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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 a GUAIAC test?
Oral Flagyl and and Vancomycin
A test to decect fecal occult blood assess for hidden blood in stool
Swelling and tenderness of one or more salivary glands
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

2. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
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
Pencillins - Cephalosporins - Clindamycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
EBOLI - MARBAR - CRIMEAN CONGO

3. What other ATB might be prescribed to treat c diff
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
Oral Flagyl and and Vancomycin
Mask will 3 feet

4. patient what kind of room they should stay
Wrist ankles Palms - soles Forearm
Mask will 3 feet
Private rooms or patient with same organisms
Wash their hands before and after handling pets

5. What kind of room would an Airborne precaution pt need
People w/ egg allergies - pregnant - illness or fever
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
PRIVATE - NEGATIVE PRESSURE ROOM
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

6. What should you wear when taking a pt's VS?
A
Bleach
Nothing unless the pt is in isolation
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

7. What is the two diseased caused by ticks
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rocky mountain fever and Lymes disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

8. Identify the type of precaution required
Pink red maculopapules
Those with liver problems and pregnant women
Nothing unless the pt is in isolation
Examples: Airborne - droplet - contact or standard

9. Which pt's can't the pregnant nurse care for
People w/ egg allergies - pregnant - illness or fever
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
Rocky mountain fever and Lymes disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

10. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Gown and gloves and disinfectant all the equipments
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

11. Who needs Standard and Contact precautions (SC)
Gloves
Private rooms or patient with same organisms
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Kopliks spots

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

13. What are the S/S for Botulism
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Fecal/oral
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

14. INTERVENTION FOR PREVENT ASPIRATION
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
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
Deet spray

15. What precaution are needed for Scabies pt
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contact which are gloves and gown - Toes - wet - warm - spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Before the rash appears

16. What are char of Pertussis( whooping cough)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nothing unless the pt is in isolation
Dry cough
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

17. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
HIV - HEP B - C - Cytmegalovirus
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

18. What should you do if the c diff is linked to an ATB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Fecal/oral
DISCONTINUE The ATB
A consent form to be signed for Hep B - C and HIV

19. What type of job should a person with hepatitis never have
Private rooms or patient with same organisms
Chef
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

20. Rule: Transferring PEDS Patient To MS (MED SURGE)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Nothing unless the pt is in isolation

21. What would you question with a c diff pt
Gloves - gown - goggles and mask - Everything
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
An order for and Anti Diarrhea med like Imodium
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

22. What should you have the patient sign after being stuck by a needle?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
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.
A consent form to be signed for Hep B - C and HIV

23. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
C Diff( Clostridium difficle)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
PRIVATE - NEGATIVE PRESSURE ROOM

24. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Contact which are gloves and gown - Toes - wet - warm - spots
Swelling and tenderness of one or more salivary glands
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

25. How would you take off Personal protective gear?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
COPD + Negative pressure room = Keep together
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

26. What patients need Droplet precautions?

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27. What pt's would be ok for a pregnant nurse to care for
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
HIV - HEP B - C - Cytmegalovirus
Gloves - Goggles and a face shield
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

28. What should you wear when drawing blood
Pink red maculopapules
Gloves
Nothing unless the pt is in isolation
Kopliks spots

29. What should you wear if blood is spurting?
Examples: Airborne - droplet - contact or standard
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
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

30. What are the Ni for Pertussis?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rest - warm - humid air
People w/ egg allergies - pregnant - illness or fever
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

31. Transferring Patient BETWEEN WARDS
Fecal/oral
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Bleach

32. What is the most common cause of ATB associated diarrhea
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
C Diff( Clostridium difficle)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wrist ankles Palms - soles Forearm

33. What are characteristics of Measles (Rubeola)
N - V - D and Abd pain
Kopliks spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

34. When CAN INFECTED Patient LEAVE TheIR ROOM
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Swelling and tenderness of one or more salivary glands
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.
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. To be most effective when should postexposure prophylaxis (PPE) be started?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Bleach
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

36. How can you stop the spread of c diff

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37. Droplet precautions
Mask will 3 feet
Bleach
Gloves - Goggles and a face shield
Swelling and tenderness of one or more salivary glands

38. What colors indicate blood in the stool when doing GUAIAC test
Wrist ankles Palms - soles Forearm
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Blue - Blue - green - GREEN means negative
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

39. How is Salmonella transmitted
Contaminated food and water
1St provide care 2nd notify MD ( medical doctor
Gloves
DISCONTINUE The ATB

40. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Contaminated food and water
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Rest - warm - humid air
- 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?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
N - V - D and Abd pain
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

42. How is Hep A spread
Fecal/oral
Those with liver problems and pregnant women
Contaminated food and water
An order for and Anti Diarrhea med like Imodium

43. How can you prevent Salmonella
Gloves - gown - goggles and mask - Everything
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

44. What is the most dangerous type of Hep?
Small pox
Gown and gloves and disinfectant all the equipments
A
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

45. Rabies pt's would need

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46. What are the characteristics of Mumps
Those with liver problems and pregnant women
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
Swelling and tenderness of one or more salivary glands
Chef

47. GENERAL RuleS FOR VACCINES
- 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
COPD + Negative pressure room = Keep together
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

48. What should a Contact Precaution pt have
Swelling and tenderness of one or more salivary glands
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
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

49. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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50. Contact Precautions
Gown and gloves and disinfectant all the equipments
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
HIV - HEP B - C - Cytmegalovirus
Lindane - Crotmiton - Permethrine