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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. After a bloodborne pathogen exposure what should be done later?
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Examples: Airborne - droplet - contact or standard

2. What patients need Droplet precautions?

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3. What should the nurse immediately do if she stuck by a used needle?
Private room with negative pressure
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

4. What is the tx for Scabies
Nausea - diarrhea and fatigue for up to 28 days
Lindane - Crotmiton - Permethrine
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
Maculopapular rash and vesicular scabs

5. What kind of diet is needed for a PT with hepatitis A
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
Gloves - gown - goggles and mask - Everything
Rocky mountain fever and Lymes disease

6. When To USE STAndARD PRECAUTIONS
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
Gown and gloves and disinfectant all the equipments
Feces of infected people or animals

7. What other ATB might be prescribed to treat c diff
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Oral Flagyl and and Vancomycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

8. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Rocky mountain fever and Lymes disease
A test to decect fecal occult blood assess for hidden blood in stool
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

9. Infected Air - borne precaution
Oral Flagyl and and Vancomycin
Private room with negative pressure
Nausea - diarrhea and fatigue for up to 28 days
C Diff( Clostridium difficle)

10. Transferring Patient BETWEEN WARDS
Pencillins - Cephalosporins - Clindamycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

11. What is the most dangerous type of Hep?
A
HIV - HEP B - C - Cytmegalovirus
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

12. When CAN INFECTED Patient LEAVE TheIR 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
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.
PRIVATE - NEGATIVE PRESSURE ROOM
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

13. Rule: DISCHARGE DURING AN EMERGENCY
A
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Nothing unless the pt is in isolation
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

14. Identify the type of precaution required
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard
Gloves
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.

15. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Mask will 3 feet
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Lindane - Crotmiton - Permethrine

16. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs
N - V - D and Abd pain

17. How can you stop the spread of c diff

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18. Who needs Standard and Contact precautions (SC)
Private room with negative pressure
Gown and gloves and disinfectant all the equipments
Lindane - Crotmiton - Permethrine
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

19. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Nausea - diarrhea and fatigue for up to 28 days
C Diff( Clostridium difficle)

20. Where can you find Salmonella
Wash their hands before and after handling pets
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Feces of infected people or animals
Deet spray

21. Which Patient CAN KEEP In The SAME ROOM
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
COPD + Negative pressure room = Keep together
Wrist ankles Palms - soles Forearm
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

22. Who should get the chicken pox vaccine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Mask will 3 feet
Lindane - Crotmiton - Permethrine

23. What should you wash the toilet seat with
Gloves
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contaminated food and water
Bleach

24. What would you question with a c diff pt
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
An order for and Anti Diarrhea med like Imodium
A diet high in calories and low fat

25. How would you take off Personal protective gear?
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Gloves 2.Goggles 3.Gown 4.Mask

26. Who needs Standard Contact and Droplet precautions
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.
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
A diet high in calories and low fat
Glanders - Lassa

27. When is a pt w/measles most contagious?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Oral Flagyl and and Vancomycin
Lindane - Crotmiton - Permethrine
Before the rash appears

28. What is a GUAIAC test?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Bleach

29. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves - Goggles and a face shield
A test to decect fecal occult blood assess for hidden blood in stool

30. patient what kind of room they should stay
Pink red maculopapules
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private rooms or patient with same organisms
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

31. Contact Precautions
Gown and gloves and disinfectant all the equipments
Blue - Blue - green - GREEN means negative
A diet high in calories and low fat
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

32. After getting the Varicella vacc who should you teach pt's to avoid
1St provide care 2nd notify MD ( medical doctor
Fecal/oral
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
People w/ egg allergies - pregnant - illness or fever

33. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rocky mountain fever and Lymes disease
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

34. What kind of room would an Airborne precaution pt need
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
PRIVATE - NEGATIVE PRESSURE ROOM
EBOLI - MARBAR - CRIMEAN CONGO
Gloves

35. Rabies pt's would need

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36. GENERAL RuleS FOR VACCINES
Gown and gloves and disinfectant all the equipments
People w/ egg allergies - pregnant - illness or fever
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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

37. What colors indicate blood in the stool when doing GUAIAC test
Chef
Before the rash appears
Blue - Blue - green - GREEN means negative
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

38. What are the char. of German measles( Rubella)
Pink red maculopapules
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
N - V - D and Abd pain

39. What type of job should a person with hepatitis never have
Chef
PRIVATE - NEGATIVE PRESSURE ROOM
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

40. What are the characteristics of Mumps
Dry cough
Swelling and tenderness of one or more salivary glands
Pink red maculopapules
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

41. What are the major ATB associated w/ c diff
1.Gloves 2.Goggles 3.Gown 4.Mask
A consent form to be signed for Hep B - C and HIV
Pencillins - Cephalosporins - Clindamycin
-- 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

42. Which pt's can't the pregnant nurse care for
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

43. Droplet precautions
Mask will 3 feet
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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.
Pencillins - Cephalosporins - Clindamycin

44. How is Hep A spread
Pencillins - Cephalosporins - Clindamycin
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Fecal/oral

45. What precaution are needed for Scabies pt
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Feces of infected people or animals
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots

46. What is the two diseased caused by ticks
Examples: Airborne - droplet - contact or standard
Wrist ankles Palms - soles Forearm
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Rocky mountain fever and Lymes disease

47. What should you wear when taking a pt's VS?
Pink red maculopapules
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Nothing unless the pt is in isolation

48. What are the S/S for Botulism
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
N - V - D and Abd pain
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
EBOLI - MARBAR - CRIMEAN CONGO

49. If aptient is going to surgery do not give them
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Lindane - Crotmiton - Permethrine
Nothing unless the pt is in isolation

50. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
EBOLI - MARBAR - CRIMEAN CONGO
Gloves
Before the rash appears