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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. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Maculopapular rash and vesicular scabs
Bleach
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

2. What are char of Pertussis( whooping cough)
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
Dry cough
A consent form to be signed for Hep B - C and HIV
1.Gloves 2.Goggles 3.Gown 4.Mask

3. Rule: Transferring ADULT To PEDIATRIC WARDS
A test to decect fecal occult blood assess for hidden blood in stool
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
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
Feces of infected people or animals

4. When should you use Airborne Precautions
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A test to decect fecal occult blood assess for hidden blood in stool
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

5. What patients need Droplet precautions?

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6. Rule: DISCHARGE DURING AN EMERGENCY
Gloves - Goggles and a face shield
C Diff( Clostridium difficle)
Contaminated food and water
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

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

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8. What should you teach pt's to wear for protect themselves against Lyme disease
A consent form to be signed for Hep B - C and HIV
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Deet spray

9. Rabies pt's would need

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10. What should you wear when taking a pt's VS?
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
People w/ egg allergies - pregnant - illness or fever
Nothing unless the pt is in isolation
-- 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

11. What is warn when suctioning?
Gloves - Goggles and a face shield
A
Fecal/oral
Kopliks spots

12. What type of job should a person with hepatitis never have
PRIVATE - NEGATIVE PRESSURE ROOM
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
Chef
A diet high in calories and low fat

13. How is c diff transmitted?
C Diff( Clostridium difficle)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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

14. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Swelling and tenderness of one or more salivary glands
Contact which are gloves and gown - Toes - wet - warm - spots
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

15. Droplet precautions
Maculopapular rash and vesicular scabs
Nausea - diarrhea and fatigue for up to 28 days
Mask will 3 feet
Private rooms or patient with same organisms

16. What should you have the patient sign after being stuck by a needle?
1St provide care 2nd notify MD ( medical doctor
A consent form to be signed for Hep B - C and HIV
Bleach
Gloves - Goggles and a face shield

17. After a bloodborne pathogen exposure what should be done later?
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.
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Swelling and tenderness of one or more salivary glands
People w/ egg allergies - pregnant - illness or fever

18. Infected Air - borne precaution
Blue - Blue - green - GREEN means negative
Private room with negative pressure
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

19. When dealing w/ a Droplet percautions pt they require
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Fecal/oral
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

20. Where can you find Salmonella
Feces of infected people or animals
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Wrist ankles Palms - soles Forearm

21. What are the char. of German measles( Rubella)
Feces of infected people or animals
Kopliks spots
Pink red maculopapules
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

22. What is the tx for Scabies
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
PRIVATE - NEGATIVE PRESSURE ROOM
Lindane - Crotmiton - Permethrine

23. What is the most dangerous type of Hep?
A
Gloves - gown - goggles and mask - Everything
Contaminated food and water
-- 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

24. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

25. What should you do if the c diff is linked to an ATB
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
1St provide care 2nd notify MD ( medical doctor
Blue - Blue - green - GREEN means negative
DISCONTINUE The ATB

26. Who should get the chicken pox vaccine
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash their hands before and after handling pets

27. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
A
A test to decect fecal occult blood assess for hidden blood in stool
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

28. Contact Precautions
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
HIV - HEP B - C - Cytmegalovirus
N - V - D and Abd pain
Gown and gloves and disinfectant all the equipments

29. patient what kind of room they should stay
Private rooms or patient with same organisms
People w/ egg allergies - pregnant - illness or fever
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

30. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

31. Who needs Standard Contact and Droplet precautions
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
Glanders - Lassa
Blue - Blue - green - GREEN means negative
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

32. WHen should you use standard percautions
An order for and Anti Diarrhea med like Imodium
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

33. What are the major ATB associated w/ c diff
Small pox
Bleach
HIV - HEP B - C - Cytmegalovirus
Pencillins - Cephalosporins - Clindamycin

34. 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Mask will 3 feet
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

35. What should a Contact Precaution pt have
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nothing unless the pt is in isolation
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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

36. Which Patient NEED To ISOLATE
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
COPD + Negative pressure room = Keep together
Mask will 3 feet

37. If aptient is going to surgery do not give them
Nothing unless the pt is in isolation
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Wash their hands before and after handling pets
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

38. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
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
-- 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

39. What should the nurse immediately do if she stuck by a used needle?
Chef
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
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

40. What are the S/S for Botulism
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wash their hands before and after handling pets
N - V - D and Abd pain
An order for and Anti Diarrhea med like Imodium

41. What are the Ni for Pertussis?
Contact which are gloves and gown - Toes - wet - warm - spots
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Rest - warm - humid air
Examples: Airborne - droplet - contact or standard

42. Who is not able to start PPE
Wrist ankles Palms - soles Forearm
Those with liver problems and pregnant women
EBOLI - MARBAR - CRIMEAN CONGO
Contact which are gloves and gown - Toes - wet - warm - spots

43. Transferring Patient BETWEEN WARDS
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
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 rooms or patient with same organisms

44. What would you question with a c diff pt
Before the rash appears
An order for and Anti Diarrhea med like Imodium
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
A

45. How is Hep A spread
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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.
Nothing unless the pt is in isolation
Fecal/oral

46. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
A consent form to be signed for Hep B - C and HIV
Gloves - gown - goggles and mask - Everything
N - V - D and Abd pain

47. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

48. What colors indicate blood in the stool when doing GUAIAC test
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Blue - Blue - green - GREEN means negative
Mask will 3 feet
Dry cough

49. What is the order for putting on personal protective gear?
A
HIV - HEP B - C - Cytmegalovirus
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

50. What are common side effects of PPE
Gloves - gown - goggles and mask - Everything
Contaminated food and water
Nausea - diarrhea and fatigue for up to 28 days
Bleach