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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
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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 should you do if the c diff is linked to an ATB
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm
DISCONTINUE The ATB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

2. What is the most dangerous type of Hep?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A
HIV - HEP B - C - Cytmegalovirus
EBOLI - MARBAR - CRIMEAN CONGO

3. How can you stop the spread of c diff
Gloves
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

4. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Blue - Blue - green - GREEN means negative
Before the rash appears
C Diff( Clostridium difficle)

5. If aptient is going to surgery do not give them
Private rooms or patient with same organisms
An order for and Anti Diarrhea med like Imodium
Contaminated food and water
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

6. What is a GUAIAC test?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
A test to decect fecal occult blood assess for hidden blood in stool
Rocky mountain fever and Lymes disease
Swelling and tenderness of one or more salivary glands

7. After a bloodborne pathogen exposure what should be done later?
Wrist ankles Palms - soles Forearm
Contact which are gloves and gown - Toes - wet - warm - spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Chef

8. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Kopliks spots
Deet spray
Bleach

9. How would you take off Personal protective gear?
Gloves
1.Gloves 2.Goggles 3.Gown 4.Mask
Those with liver problems and pregnant women
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

10. Droplet precautions
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Mask will 3 feet
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

11. What other ATB might be prescribed to treat c diff
People w/ egg allergies - pregnant - illness or fever
Pencillins - Cephalosporins - Clindamycin
Bleach
Oral Flagyl and and Vancomycin

12. What are the char. of German measles( Rubella)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Pink red maculopapules
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

13. Rule: DISCHARGE DURING AN EMERGENCY
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

14. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A consent form to be signed for Hep B - C and HIV
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

15. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gown and gloves and disinfectant all the equipments
Contact which are gloves and gown - Toes - wet - warm - spots

16. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Chef
Fecal/oral
Gloves

17. What are characteristics of Measles (Rubeola)
Kopliks spots
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Private room with negative pressure

18. What are the characteristics of Chicken pox Varicella?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Maculopapular rash and vesicular scabs
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
EBOLI - MARBAR - CRIMEAN CONGO

19. GENERAL RuleS FOR VACCINES
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
EBOLI - MARBAR - CRIMEAN CONGO

20. Who shouldn't get the Chicken pox vaccine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
Lindane - Crotmiton - Permethrine
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

21. Contact Precautions
Small pox
Private room with negative pressure
Gown and gloves and disinfectant all the equipments
Examples: Airborne - droplet - contact or standard

22. Where can you find Salmonella
Wrist ankles Palms - soles Forearm
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days
Feces of infected people or animals

23. WHen should you use standard percautions
Gloves - gown - goggles and mask - Everything
Glanders - Lassa
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Examples: Airborne - droplet - contact or standard

24. Transferring Patient BETWEEN WARDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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

25. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Contaminated food and water
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

26. patient what kind of room they should stay
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
-- 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
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms

27. After getting the Varicella vacc who should you teach pt's to avoid
DISCONTINUE The ATB
Gloves - gown - goggles and mask - Everything
Mask will 3 feet
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

28. What should you wear when drawing blood
A consent form to be signed for Hep B - C and HIV
Gloves
Nothing unless the pt is in isolation
C Diff( Clostridium difficle)

29. What should you have the patient sign after being stuck by a needle?
Private rooms or patient with same organisms
A consent form to be signed for Hep B - C and HIV
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

30. What are char of Pertussis( whooping cough)
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
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
Dry cough

31. What are the S/S for Botulism
Contaminated food and water
N - V - D and Abd pain
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1.Gloves 2.Goggles 3.Gown 4.Mask

32. When is a pt w/measles most contagious?
Chef
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Small pox
Before the rash appears

33. 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.Gloves 2.Goggles 3.Gown 4.Mask
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
Oral Flagyl and and Vancomycin

34. How is Hep A spread
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
Lindane - Crotmiton - Permethrine
Fecal/oral
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

35. What should a Contact Precaution pt have
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Feces of infected people or animals
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

36. When To USE STAndARD PRECAUTIONS
A
Chef
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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 - Goggles and a face shield

38. What should the school teacher teach kids handleing pets
Private rooms or patient with same organisms
Contaminated food and water
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
Wash their hands before and after handling pets

39. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

40. What patients need Droplet precautions?
Those with liver problems and pregnant women
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
HIV - HEP B - C - Cytmegalovirus

41. What are the Ni for Pertussis?
Rest - warm - humid air
Kopliks spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

42. 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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1St provide care 2nd notify MD ( medical doctor
Blue - Blue - green - GREEN means negative

43. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Before the rash appears
Rocky mountain fever and Lymes disease
Contaminated food and water

44. Rabies pt's would need
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

45. CONDITIONS REQUIRED SEIZURE PRECAUTIONS
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
Dry cough
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

46. 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Chef
Contaminated food and water

47. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
EBOLI - MARBAR - CRIMEAN CONGO
Pink red maculopapules

48. Where would you see a rash w/ Rocky mountain spotted fever?
Lindane - Crotmiton - Permethrine
Wrist ankles Palms - soles Forearm
Those with liver problems and pregnant women
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

49. What is the most common cause of ATB associated diarrhea
Maculopapular rash and vesicular scabs
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
A

50. What type of job should a person with hepatitis never have
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
Chef
Small pox
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

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NCLEX Lpn Infection Control

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