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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 precaution are needed for Scabies pt
Small pox
Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

2. What should you wash the toilet seat with
Rocky mountain fever and Lymes disease
Bleach
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
Nothing unless the pt is in isolation

3. What are char of Pertussis( whooping cough)
People w/ egg allergies - pregnant - illness or fever
-- 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
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
Dry cough

4. What is a GUAIAC test?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A test to decect fecal occult blood assess for hidden blood in stool
Kopliks spots
Wash their hands before and after handling pets

5. What kind of diet is needed for a PT with hepatitis A
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat

6. What should you do if the c diff is linked to an ATB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
DISCONTINUE The ATB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

7. How can you prevent Salmonella
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 - 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

8. When dealing w/ a Droplet percautions pt they require
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Glanders - Lassa
N - V - D and Abd pain
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

9. What should you wear when drawing blood
Wrist ankles Palms - soles Forearm
Gloves
Nothing unless the pt is in isolation
EBOLI - MARBAR - CRIMEAN CONGO

10. Rule: DISCHARGE DURING AN EMERGENCY
Glanders - Lassa
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
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

11. Identify the type of precaution required
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Examples: Airborne - droplet - contact or standard
1.Gloves 2.Goggles 3.Gown 4.Mask
EBOLI - MARBAR - CRIMEAN CONGO

12. How is Hep A spread
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Fecal/oral
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

13. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Dry cough
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

14. What other ATB might be prescribed to treat c diff
Contaminated food and water
Private room with negative pressure
-- 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
Oral Flagyl and and Vancomycin

15. 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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Wash their hands before and after handling pets
Contact which are gloves and gown - Toes - wet - warm - spots

16. To be most effective when should postexposure prophylaxis (PPE) be started?
Gloves
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Those with liver problems and pregnant women
Deet spray

17. What is the most common cause of ATB associated diarrhea
Those with liver problems and pregnant women
Gloves - gown - goggles and mask - Everything
Private room with negative pressure
C Diff( Clostridium difficle)

18. What should the nurse immediately do if she stuck by a used needle?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Nausea - diarrhea and fatigue for up to 28 days
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

19. DON'T TRANSFER Which Patient
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
Private rooms or patient with same organisms
Pink red maculopapules

20. What type of job should a person with hepatitis never have
Contaminated food and water
A diet high in calories and low fat
Chef
Wrist ankles Palms - soles Forearm

21. What patients need Droplet precautions?

22. Who is not able to start PPE
Those with liver problems and pregnant women
A diet high in calories and low fat
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
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

23. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

24. What are the char. of German measles( Rubella)
Wash their hands before and after handling pets
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 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

25. What should you wear if blood is spurting?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contact which are gloves and gown - Toes - wet - warm - spots
Mask will 3 feet
Gloves - gown - goggles and mask - Everything

26. What pt's would be ok for a pregnant nurse to care for
Deet spray
HIV - HEP B - C - Cytmegalovirus
Contact which are gloves and gown - Toes - wet - warm - spots
Gown and gloves and disinfectant all the equipments

27. How is Salmonella transmitted
Fecal/oral
Contaminated food and water
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days

28. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
-- 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

29. Who shouldn't get the measles vacc
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever

30. Infected Air - borne precaution
Private room with negative pressure
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
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

31. patient what kind of room they should stay
C Diff( Clostridium difficle)
Gloves - Goggles and a face shield
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

32. What is the two diseased caused by ticks
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
Rocky mountain fever and Lymes disease
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

33. WHen should you use standard percautions
Dry cough
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

34. Which pt's can't the pregnant nurse care for
Private rooms or patient with same organisms
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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

35. What kind of room would an Airborne precaution pt need
An order for and Anti Diarrhea med like Imodium
PRIVATE - NEGATIVE PRESSURE ROOM
C Diff( Clostridium difficle)
Contact which are gloves and gown - Toes - wet - warm - spots

36. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - gown - goggles and mask - Everything

37. 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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Oral Flagyl and and Vancomycin

38. What is the order for putting on personal protective gear?
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
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.
Gloves - gown - goggles and mask - Everything
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

39. Which Patient CAN KEEP In The SAME ROOM
Private room with negative pressure
COPD + Negative pressure room = Keep together
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Deet spray

40. Rule: Transferring PEDS Patient To MS (MED SURGE)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nausea - diarrhea and fatigue for up to 28 days
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Private room with negative pressure

41. Who shouldn't get the Chicken pox vaccine

42. How is c diff transmitted?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Those with liver problems and pregnant women
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

43. What should the school teacher teach kids handleing pets
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
Lindane - Crotmiton - Permethrine
Wash their hands before and after handling pets

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

45. How can you stop the spread of c diff

46. What are the major ATB associated w/ c diff
Kopliks spots
Pencillins - Cephalosporins - Clindamycin
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

47. What are the characteristics of Mumps
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
Swelling and tenderness of one or more salivary glands
Fecal/oral

48. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1St provide care 2nd notify MD ( medical doctor
Small pox
Gown and gloves and disinfectant all the equipments

49. Rabies pt's would need

50. What is warn when suctioning?
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
Gloves - Goggles and a face shield
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH