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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 kind of room would an Airborne precaution pt need
Lindane - Crotmiton - Permethrine
Nausea - diarrhea and fatigue for up to 28 days
PRIVATE - NEGATIVE PRESSURE ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

2. WHen should you use standard percautions
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Mask will 3 feet
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

3. What should you wear when drawing blood
Wrist ankles Palms - soles Forearm
Gloves - Goggles and a face shield
Bleach
Gloves

4. What should a Contact Precaution pt have
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Examples: Airborne - droplet - contact or standard
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

5. What should you have the patient sign after being stuck by a needle?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A
Wrist ankles Palms - soles Forearm
A consent form to be signed for Hep B - C and HIV

6. What precaution are needed for Scabies pt
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact which are gloves and gown - Toes - wet - warm - spots
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.
HIV - HEP B - C - Cytmegalovirus

7. 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
Wash their hands before and after handling pets
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
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

8. When is a pt w/measles most contagious?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Swelling and tenderness of one or more salivary glands
Before the rash appears
Those with liver problems and pregnant women

9. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
1St provide care 2nd notify MD ( medical doctor
Nothing unless the pt is in isolation
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

10. When CAN INFECTED Patient LEAVE TheIR ROOM
DISCONTINUE The ATB
Wrist ankles Palms - soles Forearm
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.

11. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Examples: Airborne - droplet - contact or standard
DISCONTINUE The ATB
Maculopapular rash and vesicular scabs

12. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Deet spray
Private room with negative pressure

13. Who should get the chicken pox vaccine
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A diet high in calories and low fat
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

14. Rule: Transferring ADULT To PEDIATRIC WARDS
Deet spray
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

15. What patients need Droplet precautions?

16. Rabies pt's would need

17. INTERVENTION FOR PREVENT ASPIRATION
COPD + Negative pressure room = Keep together
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Kopliks spots
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

18. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
DISCONTINUE The ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
HIV - HEP B - C - Cytmegalovirus

19. If aptient is going to surgery do not give them
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Mask will 3 feet
Maculopapular rash and vesicular scabs

20. What other ATB might be prescribed to treat c diff
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
-- 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

21. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Dry cough
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

22. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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
Small pox
1St provide care 2nd notify MD ( medical doctor

23. Which pt's can't the pregnant nurse care for
A consent form to be signed for Hep B - C and HIV
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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.
Lindane - Crotmiton - Permethrine

24. 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves
Mask will 3 feet

25. After getting the Varicella vacc who should you teach pt's to avoid
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

26. What kind of diet is needed for a PT with hepatitis A
Private rooms or patient with same organisms
An order for and Anti Diarrhea med like Imodium
Gloves
A diet high in calories and low fat

27. Rule: Transferring PEDS Patient To MS (MED SURGE)
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 consent form to be signed for Hep B - C and HIV
-- 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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

28. Contact Precautions
Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gown and gloves and disinfectant all the equipments

29. What is warn when suctioning?
Gloves - Goggles and a face shield
Rest - warm - humid air
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
An order for and Anti Diarrhea med like Imodium

30. How is Hep A spread
Pink red maculopapules
Fecal/oral
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
Lindane - Crotmiton - Permethrine

31. What should you wash the toilet seat with
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
Bleach
Dry cough

32. What is the most dangerous type of Hep?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs
A
HIV - HEP B - C - Cytmegalovirus

33. What are the Ni for Pertussis?
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
Rest - warm - humid air
Dry cough
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

34. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Gown and gloves and disinfectant all the equipments
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)
COPD + Negative pressure room = Keep together

35. What are common side effects of PPE
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Small pox

36. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Nothing unless the pt is in isolation

38. Who needs Standard Contact and Droplet precautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Glanders - Lassa

39. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

40. Rule: DISCHARGE DURING AN EMERGENCY
- 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
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
COPD + Negative pressure room = Keep together

41. Who needs Standard - Airbourne and Contact precautions
Small pox
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
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
Kopliks spots

42. What are the major ATB associated w/ c diff
Wrist ankles Palms - soles Forearm
1.Gloves 2.Goggles 3.Gown 4.Mask
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard

43. What are characteristics of Measles (Rubeola)
Kopliks spots
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Before the rash appears

44. Who is not able to start PPE
Oral Flagyl and and Vancomycin
Before the rash appears
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Those with liver problems and pregnant women

45. Where would you see a rash w/ Rocky mountain spotted fever?
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
A consent form to be signed for Hep B - C and HIV
Before the rash appears

46. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
An order for and Anti Diarrhea med like Imodium

47. 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
Gloves
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine

48. What colors indicate blood in the stool when doing GUAIAC test
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Blue - Blue - green - GREEN means negative
Pink red maculopapules
1St provide care 2nd notify MD ( medical doctor

49. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nothing unless the pt is in isolation
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

50. How is c diff transmitted?
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
Wash their hands before and after handling pets
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