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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. How is Hep A spread
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash their hands before and after handling pets
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Fecal/oral

2. Who needs Standard - Airbourne and Contact precautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Examples: Airborne - droplet - contact or standard
Small pox
Fecal/oral

3. How can you prevent Salmonella
Bleach
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Pink red maculopapules
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

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

5. Identify the type of precaution required
People w/ egg allergies - pregnant - illness or fever
Examples: Airborne - droplet - contact or standard
-- 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
COPD + Negative pressure room = Keep together

6. When should you use Airborne Precautions
Kopliks spots
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
-- 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
1St provide care 2nd notify MD ( medical doctor

7. When CAN INFECTED Patient LEAVE TheIR ROOM
People w/ egg allergies - pregnant - illness or fever
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.
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

8. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Deet spray
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

9. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Examples: Airborne - droplet - contact or standard
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A diet high in calories and low fat

10. BLEEDING PRECAUTION Patient. These Patients Who Are On...
A consent form to be signed for Hep B - C and HIV
Small pox
Private room with negative pressure
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

11. Rule: DISCHARGE DURING AN EMERGENCY
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
PRIVATE - NEGATIVE PRESSURE ROOM

12. What should a Contact Precaution pt have
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
C Diff( Clostridium difficle)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Nausea - diarrhea and fatigue for up to 28 days

13. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Examples: Airborne - droplet - contact or standard
Deet spray
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

14. Contact Precautions
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pencillins - Cephalosporins - Clindamycin
Gown and gloves and disinfectant all the equipments

15. How can you stop the spread of c diff

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16. When is a pt w/measles most contagious?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Small pox

17. What should the school teacher teach kids handleing pets
1.Gloves 2.Goggles 3.Gown 4.Mask
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wash their hands before and after handling pets

18. How is c diff transmitted?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
-- 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
An order for and Anti Diarrhea med like Imodium

19. To be most effective when should postexposure prophylaxis (PPE) be started?
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
Wash their hands before and after handling pets

20. patient what kind of room they should stay
Private rooms or patient with same organisms
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.
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
N - V - D and Abd pain

21. Infected Air - borne precaution
Wash their hands before and after handling pets
Private room with negative pressure
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

22. What are common side effects of PPE
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Nausea - diarrhea and fatigue for up to 28 days
Dry cough
A diet high in calories and low fat

23. What is the most dangerous type of Hep?
A
Deet spray
-- 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
Contact which are gloves and gown - Toes - wet - warm - spots

24. What is the order for putting on personal protective gear?
Dry cough
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

25. What should you wear when drawing blood
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves

26. What should the nurse immediately do if she stuck by a used needle?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A
Small pox

27. What is the two diseased caused by ticks
C Diff( Clostridium difficle)
Wash their hands before and after handling pets
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease

28. 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
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
Deet spray
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

29. What kind of diet is needed for a PT with hepatitis A
Pencillins - Cephalosporins - Clindamycin
A diet high in calories and low fat
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

30. What kind of room would an Airborne precaution pt need
An order for and Anti Diarrhea med like Imodium
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
PRIVATE - NEGATIVE PRESSURE ROOM

31. How is Salmonella transmitted
Rocky mountain fever and Lymes disease
Mask will 3 feet
Contaminated food and water
Oral Flagyl and and Vancomycin

32. What colors indicate blood in the stool when doing GUAIAC test
Private room with negative pressure
Blue - Blue - green - GREEN means negative
Private rooms or patient with same organisms
Mask will 3 feet

33. Who shouldn't get the measles vacc
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
Gloves - gown - goggles and mask - Everything
Deet spray
People w/ egg allergies - pregnant - illness or fever

34. Which Patient NEED To ISOLATE
EBOLI - MARBAR - CRIMEAN CONGO
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
Rest - warm - humid air
Dry cough

35. What are the Ni for Pertussis?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Rest - warm - humid air
Wrist ankles Palms - soles Forearm
Private rooms or patient with same organisms

36. What are the characteristics of Mumps
EBOLI - MARBAR - CRIMEAN CONGO
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Swelling and tenderness of one or more salivary glands
Pink red maculopapules

37. What are characteristics of Measles (Rubeola)
COPD + Negative pressure room = Keep together
Kopliks spots
Wash their hands before and after handling pets
HIV - HEP B - C - Cytmegalovirus

38. How would you take off Personal protective gear?
Chef
Before the rash appears
1.Gloves 2.Goggles 3.Gown 4.Mask
Those with liver problems and pregnant women

39. What pt's would be ok for a pregnant nurse to care for
Small pox
Gloves
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus

40. Which pt's can't the pregnant nurse care for
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 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.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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

41. Where can you find Salmonella
Feces of infected people or animals
Dry cough
Private room with negative pressure
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

42. Rule: Transferring PEDS Patient To MS (MED SURGE)
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
Rocky mountain fever and Lymes disease
Wash their hands before and after handling pets
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

43. What should you wear when taking a pt's VS?
EBOLI - MARBAR - CRIMEAN CONGO
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Before the rash appears
Nothing unless the pt is in isolation

44. What should you do if the c diff is linked to an ATB
Gloves - Goggles and a face shield
DISCONTINUE The ATB
Pink red maculopapules
Small pox

45. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

46. What are the characteristics of Chicken pox Varicella?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - gown - goggles and mask - Everything
Chef
Maculopapular rash and vesicular scabs

47. What should you teach pt's to wear for protect themselves against Lyme disease
Gloves
Swelling and tenderness of one or more salivary glands
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Deet spray

48. What type of job should a person with hepatitis never have
PRIVATE - NEGATIVE PRESSURE ROOM
Fecal/oral
Examples: Airborne - droplet - contact or standard
Chef

49. WHen should you use standard percautions
Chef
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rocky mountain fever and Lymes disease

50. Droplet precautions
Swelling and tenderness of one or more salivary glands
Mask will 3 feet
Nausea - diarrhea and fatigue for up to 28 days
EBOLI - MARBAR - CRIMEAN CONGO

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NCLEX Lpn Infection Control

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