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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. Contact Precautions
Swelling and tenderness of one or more salivary glands
Gown and gloves and disinfectant all the equipments
Contaminated food and water
Rocky mountain fever and Lymes disease

2. What are the Ni for Pertussis?
DISCONTINUE The ATB
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
Rest - warm - humid air
An order for and Anti Diarrhea med like Imodium

3. What are the major ATB associated w/ c diff
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
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
Pencillins - Cephalosporins - Clindamycin

4. What should the school teacher teach kids handleing pets
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wash their hands before and after handling pets
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

5. What is the most dangerous type of Hep?
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
People w/ egg allergies - pregnant - illness or fever
A
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

6. Rule: DISCHARGE DURING AN EMERGENCY
Feces of infected people or animals
Nothing unless the pt is in isolation
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

7. What should you wear when drawing blood
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Small pox
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

8. patient what kind of room they should stay
Gloves - Goggles and a face shield
Bleach
Contact which are gloves and gown - Toes - wet - warm - spots
Private rooms or patient with same organisms

9. DON'T TRANSFER Which Patient
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private rooms or patient with same organisms
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Before the rash appears

10. Who shouldn't get the Chicken pox vaccine

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11. Infected Air - borne precaution
-- 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
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Private room with negative pressure

12. 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
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
HIV - HEP B - C - Cytmegalovirus
EBOLI - MARBAR - CRIMEAN CONGO

13. What type of job should a person with hepatitis never have
Chef
Gloves
Pink red maculopapules
Private rooms or patient with same organisms

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

15. BLEEDING PRECAUTION Patient. These Patients Who Are On...
A diet high in calories and low fat
Blue - Blue - green - GREEN means negative
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

16. Who needs Standard and Contact precautions (SC)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

17. How is Salmonella transmitted
Nothing unless the pt is in isolation
Chef
Contact which are gloves and gown - Toes - wet - warm - spots
Contaminated food and water

18. After a bloodborne pathogen exposure what should be done later?
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
Pink red maculopapules
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

19. If aptient is going to surgery do not give them
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rocky mountain fever and Lymes disease
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

20. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wash their hands before and after handling pets
A consent form to be signed for Hep B - C and HIV

21. Droplet precautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Mask will 3 feet

22. What should you wear if blood is spurting?
Chef
Rest - warm - humid air
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves - gown - goggles and mask - Everything

23. What are the S/S for Botulism
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
DISCONTINUE The ATB
Examples: Airborne - droplet - contact or standard
N - V - D and Abd pain

24. What is warn when suctioning?
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves - Goggles and a face shield
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

25. When CAN INFECTED Patient LEAVE TheIR ROOM
Pink red maculopapules
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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.
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

26. What should you do if the c diff is linked to an ATB
Blue - Blue - green - GREEN means negative
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Examples: Airborne - droplet - contact or standard
DISCONTINUE The ATB

27. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Rest - warm - humid air
Before the rash appears
DISCONTINUE The ATB

28. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1St provide care 2nd notify MD ( medical doctor
A consent form to be signed for Hep B - C and HIV
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

29. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
A consent form to be signed for Hep B - C and HIV
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Fecal/oral

30. Who should get the chicken pox vaccine
Before the rash appears
Private room with negative pressure
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Wrist ankles Palms - soles Forearm

31. To be most effective when should postexposure prophylaxis (PPE) be started?
Wrist ankles Palms - soles Forearm
Dry cough
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nausea - diarrhea and fatigue for up to 28 days

32. What colors indicate blood in the stool when doing GUAIAC test
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
Blue - Blue - green - GREEN means negative
Bleach
Swelling and tenderness of one or more salivary glands

33. What kind of room would an Airborne precaution pt need
Wash their hands before and after handling pets
PRIVATE - NEGATIVE PRESSURE ROOM
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

34. What are characteristics of Measles (Rubeola)
Kopliks spots
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Chef

35. What are char of Pertussis( whooping cough)
Dry cough
Bleach
People w/ egg allergies - pregnant - illness or fever
Private room with negative pressure

36. What is the two diseased caused by ticks
Deet spray
N - V - D and Abd pain
Feces of infected people or animals
Rocky mountain fever and Lymes disease

37. What pt's would be ok for a pregnant nurse to care for
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
Dry cough
1St provide care 2nd notify MD ( medical doctor

38. After getting the Varicella vacc who should you teach pt's to avoid
PRIVATE - NEGATIVE PRESSURE ROOM
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Private rooms or patient with same organisms

39. Who needs Standard - Airbourne and Contact precautions
1St provide care 2nd notify MD ( medical doctor
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Small pox

40. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A

41. 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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A
Examples: Airborne - droplet - contact or standard

42. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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43. Who is not able to start PPE
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
C Diff( Clostridium difficle)
Those with liver problems and pregnant women
Maculopapular rash and vesicular scabs

44. What other ATB might be prescribed to treat c diff
Maculopapular rash and vesicular scabs
Oral Flagyl and and Vancomycin
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

45. When dealing w/ a Droplet percautions pt they require
Nothing unless the pt is in isolation
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
Private room with negative pressure
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

46. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
Rest - warm - humid air
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

47. What is a GUAIAC test?
Contaminated food and water
COPD + Negative pressure room = Keep together
A test to decect fecal occult blood assess for hidden blood in stool
Rocky mountain fever and Lymes disease

48. WHen should you use standard percautions
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
Lindane - Crotmiton - Permethrine
Pencillins - Cephalosporins - Clindamycin
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

49. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves
EBOLI - MARBAR - CRIMEAN CONGO
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

50. What are the char. of German measles( Rubella)
Gloves
Gloves - Goggles and a face shield
Pink red maculopapules
A

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NCLEX Lpn Infection Control

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