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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. 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
Bleach
Mask will 3 feet
N - V - D and Abd pain

2. DON'T TRANSFER Which Patient
Nothing unless the pt is in isolation
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef

3. What type of job should a person with hepatitis never have
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
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
N - V - D and Abd pain

4. Who should get the chicken pox vaccine
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Deet spray
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

5. What are the major ATB associated w/ c diff
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pencillins - Cephalosporins - Clindamycin
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

6. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
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
Rocky mountain fever and Lymes disease
EBOLI - MARBAR - CRIMEAN CONGO

7. What should you wash the toilet seat with
Contact which are gloves and gown - Toes - wet - warm - spots
Bleach
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

8. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Before the rash appears
Glanders - Lassa
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

9. GENERAL RuleS FOR VACCINES
Kopliks spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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

10. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
Rest - warm - humid air
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Dry cough

11. After a bloodborne pathogen exposure what should be done later?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

12. What should you wear when drawing blood
Contact which are gloves and gown - Toes - wet - warm - spots
Deet spray
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves

13. How is c diff transmitted?
C Diff( Clostridium difficle)
- 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
Contact which are gloves and gown - Toes - wet - warm - spots

14. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Nothing unless the pt is in isolation
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.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

15. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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16. 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
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
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

17. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

18. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Mask will 3 feet
Pencillins - Cephalosporins - Clindamycin
C Diff( Clostridium difficle)

19. After getting the Varicella vacc who should you teach pt's to avoid
Feces of infected people or animals
-- 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
Private room with negative pressure

20. What is the tx for Scabies
Maculopapular rash and vesicular scabs
Contact which are gloves and gown - Toes - wet - warm - spots
Feces of infected people or animals
Lindane - Crotmiton - Permethrine

21. Who is not able to start PPE
Dry cough
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Those with liver problems and pregnant women

22. What is the most dangerous type of Hep?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A
Pink red maculopapules
Fecal/oral

23. What colors indicate blood in the stool when doing GUAIAC test
Kopliks spots
Dry cough
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
Blue - Blue - green - GREEN means negative

24. What should the school teacher teach kids handleing pets
Rest - warm - humid air
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Pink red maculopapules
Wash their hands before and after handling pets

25. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Private room with negative pressure
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

26. How would you take off Personal protective gear?
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
Pink red maculopapules
Deet spray
1.Gloves 2.Goggles 3.Gown 4.Mask

27. Where can you find Salmonella
Pink red maculopapules
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets

28. What is the two diseased caused by ticks
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Nothing unless the pt is in isolation
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
Rocky mountain fever and Lymes disease

29. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Mask will 3 feet
A
Pink red maculopapules

30. Rabies pt's would need

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31. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
COPD + Negative pressure room = Keep together
N - V - D and Abd pain
Before the rash appears

32. Who needs Standard and Contact precautions (SC)
Before the rash appears
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
N - V - D and Abd pain

33. What are common side effects of PPE
Before the rash appears
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Nausea - diarrhea and fatigue for up to 28 days

34. What are the Ni for Pertussis?
COPD + Negative pressure room = Keep together
Rest - warm - humid air
Gloves - Goggles and a face shield
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

35. Which Patient NEED To ISOLATE
Chef
People w/ egg allergies - pregnant - illness or fever
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
Pencillins - Cephalosporins - Clindamycin

36. How is Salmonella transmitted
Contaminated food and water
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Private rooms or patient with same organisms
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

37. When dealing w/ a Droplet percautions pt they require
People w/ egg allergies - pregnant - illness or fever
Maculopapular rash and vesicular scabs
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

38. What is a GUAIAC test?
PRIVATE - NEGATIVE PRESSURE ROOM
A test to decect fecal occult blood assess for hidden blood in stool
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gown and gloves and disinfectant all the equipments

39. If aptient is going to surgery do not give them
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
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

40. When To USE STAndARD PRECAUTIONS
Deet spray
Kopliks spots
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
Nothing unless the pt is in isolation

41. How is Hep A spread
Fecal/oral
Wrist ankles Palms - soles Forearm
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
Contact which are gloves and gown - Toes - wet - warm - spots

42. patient what kind of room they should stay
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
Blue - Blue - green - GREEN means negative
Private rooms or patient with same organisms

43. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
N - V - D and Abd pain

44. What is the order for putting on personal protective gear?
Kopliks spots
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

45. Who needs Standard - Airbourne and Contact precautions
Small pox
Deet spray
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.

46. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Mask will 3 feet
Gown and gloves and disinfectant all the equipments
- 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

47. What are the S/S for Botulism
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
N - V - D and Abd pain
A diet high in calories and low fat
Gown and gloves and disinfectant all the equipments

48. What pt's would be ok for a pregnant nurse to care for
DISCONTINUE The ATB
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
HIV - HEP B - C - Cytmegalovirus
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

49. Droplet precautions
Contact which are gloves and gown - Toes - wet - warm - spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
Mask will 3 feet

50. What should you wear when taking a pt's VS?
Private room with negative pressure
Nothing unless the pt is in isolation
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