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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.
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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. How is Salmonella transmitted
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
Contaminated food and water
HIV - HEP B - C - Cytmegalovirus
Blue - Blue - green - GREEN means negative

2. After getting the Varicella vacc who should you teach pt's to avoid
Mask will 3 feet
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Rest - warm - humid air
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

3. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
Pencillins - Cephalosporins - Clindamycin

4. What type of job should a person with hepatitis never have
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves - gown - goggles and mask - Everything
Chef
Before the rash appears

5. Rule: Transferring ADULT To PEDIATRIC WARDS
Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
HIV - HEP B - C - Cytmegalovirus

6. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
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
Pink red maculopapules

7. What are the characteristics of Mumps
Bleach
Kopliks spots
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Swelling and tenderness of one or more salivary glands

8. Who needs Standard and Contact precautions (SC)
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.
Gloves
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

9. What should you teach pt's to wear for protect themselves against Lyme disease
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Deet spray
A

10. What kind of diet is needed for a PT with hepatitis A
Maculopapular rash and vesicular scabs
Chef
Fecal/oral
A diet high in calories and low fat

11. How would you take off Personal protective gear?
Maculopapular rash and vesicular scabs
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

12. To be most effective when should postexposure prophylaxis (PPE) be started?
Gown and gloves and disinfectant all the equipments
-- 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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

13. Rabies pt's would need

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14. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
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
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

15. Droplet precautions
Pink red maculopapules
Nothing unless the pt is in isolation
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Mask will 3 feet

16. Rule: Transferring PEDS Patient To MS (MED SURGE)
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

17. Which Patient CAN KEEP In The SAME ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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 consent form to be signed for Hep B - C and HIV
COPD + Negative pressure room = Keep together

18. Transferring Patient BETWEEN WARDS
Private rooms or patient with same organisms
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
Wash their hands before and after handling pets
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

19. When is a pt w/measles most contagious?
Examples: Airborne - droplet - contact or standard
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
Contaminated food and water
Before the rash appears

20. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
Nothing unless the pt is in isolation
COPD + Negative pressure room = Keep together
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

21. What is the most common cause of ATB associated diarrhea
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
Rocky mountain fever and Lymes disease
Maculopapular rash and vesicular scabs
C Diff( Clostridium difficle)

22. What should you wear if blood is spurting?
1St provide care 2nd notify MD ( medical doctor
Rest - warm - humid air
Gloves - gown - goggles and mask - Everything
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

23. Who shouldn't get the measles vacc
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
People w/ egg allergies - pregnant - illness or fever
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gown and gloves and disinfectant all the equipments

24. If aptient is going to surgery do not give them
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A consent form to be signed for Hep B - C and HIV
COPD + Negative pressure room = Keep together
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

25. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Contaminated food and water
Swelling and tenderness of one or more salivary glands
Gown and gloves and disinfectant all the equipments
1St provide care 2nd notify MD ( medical doctor

26. Where can you find Salmonella
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
Feces of infected people or animals
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

27. What are char of Pertussis( whooping cough)
Swelling and tenderness of one or more salivary glands
Deet spray
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Dry cough

28. When dealing w/ a Droplet percautions pt they require
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin

29. Who shouldn't get the Chicken pox vaccine

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30. What should a Contact Precaution pt 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
Blue - Blue - green - GREEN means negative
Private rooms or patient with same organisms
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

31. How is c diff transmitted?
Deet spray
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Mask will 3 feet

32. 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
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
Pencillins - Cephalosporins - Clindamycin

33. How can you stop the spread of c diff

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34. What are the char. of German measles( Rubella)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
C Diff( Clostridium difficle)
DISCONTINUE The ATB
Pink red maculopapules

35. What would you question with a c diff pt
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
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
An order for and Anti Diarrhea med like Imodium

36. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Chef
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
EBOLI - MARBAR - CRIMEAN CONGO

37. What is the most dangerous type of Hep?
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
A
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

38. Where would you see a rash w/ Rocky mountain spotted fever?
Contact which are gloves and gown - Toes - wet - warm - spots
Swelling and tenderness of one or more salivary glands
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
Wrist ankles Palms - soles Forearm

39. What pt's would be ok for a pregnant nurse to care for
DISCONTINUE The ATB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

40. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Rocky mountain fever and Lymes disease

41. What should you do if the c diff is linked to an ATB
Dry cough
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
DISCONTINUE The ATB

42. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

43. What should the nurse immediately do if she stuck by a used needle?
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
Wash their hands before and after handling pets
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

44. Who should get the chicken pox vaccine
Mask will 3 feet
Wrist ankles Palms - soles Forearm
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

45. What are characteristics of Measles (Rubeola)
Kopliks spots
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.
Chef
Pink red maculopapules

46. After a bloodborne pathogen exposure what should be done later?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

47. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Maculopapular rash and vesicular scabs
A test to decect fecal occult blood assess for hidden blood in stool
Fecal/oral
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

48. What other ATB might be prescribed to treat c diff
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
Private rooms or patient with same organisms
Oral Flagyl and and Vancomycin
Before the rash appears

49. What is the two diseased caused by ticks
Glanders - Lassa
Before the rash appears
Examples: Airborne - droplet - contact or standard
Rocky mountain fever and Lymes disease

50. When To USE STAndARD PRECAUTIONS
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 test to decect fecal occult blood assess for hidden blood in stool
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
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

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NCLEX Lpn Infection Control

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