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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. Who shouldn't get the Chicken pox vaccine

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2. What should a Contact Precaution pt have
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears

3. To be most effective when should postexposure prophylaxis (PPE) be started?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Gloves - gown - goggles and mask - Everything
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

4. Rule: Transferring ADULT To PEDIATRIC WARDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Maculopapular rash and vesicular scabs
Wrist ankles Palms - soles Forearm
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

5. How is Salmonella transmitted
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
Pencillins - Cephalosporins - Clindamycin
Contaminated food and water
Wrist ankles Palms - soles Forearm

6. What should you do if the c diff is linked to an ATB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
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.
DISCONTINUE The ATB

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

8. What should you wear when drawing blood
Gloves
HIV - HEP B - C - Cytmegalovirus
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

9. How can you stop the spread of c diff

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10. What is the tx for Scabies
Nausea - diarrhea and fatigue for up to 28 days
1St provide care 2nd notify MD ( medical doctor
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

11. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Deet spray
EBOLI - MARBAR - CRIMEAN CONGO
-- 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

12. What type of job should a person with hepatitis never have
Chef
Glanders - Lassa
Before the rash appears
Private rooms or patient with same organisms

13. What is warn when suctioning?
N - V - D and Abd pain
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
People w/ egg allergies - pregnant - illness or fever
Gloves - Goggles and a face shield

14. Who needs Standard - Airbourne and Contact precautions
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Small pox
Swelling and tenderness of one or more salivary glands
Oral Flagyl and and Vancomycin

15. What is the most dangerous type of Hep?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A
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

16. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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.
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

17. Who shouldn't get the measles vacc
Pencillins - Cephalosporins - Clindamycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
People w/ egg allergies - pregnant - illness or fever
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

18. patient what kind of room they should stay
Private rooms or patient with same organisms
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nothing unless the pt is in isolation

19. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Fecal/oral
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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.

20. Contact Precautions
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
Gown and gloves and disinfectant all the equipments
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pink red maculopapules

21. Which Patient CAN KEEP In The SAME ROOM
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
COPD + Negative pressure room = Keep together
Bleach

22. When should you use Airborne Precautions
Gloves
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Those with liver problems and pregnant women

23. 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
Gloves - Goggles and a face shield
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wash their hands before and after handling pets

24. Rule: DISCHARGE DURING AN EMERGENCY
People w/ egg allergies - pregnant - illness or fever
Feces of infected people or animals
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Mask will 3 feet

25. If aptient is going to surgery do not give them
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves - gown - goggles and mask - Everything

26. What precaution are needed for Scabies pt
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Swelling and tenderness of one or more salivary glands
-- 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

27. Rule: Transferring PEDS Patient To MS (MED SURGE)
Dry cough
Those with liver problems and pregnant women
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
N - V - D and Abd pain

28. What should you wear if blood is spurting?
Pink red maculopapules
Gloves - gown - goggles and mask - Everything
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
1St provide care 2nd notify MD ( medical doctor

29. What are characteristics of Measles (Rubeola)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)
Contaminated food and water
Kopliks spots

30. What kind of diet is needed for a PT with hepatitis A
Feces of infected people or animals
Lindane - Crotmiton - Permethrine
A diet high in calories and low fat
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

31. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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32. Who needs Standard and Contact precautions (SC)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
-- 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
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

33. DON'T TRANSFER Which Patient
Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach
Maculopapular rash and vesicular scabs

34. What pt's would be ok for a pregnant nurse to care for
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
HIV - HEP B - C - Cytmegalovirus

35. When CAN INFECTED Patient LEAVE TheIR ROOM
People w/ egg allergies - pregnant - illness or fever
COPD + Negative pressure room = Keep together
Fecal/oral
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.

36. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Fecal/oral

37. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
1.Gloves 2.Goggles 3.Gown 4.Mask
Private room with negative pressure
-- 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

38. What are the char. of German measles( Rubella)
Pink red maculopapules
Rest - warm - humid air
Deet spray
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

39. How is Hep A spread
Chef
Fecal/oral
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
C Diff( Clostridium difficle)

40. What are the Ni for Pertussis?
Rest - warm - humid air
Bleach
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

41. Who needs Standard Contact and Droplet precautions
Rest - warm - humid air
Glanders - Lassa
Maculopapular rash and vesicular scabs
Gloves - Goggles and a face shield

42. When is a pt w/measles most contagious?
Before the rash appears
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
Nothing unless the pt is in isolation

43. What is the most common cause of ATB associated diarrhea
Bleach
C Diff( Clostridium difficle)
Gloves
Rest - warm - humid air

44. WHen should you use standard percautions
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Swelling and tenderness of one or more salivary glands

45. What should you wash the toilet seat with
Maculopapular rash and vesicular scabs
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Bleach
Contaminated food and water

46. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
A consent form to be signed for Hep B - C and HIV
Oral Flagyl and and Vancomycin
DISCONTINUE The ATB

47. Which Patient NEED To ISOLATE
Kopliks spots
Deet spray
Fecal/oral
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

48. When dealing w/ a Droplet percautions pt they require
Before the rash appears
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
A diet high in calories and low fat

49. When To USE STAndARD PRECAUTIONS
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
1.Gloves 2.Goggles 3.Gown 4.Mask
Mask will 3 feet
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

50. What are the S/S for Botulism
N - V - D and Abd pain
Blue - Blue - green - GREEN means negative
Lindane - Crotmiton - Permethrine
A