able to start PPE
Gloves - Goggles and a face shield
Those with liver problems and pregnant women
An order for and Anti Diarrhea med like Imodium
PRIVATE - NEGATIVE PRESSURE ROOM

5. Who should get the chicken pox vaccine
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.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
A consent form to be signed for Hep B - C and HIV

6. What patients need Droplet precautions?

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7. Which Patient CAN KEEP In The SAME ROOM
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
COPD + Negative pressure room = Keep together
PRIVATE - NEGATIVE PRESSURE ROOM
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

8. How can you prevent Salmonella
Blue - Blue - green - GREEN means negative
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

9. What is warn when suctioning?
Nausea - diarrhea and fatigue for up to 28 days
Pencillins - Cephalosporins - Clindamycin
Gloves - Goggles and a face shield
Wrist ankles Palms - soles Forearm

10. 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
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

11. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Dry cough
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

12. What are common side effects of PPE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days
N - V - D and Abd pain

13. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
PRIVATE - NEGATIVE PRESSURE ROOM
A test to decect fecal occult blood assess for hidden blood in stool
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

14. What are the major ATB associated w/ c diff
People w/ egg allergies - pregnant - illness or fever
Pencillins - Cephalosporins - Clindamycin
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Examples: Airborne - droplet - contact or standard

15. What should you wash the toilet seat with
Nothing unless the pt is in isolation
Bleach
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears

16. When is a pt w/measles most contagious?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears
A consent form to be signed for Hep B - C and HIV
An order for and Anti Diarrhea med like Imodium

17. What are char of Pertussis( whooping cough)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Mask will 3 feet
Swelling and tenderness of one or more salivary glands
Dry cough

18. Contact Precautions
Gown and gloves and disinfectant all the equipments
Deet spray
Rest - warm - humid air
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

19. What kind of diet is needed for a PT with hepatitis A
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A diet high in calories and low fat
-- 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. How would you take off Personal protective gear?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
1.Gloves 2.Goggles 3.Gown 4.Mask

21. 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
Chef
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

22. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Kopliks spots
People w/ egg allergies - pregnant - illness or fever
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

23. After getting the Varicella vacc who should you teach pt's to avoid
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

24. What pt's would be ok for a pregnant nurse to care for
C Diff( Clostridium difficle)
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
HIV - HEP B - C - Cytmegalovirus
Swelling and tenderness of one or more salivary glands

25. Rule: Transferring PEDS Patient To MS (MED SURGE)
Deet spray
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Nausea - diarrhea and fatigue for up to 28 days
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.

26. Who shouldn't get the measles vacc
Examples: Airborne - droplet - contact or standard
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
People w/ egg allergies - pregnant - illness or fever

27. patient what kind of room they should stay
A diet high in calories and low fat
Private rooms or patient with same organisms
Mask will 3 feet
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

28. What is the most common cause of ATB associated diarrhea
Rest - warm - humid air
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
C Diff( Clostridium difficle)
An order for and Anti Diarrhea med like Imodium

29. What should you wear when taking a pt's VS?
A
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
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.

30. Who needs Standard - Airbourne and Contact precautions
Small pox
Oral Flagyl and and Vancomycin
Gloves - Goggles and a face shield
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

31. What precaution are needed for Scabies pt
COPD + Negative pressure room = Keep together
1.Gloves 2.Goggles 3.Gown 4.Mask
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Contact which are gloves and gown - Toes - wet - warm - spots

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

33. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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34. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Feces of infected people or animals
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
EBOLI - MARBAR - CRIMEAN CONGO

35. What would you question with a c diff pt
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
Oral Flagyl and and Vancomycin
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

36. What are the characteristics of Chicken pox Varicella?
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Maculopapular rash and vesicular scabs

37. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Chef
A diet high in calories and low fat

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

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39. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

40. To be most effective when should postexposure prophylaxis (PPE) be started?
Rest - warm - humid air
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A consent form to be signed for Hep B - C and HIV

41. When CAN INFECTED Patient LEAVE TheIR ROOM
C Diff( Clostridium difficle)
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.
Nausea - diarrhea and fatigue for up to 28 days
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

42. Who needs Standard Contact and Droplet precautions
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
Wash their hands before and after handling pets
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.

43. What should the school teacher teach kids handleing pets
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.
1.Gloves 2.Goggles 3.Gown 4.Mask
Wash their hands before and after handling pets
Kopliks spots

44. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

45. What are the Ni for Pertussis?
COPD + Negative pressure room = Keep together
Swelling and tenderness of one or more salivary glands
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
Rest - warm - humid air

46. Where would you see a rash w/ Rocky mountain spotted fever?
PRIVATE - NEGATIVE PRESSURE ROOM
Rocky mountain fever and Lymes disease
Wrist ankles Palms - soles Forearm
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

47. What are the S/S for Botulism
Gloves
Bleach
Feces of infected people or animals
N - V - D and Abd pain

48. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

49. How can you stop the spread of c diff

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50. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Dry cough
Those with liver problems and pregnant women
PRIVATE - NEGATIVE PRESSURE ROOM