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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 is warn when suctioning?
Gloves - Goggles and a face shield
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nothing unless the pt is in isolation
Contaminated food and water

2. Rule: DISCHARGE DURING AN EMERGENCY
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Pencillins - Cephalosporins - Clindamycin

3. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Rocky mountain fever and Lymes disease
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

4. What kind of room would an Airborne precaution pt need
An order for and Anti Diarrhea med like Imodium
Nothing unless the pt is in isolation
Deet spray
PRIVATE - NEGATIVE PRESSURE ROOM

5. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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.
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
PRIVATE - NEGATIVE PRESSURE ROOM

6. To be most effective when should postexposure prophylaxis (PPE) be started?
Private rooms or patient with same organisms
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Private room with negative pressure

7. What is the two diseased caused by ticks
Nausea - diarrhea and fatigue for up to 28 days
A diet high in calories and low fat
-- 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
Rocky mountain fever and Lymes disease

8. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Swelling and tenderness of one or more salivary glands
Nothing unless the pt is in isolation
Deet spray

9. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
A consent form to be signed for Hep B - C and HIV
Private room with negative pressure
EBOLI - MARBAR - CRIMEAN CONGO
Fecal/oral

10. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
DISCONTINUE The ATB
Fecal/oral

11. What should you wear if blood is spurting?
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
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
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

12. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Maculopapular rash and vesicular scabs
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1St provide care 2nd notify MD ( medical doctor
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

13. If aptient is going to surgery do not give them
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Private rooms or patient with same organisms
Contaminated food and water

14. What is the most dangerous type of Hep?
Contact which are gloves and gown - Toes - wet - warm - spots
A
Kopliks spots
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

15. INTERVENTION FOR PREVENT ASPIRATION
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Deet spray
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

16. Rule: Transferring PEDS Patient To MS (MED SURGE)
Mask will 3 feet
-- 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]
Examples: Airborne - droplet - contact or standard

17. Rabies pt's would need

18. What should you do if the c diff is linked to an ATB
An order for and Anti Diarrhea med like Imodium
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
DISCONTINUE The ATB
Bleach

19. Contact Precautions
Gown and gloves and disinfectant all the equipments
Oral Flagyl and and Vancomycin
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Contact which are gloves and gown - Toes - wet - warm - spots

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

21. What should you wash the toilet seat with
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Bleach
Chef
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

22. What are the char. of German measles( Rubella)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pink red maculopapules
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
A

23. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Dry cough
Bleach
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

24. What should a Contact Precaution pt have
Gloves - gown - goggles and mask - Everything
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contaminated food and water
Feces of infected people or animals

25. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
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

26. Who needs Standard - Airbourne and Contact precautions
Private rooms or patient with same organisms
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
1St provide care 2nd notify MD ( medical doctor
Small pox

27. Who shouldn't get the measles vacc
N - V - D and Abd pain
1St provide care 2nd notify MD ( medical doctor
Oral Flagyl and and Vancomycin
People w/ egg allergies - pregnant - illness or fever

28. How is Salmonella transmitted
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contaminated food and water
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

29. Where would you see a rash w/ Rocky mountain spotted fever?
Gloves - gown - goggles and mask - Everything
-- 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
Wrist ankles Palms - soles Forearm
Chef

30. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Gown and gloves and disinfectant all the equipments
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash their hands before and after handling pets
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

31. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
PRIVATE - NEGATIVE PRESSURE ROOM
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
Small pox

32. 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
Oral Flagyl and and Vancomycin
Contact which are gloves and gown - Toes - wet - warm - spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

33. Droplet precautions
Nothing unless the pt is in isolation
-- 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
Mask will 3 feet
Wash their hands before and after handling pets

34. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Pink red maculopapules
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

35. What should you teach pt's to wear for protect themselves against Lyme disease
Those with liver problems and pregnant women
-- 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
Contact which are gloves and gown - Toes - wet - warm - spots
Deet spray

36. How would you take off Personal protective gear?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
-- 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.Gloves 2.Goggles 3.Gown 4.Mask

37. What precaution are needed for Scabies pt
Private rooms or patient with same organisms
-- 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
Contact which are gloves and gown - Toes - wet - warm - spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

38. DON'T TRANSFER Which Patient
Rest - warm - humid air
1St provide care 2nd notify MD ( medical doctor
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact which are gloves and gown - Toes - wet - warm - spots

39. What are common side effects of PPE
Maculopapular rash and vesicular scabs
Fecal/oral
Nausea - diarrhea and fatigue for up to 28 days
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

40. What should the nurse immediately do if she stuck by a used needle?
An order for and Anti Diarrhea med like Imodium
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

41. 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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
N - V - D and Abd pain
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

42. When dealing w/ a Droplet percautions pt they require
1.Gloves 2.Goggles 3.Gown 4.Mask
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
A diet high in calories and low fat
Wash their hands before and after handling pets

43. Who shouldn't get the Chicken pox vaccine

44. How is c diff transmitted?
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
DISCONTINUE The ATB
Pink red maculopapules

45. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
-- 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
Lindane - Crotmiton - Permethrine
Fecal/oral

46. 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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

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

48. When To USE STAndARD PRECAUTIONS
Fecal/oral
Pencillins - Cephalosporins - Clindamycin
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

49. 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)
Those with liver problems and pregnant women
HIV - HEP B - C - Cytmegalovirus
Contact which are gloves and gown - Toes - wet - warm - spots

50. patient what kind of room they should stay
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Private rooms or patient with same organisms