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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 type of job should a person with hepatitis never have
Gloves - Goggles and a face shield
Glanders - Lassa
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Chef

2. What kind of room would an Airborne precaution pt need
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
PRIVATE - NEGATIVE PRESSURE ROOM
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

3. What is the tx for Scabies
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)
Lindane - Crotmiton - Permethrine

4. 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

5. Rabies pt's would need

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6. What pt's would be ok for a pregnant nurse to care for
Those with liver problems and pregnant women
A test to decect fecal occult blood assess for hidden blood in stool
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat

7. When CAN INFECTED Patient LEAVE TheIR ROOM
Wrist ankles Palms - soles Forearm
Maculopapular rash and vesicular scabs
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.
Small pox

8. Who should get the chicken pox vaccine
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
An order for and Anti Diarrhea med like Imodium

9. After getting the Varicella vacc who should you teach pt's to avoid
Gown and gloves and disinfectant all the equipments
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

10. What should you wear when drawing blood
A test to decect fecal occult blood assess for hidden blood in stool
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
An order for and Anti Diarrhea med like Imodium
Gloves

11. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

12. What is warn when suctioning?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
N - V - D and Abd pain
Gloves - Goggles and a face shield
Small pox

13. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Pencillins - Cephalosporins - Clindamycin
-- 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
Oral Flagyl and and Vancomycin
Gloves - Goggles and a face shield

14. What are characteristics of Measles (Rubeola)
People w/ egg allergies - pregnant - illness or fever
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
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
Kopliks spots

15. If aptient is going to surgery do not give them
People w/ egg allergies - pregnant - illness or fever
Rest - warm - humid air
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A diet high in calories and low fat

16. Rule: DISCHARGE DURING AN EMERGENCY
Examples: Airborne - droplet - contact or standard
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A diet high in calories and low fat
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

17. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Private room with negative pressure
Blue - Blue - green - GREEN means negative
1St provide care 2nd notify MD ( medical doctor
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

18. Infected Air - borne precaution
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private room with negative pressure
Fecal/oral
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

19. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women

20. Where would you see a rash w/ Rocky mountain spotted fever?
Bleach
Blue - Blue - green - GREEN means negative
Contaminated food and water
Wrist ankles Palms - soles Forearm

21. After a bloodborne pathogen exposure what should be done later?
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
Glanders - Lassa
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

22. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Gown and gloves and disinfectant all the equipments
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Wash their hands before and after handling pets

23. What colors indicate blood in the stool when doing GUAIAC test
DISCONTINUE The ATB
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Blue - Blue - green - GREEN means negative
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

24. Who needs Standard and Contact precautions (SC)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
EBOLI - MARBAR - CRIMEAN CONGO
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

25. What is the two diseased caused by ticks
Private room with negative pressure
Rocky mountain fever and Lymes disease
1St provide care 2nd notify MD ( medical doctor
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

26. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Examples: Airborne - droplet - contact or standard
Mask will 3 feet
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

27. What is the most dangerous type of Hep?
1.Gloves 2.Goggles 3.Gown 4.Mask
A
Mask will 3 feet
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

28. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Bleach
Pink red maculopapules

29. What kind of diet is needed for a PT with hepatitis A
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
A diet high in calories and low fat
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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 is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Nothing unless the pt is in isolation
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

31. What patients need Droplet precautions?

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32. Who needs Standard - Airbourne and Contact precautions
Small pox
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
Private rooms or patient with same organisms
Swelling and tenderness of one or more salivary glands

33. Who is not able to start PPE
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Those with liver problems and pregnant women
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A diet high in calories and low fat

34. BLEEDING PRECAUTION Patient. These Patients Who Are On...
A diet high in calories and low fat
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

35. How can you stop the spread of c diff

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36. What is a GUAIAC test?
Gown and gloves and disinfectant all the equipments
Rocky mountain fever and Lymes disease
1St provide care 2nd notify MD ( medical doctor
A test to decect fecal occult blood assess for hidden blood in stool

37. To be most effective when should postexposure prophylaxis (PPE) be started?
A test to decect fecal occult blood assess for hidden blood in stool
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves - Goggles and a face shield
Rocky mountain fever and Lymes disease

38. When is a pt w/measles most contagious?
People w/ egg allergies - pregnant - illness or fever
Swelling and tenderness of one or more salivary glands
Before the rash appears
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

39. What precaution are needed for Scabies pt
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
Contact which are gloves and gown - Toes - wet - warm - spots
C Diff( Clostridium difficle)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

40. Rule: Transferring ADULT To PEDIATRIC 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
Private rooms or patient with same organisms
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

41. Who shouldn't get the measles vacc
HIV - HEP B - C - Cytmegalovirus
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

42. What are the Ni for Pertussis?
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
Rest - warm - humid air
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Nothing unless the pt is in isolation

43. Who needs Standard Contact and Droplet precautions
Private rooms or patient with same organisms
Glanders - Lassa
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
EBOLI - MARBAR - CRIMEAN CONGO

44. How is Salmonella transmitted
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Contact which are gloves and gown - Toes - wet - warm - spots
Contaminated food and water
Fecal/oral

45. Who shouldn't get the Chicken pox vaccine

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46. What other ATB might be prescribed to treat c diff
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- 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
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

47. Rule: Transferring PEDS Patient To MS (MED SURGE)
A diet high in calories and low fat
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
HIV - HEP B - C - Cytmegalovirus
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

48. When dealing w/ a Droplet percautions pt they require
An order for and Anti Diarrhea med like Imodium
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

49. Droplet precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
Wash their hands before and after handling pets
Mask will 3 feet

50. When To USE STAndARD PRECAUTIONS
N - V - D and Abd pain
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
Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

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NCLEX Lpn Infection Control

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