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

2. When should you use Airborne Precautions
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.
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women
1St provide care 2nd notify MD ( medical doctor

3. Rule: Transferring ADULT To PEDIATRIC WARDS
A
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
EBOLI - MARBAR - CRIMEAN CONGO

4. GENERAL RuleS FOR VACCINES
Lindane - Crotmiton - Permethrine
Dry cough
Private room with negative pressure
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

5. Who shouldn't get the Chicken pox vaccine

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6. What are char of Pertussis( whooping cough)
Dry cough
Contact which are gloves and gown - Toes - wet - warm - spots
COPD + Negative pressure room = Keep together
Fecal/oral

7. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
PRIVATE - NEGATIVE PRESSURE ROOM
Pink red maculopapules
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

8. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB
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.

9. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Private room with negative pressure

10. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
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
Pencillins - Cephalosporins - Clindamycin
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

11. What should you teach pt's to wear for protect themselves against Lyme disease
Contact which are gloves and gown - Toes - wet - warm - spots
Deet spray
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

12. What are the characteristics of Chicken pox Varicella?
Wrist ankles Palms - soles Forearm
Maculopapular rash and vesicular scabs
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
COPD + Negative pressure room = Keep together

13. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Lindane - Crotmiton - Permethrine

14. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments

15. What are the char. of German measles( Rubella)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Rest - warm - humid air
Pink red maculopapules
An order for and Anti Diarrhea med like Imodium

16. What should you wash the toilet seat with
Bleach
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

17. After a bloodborne pathogen exposure what should be done later?
DISCONTINUE The ATB
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
A diet high in calories and low fat

18. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Oral Flagyl and and Vancomycin
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Swelling and tenderness of one or more salivary glands

19. Who is not able to start PPE
Those with liver problems and pregnant women
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
HIV - HEP B - C - Cytmegalovirus
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

20. Who shouldn't get the measles vacc
Private rooms or patient with same organisms
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
People w/ egg allergies - pregnant - illness or fever
Private room with negative pressure

21. Who should get the chicken pox vaccine
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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.

22. What are the S/S for Botulism
Bleach
N - V - D and Abd pain
A test to decect fecal occult blood assess for hidden blood in stool
People w/ egg allergies - pregnant - illness or fever

23. Infected Air - borne precaution
Private room with negative pressure
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

24. What should the nurse immediately do if she stuck by a used needle?
Chef
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
An order for and Anti Diarrhea med like Imodium
Contact which are gloves and gown - Toes - wet - warm - spots

25. Contact Precautions
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gown and gloves and disinfectant all the equipments
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
PRIVATE - NEGATIVE PRESSURE ROOM

26. 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
PRIVATE - NEGATIVE PRESSURE ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

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

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28. What is warn when suctioning?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves - Goggles and a face shield
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Before the rash appears

29. What is a GUAIAC test?
Gown and gloves and disinfectant all the equipments
A test to decect fecal occult blood assess for hidden blood in stool
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A diet high in calories and low fat

30. Rabies pt's would need

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31. When To USE STAndARD 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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Deet spray
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

32. When dealing w/ a Droplet percautions pt they require
A test to decect fecal occult blood assess for hidden blood in stool
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

33. Who needs Standard - Airbourne and Contact precautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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
Small pox
Contaminated food and water

34. Which Patient CAN KEEP In The SAME 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
Swelling and tenderness of one or more salivary glands
C Diff( Clostridium difficle)
COPD + Negative pressure room = Keep together

35. How is c diff transmitted?
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
N - V - D and Abd pain
Deet spray
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

36. INTERVENTION FOR PREVENT ASPIRATION
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard
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
Those with liver problems and pregnant women

37. What should you wear when taking a pt's VS?
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Nothing unless the pt is in isolation

38. What patients need Droplet precautions?

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39. What other ATB might be prescribed to treat c diff
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Oral Flagyl and and Vancomycin
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

40. What should you have the patient sign after being stuck by a needle?
Swelling and tenderness of one or more salivary glands
Glanders - Lassa
A consent form to be signed for Hep B - C and HIV
Private rooms or patient with same organisms

41. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Before the rash appears
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women
EBOLI - MARBAR - CRIMEAN CONGO

42. What precaution are needed for Scabies pt
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water
Gown and gloves and disinfectant all the equipments
Contact which are gloves and gown - Toes - wet - warm - spots

43. Who needs Standard Contact and Droplet precautions
Gloves - gown - goggles and mask - Everything
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Kopliks spots
Glanders - Lassa

44. Where would you see a rash w/ Rocky mountain spotted fever?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Oral Flagyl and and Vancomycin
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
Wrist ankles Palms - soles Forearm

45. Which Patient NEED To ISOLATE
PRIVATE - NEGATIVE PRESSURE ROOM
Those with liver problems and pregnant women
Contact which are gloves and gown - Toes - wet - warm - spots
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

46. What should you wear if blood is spurting?
1.Gloves 2.Goggles 3.Gown 4.Mask
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
1St provide care 2nd notify MD ( medical doctor

47. What are the major ATB associated w/ c diff
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Deet spray
A
Pencillins - Cephalosporins - Clindamycin

48. What is the order for putting on personal protective gear?
-- 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 test to decect fecal occult blood assess for hidden blood in stool
Kopliks spots
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

49. What should the school teacher teach kids handleing pets
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wash their hands before and after handling pets
Rest - warm - humid air

50. What colors indicate blood in the stool when doing GUAIAC test
Oral Flagyl and and Vancomycin
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Blue - Blue - green - GREEN means negative
Rocky mountain fever and Lymes disease