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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. Where would you see a rash w/ Rocky mountain spotted fever?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm

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

3. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Deet spray
Chef

4. GENERAL RuleS FOR VACCINES
Those with liver problems and pregnant women
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
N - V - D and Abd pain

5. What is the most common cause of ATB associated diarrhea
-- 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
EBOLI - MARBAR - CRIMEAN CONGO
C Diff( Clostridium difficle)
Examples: Airborne - droplet - contact or standard

6. Transferring Patient BETWEEN WARDS
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Dry cough
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

7. What are the characteristics of Chicken pox Varicella?
Bleach
Maculopapular rash and vesicular scabs
-- 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
N - V - D and Abd pain

8. Rule: Transferring PEDS Patient To MS (MED SURGE)
Mask will 3 feet
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Glanders - Lassa
Those with liver problems and pregnant women

9. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Contaminated food and water
N - V - D and Abd pain
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

10. How is c diff transmitted?
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.
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Gown and gloves and disinfectant all the equipments
Blue - Blue - green - GREEN means negative

11. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

12. What type of job should a person with hepatitis never have
-- 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
C Diff( Clostridium difficle)
A test to decect fecal occult blood assess for hidden blood in stool
Chef

13. Droplet precautions
Mask will 3 feet
N - V - D and Abd pain
Blue - Blue - green - GREEN means negative
HIV - HEP B - C - Cytmegalovirus

14. What should you wear if blood is spurting?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves - gown - goggles and mask - Everything
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Fecal/oral

15. When should you use Airborne Precautions
A
Gloves - Goggles and a face shield
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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

16. When is a pt w/measles most contagious?
A test to decect fecal occult blood assess for hidden blood in stool
Chef
Wrist ankles Palms - soles Forearm
Before the rash appears

17. Who needs Standard and Contact precautions (SC)
Chef
EBOLI - MARBAR - CRIMEAN CONGO
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

18. Who needs Standard Contact and Droplet precautions
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
Glanders - Lassa
An order for and Anti Diarrhea med like Imodium
PRIVATE - NEGATIVE PRESSURE ROOM

19. What colors indicate blood in the stool when doing GUAIAC test
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative
Feces of infected people or animals
A test to decect fecal occult blood assess for hidden blood in stool

20. What kind of diet is needed for a PT with hepatitis A
Rest - warm - humid air
Mask will 3 feet
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A diet high in calories and low fat

21. Who should get the chicken pox vaccine
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

22. How would you take off Personal protective gear?
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
A diet high in calories and low fat
Fecal/oral
1.Gloves 2.Goggles 3.Gown 4.Mask

23. What should the school teacher teach kids handleing pets
Pink red maculopapules
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

24. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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25. What are the major ATB associated w/ c diff
People w/ egg allergies - pregnant - illness or fever
Contaminated food and water
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
Pencillins - Cephalosporins - Clindamycin

26. What should you wear when drawing blood
Small pox
An order for and Anti Diarrhea med like Imodium
Gloves
Gown and gloves and disinfectant all the equipments

27. What patients need Droplet precautions?

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28. What are characteristics of Measles (Rubeola)
Gown and gloves and disinfectant all the equipments
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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

29. After a bloodborne pathogen exposure what should be done later?
Nothing unless the pt is in isolation
Contact which are gloves and gown - Toes - wet - warm - spots
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

30. Who needs Standard - Airbourne and Contact precautions
Before the rash appears
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Small pox

31. Identify the type of precaution required
Oral Flagyl and and Vancomycin
DISCONTINUE The ATB
People w/ egg allergies - pregnant - illness or fever
Examples: Airborne - droplet - contact or standard

32. What is the tx for Scabies
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Lindane - Crotmiton - Permethrine
Private room with negative pressure
Pink red maculopapules

33. What are the Ni for Pertussis?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rest - warm - humid air
Pencillins - Cephalosporins - Clindamycin
Feces of infected people or animals

34. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Kopliks spots
Oral Flagyl and and Vancomycin
HIV - HEP B - C - Cytmegalovirus

35. What should a Contact Precaution pt have
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Maculopapular rash and vesicular scabs
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Nausea - diarrhea and fatigue for up to 28 days

36. What are char of Pertussis( whooping cough)
Dry cough
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
Gloves - Goggles and a face shield

37. Who is not able to start PPE
Those with liver problems and pregnant women
EBOLI - MARBAR - CRIMEAN CONGO
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots

38. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Nausea - diarrhea and fatigue for up to 28 days
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rocky mountain fever and Lymes disease

39. 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves
Lindane - Crotmiton - Permethrine

40. What are the S/S for Botulism
N - V - D and Abd pain
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Dry cough
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

41. What is the most dangerous type of Hep?
Lindane - Crotmiton - Permethrine
Feces of infected people or animals
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

42. When dealing w/ a Droplet percautions pt they require
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

43. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
A test to decect fecal occult blood assess for hidden blood in stool
Bleach
A diet high in calories and low fat

44. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Deet spray

45. Who shouldn't get the measles vacc
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
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

46. 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.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
Fecal/oral
Deet spray

47. Rule: Transferring ADULT To PEDIATRIC WARDS
Nausea - diarrhea and fatigue for up to 28 days
Swelling and tenderness of one or more salivary glands
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
Wrist ankles Palms - soles Forearm

48. What are common side effects of PPE
1.Gloves 2.Goggles 3.Gown 4.Mask
Nausea - diarrhea and fatigue for up to 28 days
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
Before the rash appears

49. Who shouldn't get the Chicken pox vaccine

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50. Rabies pt's would need

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