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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
COPD + Negative pressure room = Keep together
PRIVATE - NEGATIVE PRESSURE ROOM
Bleach
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

2. What is the most dangerous type of Hep?
A
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Private room with negative pressure

3. What other ATB might be prescribed to treat c diff
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
People w/ egg allergies - pregnant - illness or fever
Lindane - Crotmiton - Permethrine
Oral Flagyl and and Vancomycin

4. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

5. Where can you find Salmonella
Swelling and tenderness of one or more salivary glands
Gloves
PRIVATE - NEGATIVE PRESSURE ROOM
Feces of infected people or animals

6. Who needs Standard and Contact precautions (SC)
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
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

7. Droplet precautions
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Mask will 3 feet

8. When is a pt w/measles most contagious?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever
Before the rash appears
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

9. What pt's would be ok for a pregnant nurse to care for
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
A diet high in calories and low fat
HIV - HEP B - C - Cytmegalovirus
Chef

10. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
DISCONTINUE The ATB

11. How is c diff transmitted?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Deet spray

12. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

13. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Wash their hands before and after handling pets
Chef
PRIVATE - NEGATIVE PRESSURE ROOM
-- 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

14. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
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

15. Rule: Transferring ADULT To PEDIATRIC WARDS
1St provide care 2nd notify MD ( medical doctor
A test to decect fecal occult blood assess for hidden blood in stool
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

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

17. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

18. What should you wear when drawing blood
Gloves
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nausea - diarrhea and fatigue for up to 28 days
Lindane - Crotmiton - Permethrine

19. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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.
Blue - Blue - green - GREEN means negative
N - V - D and Abd pain

20. What are the major ATB associated w/ c diff
Examples: Airborne - droplet - contact or standard
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pencillins - Cephalosporins - Clindamycin

21. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rocky mountain fever and Lymes disease
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Blue - Blue - green - GREEN means negative

22. Which pt's can't the pregnant nurse care for
Wrist ankles Palms - soles Forearm
People w/ egg allergies - pregnant - illness or fever
Rest - warm - humid air
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

23. What are common side effects of PPE
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Nausea - diarrhea and fatigue for up to 28 days
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

24. Who needs Standard Contact and Droplet precautions
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Glanders - Lassa
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

25. What are the characteristics of Chicken pox Varicella?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Maculopapular rash and vesicular scabs

26. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact which are gloves and gown - Toes - wet - warm - spots
N - V - D and Abd pain

27. What should you wear if blood is spurting?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gloves - gown - goggles and mask - Everything
1.Gloves 2.Goggles 3.Gown 4.Mask

28. Identify the type of precaution required
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation
Examples: Airborne - droplet - contact or standard
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

29. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Private rooms or patient with same organisms
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
A consent form to be signed for Hep B - C and HIV

30. To be most effective when should postexposure prophylaxis (PPE) be started?
C Diff( Clostridium difficle)
PRIVATE - NEGATIVE PRESSURE ROOM
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

31. What are the Ni for Pertussis?
Wash their hands before and after handling pets
Rest - warm - humid air
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
Rocky mountain fever and Lymes disease

32. What are char of Pertussis( whooping cough)
Gown and gloves and disinfectant all the equipments
Contaminated food and water
Dry cough
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

33. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

34. What are the char. of German measles( Rubella)
- 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
Pink red maculopapules
Before the rash appears

35. What is a GUAIAC test?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative

36. What type of job should a person with hepatitis never have
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Chef
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
Pink red maculopapules

37. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Small pox
Rocky mountain fever and Lymes disease
Contaminated food and water

38. How would you take off Personal protective gear?
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Gloves 2.Goggles 3.Gown 4.Mask
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

39. What is the order for putting on personal protective gear?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Swelling and tenderness of one or more salivary glands
1.Gloves 2.Goggles 3.Gown 4.Mask
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

40. How is Salmonella transmitted
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
PRIVATE - NEGATIVE PRESSURE 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
Contaminated food and water

41. Contact Precautions
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
Nothing unless the pt is in isolation
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

42. Where would you see a rash w/ Rocky mountain spotted fever?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Wrist ankles Palms - soles Forearm
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

43. 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves - Goggles and a face shield
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

44. What should a Contact Precaution pt have
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pencillins - Cephalosporins - Clindamycin
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Blue - Blue - green - GREEN means negative

45. What should the nurse immediately do if she stuck by a used needle?
Rocky mountain fever and Lymes disease
People w/ egg allergies - pregnant - illness or fever
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

46. Rule: DISCHARGE DURING AN EMERGENCY
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Those with liver problems and pregnant women
Rest - warm - humid air
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

47. DON'T TRANSFER Which Patient
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
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.Gloves 2.Goggles 3.Gown 4.Mask
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

48. 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
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Fecal/oral

49. What should you wash the toilet seat with
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Bleach
HIV - HEP B - C - Cytmegalovirus
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

50. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Blue - Blue - green - GREEN means negative
1St provide care 2nd notify MD ( medical doctor
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
Pink red maculopapules