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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 needs Standard - Airbourne and Contact precautions
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO
Small pox
People w/ egg allergies - pregnant - illness or fever

2. How is c diff transmitted?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Mask will 3 feet

3. Which pt's can't the pregnant nurse care for
1St provide care 2nd notify MD ( medical doctor
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Pink red maculopapules

4. When is a pt w/measles most contagious?
Dry cough
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Before the rash appears
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

5. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Gloves - Goggles and a face shield
Examples: Airborne - droplet - contact or standard
Pencillins - Cephalosporins - Clindamycin

6. Identify the type of precaution required
Private room with negative pressure
A consent form to be signed for Hep B - C and HIV
Gown and gloves and disinfectant all the equipments
Examples: Airborne - droplet - contact or standard

7. After getting the Varicella vacc who should you teach pt's to avoid
Dry cough
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.
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
N - V - D and Abd pain

8. Who should get the chicken pox vaccine
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A consent form to be signed for Hep B - C and HIV
Contaminated food and water

9. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

10. When should you use Airborne Precautions
Pink red maculopapules
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
N - V - D and Abd pain

11. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Pencillins - Cephalosporins - Clindamycin
Gloves
EBOLI - MARBAR - CRIMEAN CONGO
Rest - warm - humid air

12. What should you do if the c diff is linked to an ATB
Mask will 3 feet
Private room with negative pressure
A diet high in calories and low fat
DISCONTINUE The ATB

13. What is the two diseased caused by ticks
Deet spray
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Rocky mountain fever and Lymes disease
EBOLI - MARBAR - CRIMEAN CONGO

14. What should you wear when taking a pt's VS?
Dry cough
A consent form to be signed for Hep B - C and HIV
Oral Flagyl and and Vancomycin
Nothing unless the pt is in isolation

15. Contact Precautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gown and gloves and disinfectant all the equipments
COPD + Negative pressure room = Keep together
A test to decect fecal occult blood assess for hidden blood in stool

16. What is warn when suctioning?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gloves - Goggles and a face shield
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

17. If aptient is going to surgery do not give them
Before the rash appears
Maculopapular rash and vesicular scabs
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

18. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Mask will 3 feet
Contaminated food and water
Those with liver problems and pregnant women

19. Rule: Transferring ADULT To PEDIATRIC WARDS
A diet high in calories and low fat
Fecal/oral
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
Those with liver problems and pregnant women

20. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves

21. How can you stop the spread of c diff

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22. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Kopliks spots
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

23. Rabies pt's would need

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24. What are the Ni for Pertussis?
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)
A consent form to be signed for Hep B - C and HIV

25. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Nothing unless the pt is in isolation
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wrist ankles Palms - soles Forearm

26. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Small pox
Examples: Airborne - droplet - contact or standard
Contact which are gloves and gown - Toes - wet - warm - spots

27. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
A consent form to be signed for Hep B - C and HIV
Blue - Blue - green - GREEN means negative
Pencillins - Cephalosporins - Clindamycin

28. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Bleach
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

29. What patients need Droplet precautions?

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30. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Feces of infected people or animals
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A test to decect fecal occult blood assess for hidden blood in stool

31. Who shouldn't get the measles vacc
Nothing unless the pt is in isolation
People w/ egg allergies - pregnant - illness or fever
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard

32. What are the S/S for Botulism
Small pox
N - V - D and Abd pain
PRIVATE - NEGATIVE PRESSURE ROOM
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

33. What should a Contact Precaution pt have
Kopliks spots
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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.

34. What should you teach pt's to wear for protect themselves against Lyme disease
Rocky mountain fever and Lymes disease
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash their hands before and after handling pets
Deet spray

35. What should you have the patient sign after being stuck by a needle?
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 room with negative pressure
A consent form to be signed for Hep B - C and HIV
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

36. What should you wash the toilet seat with
Pink red maculopapules
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Bleach
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

37. What type of job should a person with hepatitis never have
Chef
Before the rash appears
An order for and Anti Diarrhea med like Imodium
Oral Flagyl and and Vancomycin

38. What is the order for putting on personal protective gear?
Lindane - Crotmiton - Permethrine
Nausea - diarrhea and fatigue for up to 28 days
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

39. What kind of room would an Airborne precaution pt need
EBOLI - MARBAR - CRIMEAN CONGO
PRIVATE - NEGATIVE PRESSURE 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
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.

40. Where can you find Salmonella
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
Feces of infected people or animals
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

41. How would you take off Personal protective gear?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A diet high in calories and low fat
1St provide care 2nd notify MD ( medical doctor
1.Gloves 2.Goggles 3.Gown 4.Mask

42. What colors indicate blood in the stool when doing GUAIAC test
Before the rash appears
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
Blue - Blue - green - GREEN means negative
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

43. What should you wear when drawing blood
-- 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
Blue - Blue - green - GREEN means negative
Gloves

44. What should you wear if blood is spurting?
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
Gloves - gown - goggles and mask - Everything
Maculopapular rash and vesicular scabs
Wash their hands before and after handling pets

45. What other ATB might be prescribed to treat c diff
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
Oral Flagyl and and Vancomycin
1.Gloves 2.Goggles 3.Gown 4.Mask

46. Infected Air - borne precaution
Wash their hands before and after handling pets
Fecal/oral
Gown and gloves and disinfectant all the equipments
Private room with negative pressure

47. What would you question with a c diff pt
A
Pink red maculopapules
Wash their hands before and after handling pets
An order for and Anti Diarrhea med like Imodium

48. Who needs Standard Contact and Droplet precautions
N - V - D and Abd pain
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Glanders - Lassa
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

49. Which Patient CAN KEEP In The SAME ROOM
A consent form to be signed for Hep B - C and HIV
1St provide care 2nd notify MD ( medical doctor
COPD + Negative pressure room = Keep together
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. What should you tell the pt to prepare for the GUAIAC test

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