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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 Patient CAN KEEP In The SAME ROOM
Swelling and tenderness of one or more salivary glands
Wash their hands before and after handling pets
COPD + Negative pressure room = Keep together
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

2. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Nothing unless the pt is in isolation
Pink red maculopapules
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever

3. What are the characteristics of Chicken pox Varicella?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Maculopapular rash and vesicular scabs
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

4. Who needs Standard - Airbourne and Contact precautions
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation
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
Small pox

5. What is the most dangerous type of Hep?
Dry cough
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A

6. Who should get the chicken pox vaccine
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
- 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

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

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8. What is the two diseased caused by ticks
A
Rocky mountain fever and Lymes disease
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Maculopapular rash and vesicular scabs

9. How is c diff transmitted?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A
Pink red maculopapules

10. WHen should you use standard percautions
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
N - V - D and Abd pain
Pink red maculopapules
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

11. What is the tx for Scabies
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 diet high in calories and low fat
Lindane - Crotmiton - Permethrine
Gloves

12. Transferring Patient BETWEEN WARDS
People w/ egg allergies - pregnant - illness or fever
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rest - warm - humid air

13. What are the char. of German measles( Rubella)
Pink red maculopapules
Glanders - Lassa
A consent form to be signed for Hep B - C and HIV
Private room with negative pressure

14. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
-- 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

15. What patients need Droplet precautions?

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16. What are the major ATB associated w/ c diff
Bleach
Pencillins - Cephalosporins - Clindamycin
Before the rash appears
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

17. After getting the Varicella vacc who should you teach pt's to avoid
Rest - warm - humid air
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

18. Infected Air - borne precaution
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Mask will 3 feet
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private room with negative pressure

19. Rule: Transferring ADULT To PEDIATRIC WARDS
DISCONTINUE The ATB
Glanders - Lassa
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

20. What should you wash the toilet seat with
Glanders - Lassa
-- 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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Bleach

21. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
PRIVATE - NEGATIVE PRESSURE 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.

22. Rabies pt's would need

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23. What colors indicate blood in the stool when doing GUAIAC test
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
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

24. What should you have the patient sign after being stuck by a needle?
Small pox
Gloves - Goggles and a face shield
A consent form to be signed for Hep B - C and HIV
People w/ egg allergies - pregnant - illness or fever

25. When CAN INFECTED Patient LEAVE TheIR ROOM
COPD + Negative pressure room = Keep together
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.
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV

26. When is a pt w/measles most contagious?
An order for and Anti Diarrhea med like Imodium
Fecal/oral
Dry cough
Before the rash appears

27. Rule: DISCHARGE DURING AN EMERGENCY
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

28. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
N - V - D and Abd pain
EBOLI - MARBAR - CRIMEAN CONGO
C Diff( Clostridium difficle)
Bleach

29. What is warn when suctioning?
Pink red maculopapules
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gloves - Goggles and a face shield
A

30. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Swelling and tenderness of one or more salivary glands
An order for and Anti Diarrhea med like Imodium
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

31. What is the order for putting on personal protective gear?
Fecal/oral
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gown and gloves and disinfectant all the equipments
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

32. 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
Deet spray
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

33. What are the S/S for Botulism
Gloves
N - V - D and Abd pain
-- 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
Maculopapular rash and vesicular scabs

34. INTERVENTION FOR PREVENT ASPIRATION
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
Kopliks spots
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Those with liver problems and pregnant women

35. What should you wear when taking a pt's VS?
Private rooms or patient with same organisms
Nothing unless the pt is in isolation
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)

36. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
EBOLI - MARBAR - CRIMEAN CONGO
Gown and gloves and disinfectant all the equipments
Gloves - Goggles and a face shield

37. What pt's would be ok for a pregnant nurse to care for
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
HIV - HEP B - C - Cytmegalovirus
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

38. 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
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
C Diff( Clostridium difficle)

39. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
C Diff( Clostridium difficle)

40. How would you take off Personal protective gear?
C Diff( Clostridium difficle)
An order for and Anti Diarrhea med like Imodium
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Gloves 2.Goggles 3.Gown 4.Mask

41. What kind of room would an Airborne precaution pt need
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
PRIVATE - NEGATIVE PRESSURE ROOM
Lindane - Crotmiton - Permethrine
Gown and gloves and disinfectant all the equipments

42. If aptient is going to surgery do not give them
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

43. To be most effective when should postexposure prophylaxis (PPE) be started?
A
Oral Flagyl and and Vancomycin
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

44. What should you wear if blood is spurting?
Contaminated food and water
COPD + Negative pressure room = Keep together
Gloves - gown - goggles and mask - Everything
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

45. What should you teach pt's to wear for protect themselves against Lyme disease
Gloves - gown - goggles and mask - Everything
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves
Deet spray

46. Contact Precautions
Gown and gloves and disinfectant all the equipments
Fecal/oral
Gloves
Before the rash appears

47. DON'T TRANSFER Which Patient
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

48. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Mask will 3 feet
N - V - D and Abd pain

49. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

50. How is Hep A spread
A consent form to be signed for Hep B - C and HIV
Fecal/oral
Bleach
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]