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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 are char of Pertussis( whooping cough)
Dry cough
Nausea - diarrhea and fatigue for up to 28 days
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.
A consent form to be signed for Hep B - C and HIV

2. What type of job should a person with hepatitis never have
COPD + Negative pressure room = Keep together
Chef
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

3. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
DISCONTINUE The ATB
Kopliks spots
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

4. 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
PRIVATE - NEGATIVE PRESSURE ROOM
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

5. What are the Ni for Pertussis?
Small pox
Rest - warm - humid air
DISCONTINUE The ATB
Kopliks spots

6. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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
Feces of infected people or animals
An order for and Anti Diarrhea med like Imodium
1St provide care 2nd notify MD ( medical doctor

7. When CAN INFECTED Patient LEAVE TheIR ROOM
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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.
Lindane - Crotmiton - Permethrine
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

8. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A
HIV - HEP B - C - Cytmegalovirus

9. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Gloves - Goggles and a face shield
Glanders - Lassa
Small pox

10. What are characteristics of Measles (Rubeola)
Fecal/oral
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Wrist ankles Palms - soles Forearm
Kopliks spots

11. What should you wear when drawing blood
Gloves
Nothing unless the pt is in isolation
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

12. Who needs Standard Contact and Droplet precautions
An order for and Anti Diarrhea med like Imodium
Fecal/oral
EBOLI - MARBAR - CRIMEAN CONGO
Glanders - Lassa

13. When dealing w/ a Droplet percautions pt they require
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Mask will 3 feet

14. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Nothing unless the pt is in isolation
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

15. What kind of diet is needed for a PT with hepatitis A
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine
A diet high in calories and low fat
Contact which are gloves and gown - Toes - wet - warm - spots

16. 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
Small pox
Gloves - Goggles and a face shield
COPD + Negative pressure room = Keep together

17. What is warn when suctioning?
Gloves - Goggles and a face shield
Feces of infected people or animals
Wrist ankles Palms - soles Forearm
Pink red maculopapules

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

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19. What should the nurse immediately do if she stuck by a used needle?
Swelling and tenderness of one or more salivary glands
Contact which are gloves and gown - Toes - wet - warm - spots
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

20. Who needs Standard - Airbourne and Contact precautions
Lindane - Crotmiton - Permethrine
Small pox
A diet high in calories and low fat
People w/ egg allergies - pregnant - illness or fever

21. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Chef
Gloves
Wrist ankles Palms - soles Forearm

22. Which Patient CAN KEEP In The SAME ROOM
Small pox
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
COPD + Negative pressure room = Keep together

23. WHen should you use standard percautions
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Pink red maculopapules

24. How can you stop the spread of c diff

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25. What are the characteristics of Chicken pox Varicella?
Gloves - gown - goggles and mask - Everything
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

26. Rabies pt's would need

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27. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Feces of infected people or animals
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
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

28. patient what kind of room they should stay
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
-- 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
Private rooms or patient with same organisms
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

29. Where can you find Salmonella
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Mask will 3 feet
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

30. If aptient is going to surgery do not give them
Small pox
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Private room with negative pressure

31. What kind of room would an Airborne precaution pt need
Fecal/oral
Gloves - gown - goggles and mask - Everything
People w/ egg allergies - pregnant - illness or fever
PRIVATE - NEGATIVE PRESSURE ROOM

32. Who is not able to start PPE
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women
Swelling and tenderness of one or more salivary glands
Wrist ankles Palms - soles Forearm

33. What would you question with a c diff pt
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
Examples: Airborne - droplet - contact or standard
Rest - warm - humid air
An order for and Anti Diarrhea med like Imodium

34. What are the S/S for Botulism
Lindane - Crotmiton - Permethrine
N - V - D and Abd pain
Gloves - gown - goggles and mask - Everything
An order for and Anti Diarrhea med like Imodium

35. What is the most dangerous type of Hep?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
Rest - warm - humid air

36. What are common side effects of PPE
1St provide care 2nd notify MD ( medical doctor
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nausea - diarrhea and fatigue for up to 28 days
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

37. When To USE STAndARD 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.
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Gown and gloves and disinfectant all the equipments

38. How is Hep A spread
Rest - warm - humid air
Fecal/oral
Lindane - Crotmiton - Permethrine
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

39. How is c diff transmitted?
Contact which are gloves and gown - Toes - wet - warm - spots
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Kopliks spots

40. Who should get the chicken pox vaccine
1.Gloves 2.Goggles 3.Gown 4.Mask
Kopliks spots
A test to decect fecal occult blood assess for hidden blood in stool
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

41. 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Rest - warm - humid air
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

42. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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43. To be most effective when should postexposure prophylaxis (PPE) be started?
Blue - Blue - green - GREEN means negative
N - V - D and Abd pain
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

44. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
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

45. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
HIV - HEP B - C - Cytmegalovirus
Bleach
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

46. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Private room with negative pressure
Nausea - diarrhea and fatigue for up to 28 days
Small pox

47. 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
Dry cough
Fecal/oral
1St provide care 2nd notify MD ( medical doctor

48. What should you wash the toilet seat with
Bleach
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

49. What other ATB might be prescribed to treat c diff
Before the rash appears
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Oral Flagyl and and Vancomycin
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

50. BLEEDING PRECAUTION Patient. These Patients Who Are On...
C Diff( Clostridium difficle)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

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NCLEX Lpn Infection Control

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