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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. Droplet precautions
Mask will 3 feet
Gloves - gown - goggles and mask - Everything
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

2. What pt's would be ok for a pregnant nurse to care for
Wrist ankles Palms - soles Forearm
A consent form to be signed for Hep B - C and HIV
HIV - HEP B - C - Cytmegalovirus
Mask will 3 feet

3. What should you wear when taking a pt's VS?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Nothing unless the pt is in isolation
Blue - Blue - green - GREEN means negative
Wrist ankles Palms - soles Forearm

4. How is Salmonella transmitted
C Diff( Clostridium difficle)
Contaminated food and water
DISCONTINUE The ATB
Nausea - diarrhea and fatigue for up to 28 days

5. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Kopliks spots
An order for and Anti Diarrhea med like Imodium
Fecal/oral

6. Identify the type of precaution required
Contaminated food and water
Fecal/oral
Gown and gloves and disinfectant all the equipments
Examples: Airborne - droplet - contact or standard

7. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Pencillins - Cephalosporins - Clindamycin
Wrist ankles Palms - soles Forearm
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

8. What colors indicate blood in the stool when doing GUAIAC test
DISCONTINUE The ATB
Blue - Blue - green - GREEN means negative
Gown and gloves and disinfectant all the equipments
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

9. What kind of diet is needed for a PT with hepatitis A
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
A diet high in calories and low fat
Private rooms or patient with same organisms
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

10. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Nothing unless the pt is in isolation
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

11. What are the char. of German measles( Rubella)
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
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
Pink red maculopapules

12. Who needs Standard Contact and Droplet precautions
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
Examples: Airborne - droplet - contact or standard
Glanders - Lassa
Gloves - Goggles and a face shield

13. What is the most common cause of ATB associated diarrhea
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Small pox
C Diff( Clostridium difficle)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

14. Which pt's can't the pregnant nurse care for
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Glanders - Lassa
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Kopliks spots

15. What are char of Pertussis( whooping cough)
Small pox
Gloves - Goggles and a face shield
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Dry cough

16. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
COPD + Negative pressure room = Keep together
Examples: Airborne - droplet - contact or standard
Contact which are gloves and gown - Toes - wet - warm - spots

17. What should you do if the c diff is linked to an ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
DISCONTINUE The ATB
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

18. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Feces of infected people or animals
Private rooms or patient with same organisms
Oral Flagyl and and Vancomycin

19. If aptient is going to surgery do not give them
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Oral Flagyl and and Vancomycin
Gloves - gown - goggles and mask - Everything
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

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

21. What should you wash the toilet seat with
Swelling and tenderness of one or more salivary glands
Bleach
Fecal/oral
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

22. Where would you see a rash w/ Rocky mountain spotted fever?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wrist ankles Palms - soles Forearm
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
Gloves - Goggles and a face shield

23. Which Patient CAN KEEP In The SAME ROOM
Nausea - diarrhea and fatigue for up to 28 days
COPD + Negative pressure room = Keep together
A test to decect fecal occult blood assess for hidden blood in stool
HIV - HEP B - C - Cytmegalovirus

24. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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)
Wash their hands before and after handling pets
EBOLI - MARBAR - CRIMEAN CONGO

25. Which Patient NEED To ISOLATE
Contaminated food and water
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Those with liver problems and pregnant women
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

26. DON'T TRANSFER Which Patient
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef
A

27. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Before the rash appears

28. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Deet spray
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
Contaminated food and water
1St provide care 2nd notify MD ( medical doctor

29. Contact Precautions
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
Wash their hands before and after handling pets
Gown and gloves and disinfectant all the equipments
Maculopapular rash and vesicular scabs

30. GENERAL RuleS FOR VACCINES
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
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

31. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
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

32. What are common side effects of PPE
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
Rest - warm - humid air
Nausea - diarrhea and fatigue for up to 28 days
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

33. 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
1St provide care 2nd notify MD ( medical doctor
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

34. What should you wear when drawing blood
Gloves
Rocky mountain fever and Lymes disease
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

35. What should the nurse immediately do if she stuck by a used needle?
Dry cough
Lindane - Crotmiton - Permethrine
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

36. To be most effective when should postexposure prophylaxis (PPE) be started?
Rest - warm - humid air
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

37. When To USE STAndARD PRECAUTIONS
Private rooms or patient with same organisms
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
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
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

38. What are the Ni for Pertussis?
Rest - warm - humid air
DISCONTINUE The ATB
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

39. Where can you find Salmonella
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
-- 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
Feces of infected people or animals
Kopliks spots

40. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Examples: Airborne - droplet - contact or standard
Gloves - Goggles and a face shield

41. When is a pt w/measles most contagious?
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
Glanders - Lassa
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Before the rash appears

42. What type of job should a person with hepatitis never have
Rest - warm - humid air
Chef
Wrist ankles Palms - soles Forearm
Blue - Blue - green - GREEN means negative

43. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Swelling and tenderness of one or more salivary glands
PRIVATE - NEGATIVE PRESSURE ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

44. What patients need Droplet precautions?

45. What should you have the patient sign after being stuck by a needle?
Gloves - Goggles and a face shield
A consent form to be signed for Hep B - C and HIV
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

46. Who is not able to start PPE
Gloves
Those with liver problems and pregnant women
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
N - V - D and Abd pain

47. Infected Air - borne precaution
Private room with negative pressure
Deet spray
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pencillins - Cephalosporins - Clindamycin

48. What is the tx for Scabies
Rocky mountain fever and Lymes disease
Oral Flagyl and and Vancomycin
1.Gloves 2.Goggles 3.Gown 4.Mask
Lindane - Crotmiton - Permethrine

49. After getting the Varicella vacc who should you teach pt's to avoid
Mask will 3 feet
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.
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

50. INTERVENTION FOR PREVENT ASPIRATION
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
EBOLI - MARBAR - CRIMEAN CONGO
HIV - HEP B - C - Cytmegalovirus
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