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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. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
Pink red maculopapules
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
COPD + Negative pressure room = Keep together

2. What is the order for putting on personal protective gear?
Deet spray
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
People w/ egg allergies - pregnant - illness or fever

3. patient what kind of room they should stay
Rest - warm - humid air
Private rooms or patient with same organisms
Rocky mountain fever and Lymes disease
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

4. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Pink red maculopapules
Lindane - Crotmiton - Permethrine
-- 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
PRIVATE - NEGATIVE PRESSURE ROOM

5. What are the char. of German measles( Rubella)
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
Private room with negative pressure
Gloves - gown - goggles and mask - Everything

6. When is a pt w/measles most contagious?
Mask will 3 feet
Before the rash appears
DISCONTINUE The ATB
Wash their hands before and after handling pets

7. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. What is a GUAIAC test?
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 consent form to be signed for Hep B - C and HIV
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat

9. How would you take off Personal protective gear?
HIV - HEP B - C - Cytmegalovirus
-- 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Gloves 2.Goggles 3.Gown 4.Mask

10. What should you have the patient sign after being stuck by a needle?
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A consent form to be signed for Hep B - C and HIV
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

11. What are characteristics of Measles (Rubeola)
Maculopapular rash and vesicular scabs
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.Gloves 2.Goggles 3.Gown 4.Mask
Kopliks spots

12. What are the S/S for Botulism
Kopliks spots
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Maculopapular rash and vesicular scabs
N - V - D and Abd pain

13. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

14. Rule: DISCHARGE DURING AN EMERGENCY
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

15. What type of job should a person with hepatitis never have
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
An order for and Anti Diarrhea med like Imodium
Bleach
Chef

16. How is Hep A spread
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Fecal/oral
EBOLI - MARBAR - CRIMEAN CONGO
Oral Flagyl and and Vancomycin

17. When To USE STAndARD PRECAUTIONS
Gown and gloves and disinfectant all the equipments
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
Feces of infected people or animals

18. What should you wash the toilet seat with
Pink red maculopapules
Bleach
Maculopapular rash and vesicular scabs
An order for and Anti Diarrhea med like Imodium

19. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Before the rash appears
HIV - HEP B - C - Cytmegalovirus
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

20. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
EBOLI - MARBAR - CRIMEAN CONGO
Gloves
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

21. Which Patient CAN KEEP In The SAME ROOM
1.Gloves 2.Goggles 3.Gown 4.Mask
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
COPD + Negative pressure room = Keep together
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

22. How is Salmonella transmitted
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contaminated food and water
PRIVATE - NEGATIVE PRESSURE ROOM
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.

23. What is the most common cause of ATB associated diarrhea
Bleach
C Diff( Clostridium difficle)
A
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

24. Transferring Patient BETWEEN WARDS
Small pox
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

25. When should you use Airborne Precautions
Kopliks spots
Private rooms or patient with same organisms
Gloves - Goggles and a face shield
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

26. Who needs Standard Contact and Droplet precautions
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Glanders - Lassa
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

27. After a bloodborne pathogen exposure what should be done later?
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Small pox

28. Infected Air - borne precaution
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)
Pencillins - Cephalosporins - Clindamycin
Private room with negative pressure

29. If aptient is going to surgery do not give them
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Nausea - diarrhea and fatigue for up to 28 days
PRIVATE - NEGATIVE PRESSURE ROOM
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

30. What precaution are needed for Scabies pt
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm

31. What patients need Droplet precautions?

32. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
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)
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

33. What is the most dangerous type of Hep?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
Gown and gloves and disinfectant all the equipments
A

34. How can you stop the spread of c diff

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

36. Who shouldn't get the Chicken pox vaccine

37. After getting the Varicella vacc who should you teach pt's to avoid
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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 - NEGATIVE PRESSURE ROOM
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

38. What should the nurse immediately do if she stuck by a used needle?
A
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A consent form to be signed for Hep B - C and HIV
Gloves - gown - goggles and mask - Everything

39. What other ATB might be prescribed to treat c diff
Contact which are gloves and gown - Toes - wet - warm - spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Oral Flagyl and and Vancomycin
A diet high in calories and low fat

40. To be most effective when should postexposure prophylaxis (PPE) be started?
A
Fecal/oral
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
C Diff( Clostridium difficle)

41. What should you do if the c diff is linked to an ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
DISCONTINUE The ATB
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. What should you wear when drawing blood
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.
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

43. What are common side effects of PPE
Gloves - gown - goggles and mask - Everything
Swelling and tenderness of one or more salivary glands
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nausea - diarrhea and fatigue for up to 28 days

44. Rule: Transferring PEDS Patient To MS (MED SURGE)
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
Rocky mountain fever and Lymes disease
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

45. Where would you see a rash w/ Rocky mountain spotted fever?
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
Private rooms or patient with same organisms
Wrist ankles Palms - soles Forearm

46. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Nausea - diarrhea and fatigue for up to 28 days
Kopliks spots
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

47. What kind of diet is needed for a PT with hepatitis A
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A diet high in calories and low fat
Nothing unless the pt is in isolation
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

48. When dealing w/ a Droplet percautions pt they require
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Bleach
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

49. Droplet precautions
Mask will 3 feet
PRIVATE - NEGATIVE PRESSURE ROOM
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Kopliks spots

50. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Gloves