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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. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
C Diff( Clostridium difficle)
Pink red maculopapules
Gown and gloves and disinfectant all the equipments

2. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Those with liver problems and pregnant women
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

3. What should you wear when drawing blood
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A diet high in calories and low fat
A
Gloves

4. Who needs Standard Contact and Droplet precautions
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Glanders - Lassa
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gown and gloves and disinfectant all the equipments

5. Where can you find Salmonella
Feces of infected people or animals
Gown and gloves and disinfectant all the equipments
A diet high in calories and low fat
Nothing unless the pt is in isolation

6. Who should get the chicken pox vaccine
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
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

7. What pt's would be ok for a pregnant nurse to care for
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus

8. What should you teach pt's to wear for protect themselves against Lyme disease
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Oral Flagyl and and Vancomycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Deet spray

9. Which Patient CAN KEEP In The SAME ROOM
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
COPD + Negative pressure room = Keep together
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

10. WHen should you use standard percautions
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Bleach
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
EBOLI - MARBAR - CRIMEAN CONGO

11. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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12. INTERVENTION FOR PREVENT ASPIRATION
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact which are gloves and gown - Toes - wet - warm - spots
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
A diet high in calories and low fat

13. What should you wear when taking a pt's VS?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach
Nothing unless the pt is in isolation
Lindane - Crotmiton - Permethrine

14. What are the characteristics of Mumps
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
Nausea - diarrhea and fatigue for up to 28 days
Swelling and tenderness of one or more salivary glands

15. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Pink red maculopapules
People w/ egg allergies - pregnant - illness or fever
- 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

16. How is c diff transmitted?
A diet high in calories and low fat
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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

17. What are char of Pertussis( whooping cough)
Lindane - Crotmiton - Permethrine
Blue - Blue - green - GREEN means negative
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Dry cough

18. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
Gown and gloves and disinfectant all the equipments
Chef
Kopliks spots

19. patient what kind of room they should stay
Lindane - Crotmiton - Permethrine
Gloves - Goggles and a face shield
Gloves
Private rooms or patient with same organisms

20. What kind of room would an Airborne precaution pt need
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
Blue - Blue - green - GREEN means negative
PRIVATE - NEGATIVE PRESSURE ROOM
Rest - warm - humid air

21. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
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
Lindane - Crotmiton - Permethrine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

22. What are the char. of German measles( Rubella)
Wrist ankles Palms - soles Forearm
Gloves - Goggles and a face shield
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pink red maculopapules

23. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
COPD + Negative pressure room = Keep together
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
PRIVATE - NEGATIVE PRESSURE ROOM

24. What is a GUAIAC test?
Glanders - Lassa
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
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
A test to decect fecal occult blood assess for hidden blood in stool

25. If aptient is going to surgery do not give them
Before the rash appears
Those with liver problems and pregnant women
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

26. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Dry cough
-- 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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

27. Where would you see a rash w/ Rocky mountain spotted fever?
Rocky mountain fever and Lymes disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wrist ankles Palms - soles Forearm

28. How is Salmonella transmitted
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
N - V - D and Abd pain
Contaminated food and water

29. What should you do if the c diff is linked to an ATB
Wrist ankles Palms - soles Forearm
DISCONTINUE The ATB
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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

30. What should a Contact Precaution pt have
Dry cough
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Swelling and tenderness of one or more salivary glands

31. Rule: DISCHARGE DURING AN EMERGENCY
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
Nausea - diarrhea and fatigue for up to 28 days
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Dry cough

32. What patients need Droplet precautions?

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33. Who needs Standard - Airbourne and Contact 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Small pox
Mask will 3 feet

34. What are the Ni for Pertussis?
Gloves - Goggles and a face shield
An order for and Anti Diarrhea med like Imodium
Rest - warm - humid air
Before the rash appears

35. Who shouldn't get the measles vacc
N - V - D and Abd pain
Rocky mountain fever and Lymes disease
People w/ egg allergies - pregnant - illness or fever
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

36. To be most effective when should postexposure prophylaxis (PPE) be started?
Maculopapular rash and vesicular scabs
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

37. Infected Air - borne precaution
Private room with negative pressure
Mask will 3 feet
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
An order for and Anti Diarrhea med like Imodium

38. What should you wear if blood is spurting?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A
Gloves - gown - goggles and mask - Everything

39. What should the school teacher teach kids handleing pets
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wash their hands before and after handling pets

40. When is a pt w/measles most contagious?
Fecal/oral
Contaminated food and water
Before the rash appears
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

41. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
C Diff( Clostridium difficle)

42. What is the most dangerous type of Hep?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A
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
HIV - HEP B - C - Cytmegalovirus

43. Rule: Transferring ADULT To PEDIATRIC WARDS
A diet high in calories and low fat
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
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

44. When CAN INFECTED Patient LEAVE TheIR ROOM
Contaminated food and water
PRIVATE - NEGATIVE PRESSURE 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.
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

45. When To USE STAndARD PRECAUTIONS
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
Oral Flagyl and and Vancomycin
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

46. When dealing w/ a Droplet percautions pt they require
Feces of infected people or animals
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
Kopliks spots
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

47. When should you use Airborne Precautions
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

48. Contact Precautions
-- 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
Blue - Blue - green - GREEN means negative
Gown and gloves and disinfectant all the equipments
Bleach

49. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
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.
Those with liver problems and pregnant women
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

50. What are common side effects of PPE
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
C Diff( Clostridium difficle)
Nausea - diarrhea and fatigue for up to 28 days

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NCLEX Lpn Infection Control

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