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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. 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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
1St provide care 2nd notify MD ( medical doctor

2. How is Hep A spread
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
Fecal/oral
Gloves - gown - goggles and mask - Everything
Blue - Blue - green - GREEN means negative

3. What is the most common cause of ATB associated diarrhea
1St provide care 2nd notify MD ( medical doctor
C Diff( Clostridium difficle)
Chef
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

4. What should the nurse immediately do if she stuck by a used needle?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Lindane - Crotmiton - Permethrine

5. What is a GUAIAC test?
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
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
A test to decect fecal occult blood assess for hidden blood in stool
Examples: Airborne - droplet - contact or standard

6. How would you take off Personal protective gear?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Gloves 2.Goggles 3.Gown 4.Mask
COPD + Negative pressure room = Keep together
N - V - D and Abd pain

7. 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
Mask will 3 feet
Bleach
Those with liver problems and pregnant women

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

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9. Which Patient NEED To ISOLATE
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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

10. When To USE STAndARD PRECAUTIONS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Glanders - Lassa
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
Bleach

11. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Gloves - Goggles and a face shield
Before the rash appears
A consent form to be signed for Hep B - C and HIV

12. After getting the Varicella vacc who should you teach pt's to avoid
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.
Deet spray
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

13. Who needs Standard - Airbourne and Contact precautions
Kopliks spots
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
Mask will 3 feet
Small pox

14. Which pt's can't the pregnant nurse care for
Kopliks spots
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
A diet high in calories and low fat
C Diff( Clostridium difficle)

15. GENERAL RuleS FOR VACCINES
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
PRIVATE - NEGATIVE PRESSURE ROOM
Dry cough

16. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
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
Nausea - diarrhea and fatigue for up to 28 days
Gloves - Goggles and a face shield

17. What would you question with a c diff pt
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

18. Transferring Patient BETWEEN 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
Wash their hands before and after handling pets
Fecal/oral
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

19. To be most effective when should postexposure prophylaxis (PPE) be started?
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.
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1St provide care 2nd notify MD ( medical doctor

20. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Before the rash appears
C Diff( Clostridium difficle)
EBOLI - MARBAR - CRIMEAN CONGO
Swelling and tenderness of one or more salivary glands

21. What kind of room would an Airborne precaution pt need
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
An order for and Anti Diarrhea med like Imodium
PRIVATE - NEGATIVE PRESSURE ROOM

22. What are the major ATB associated w/ c diff
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
Pencillins - Cephalosporins - Clindamycin
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

23. Which Patient CAN KEEP In The SAME ROOM
Bleach
A
COPD + Negative pressure room = Keep together
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

24. What is the two diseased caused by ticks
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A diet high in calories and low fat
Rocky mountain fever and Lymes disease
Blue - Blue - green - GREEN means negative

25. What type of job should a person with hepatitis never have
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
Maculopapular rash and vesicular scabs
Chef
DISCONTINUE The ATB

26. What is the order for putting on personal protective gear?
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves - gown - goggles and mask - Everything
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

27. Who needs Standard Contact and Droplet precautions
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm
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
Glanders - Lassa

28. Where can you find Salmonella
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
Contaminated food and water
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

29. What is the tx for Scabies
Bleach
Small pox
Lindane - Crotmiton - Permethrine
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

30. What is the most dangerous type of Hep?
Feces of infected people or animals
A
An order for and Anti Diarrhea med like Imodium
HIV - HEP B - C - Cytmegalovirus

31. What should the school teacher teach kids handleing pets
DISCONTINUE The ATB
Wash their hands before and after handling pets
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Gown and gloves and disinfectant all the equipments

32. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Rest - warm - humid air
Gloves - gown - goggles and mask - Everything
A consent form to be signed for Hep B - C and HIV

33. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Nothing unless the pt is in isolation
Feces of infected people or animals
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

34. What are the characteristics of Mumps
Before the rash appears
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Swelling and tenderness of one or more salivary glands
Oral Flagyl and and Vancomycin

35. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Rest - warm - humid air
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

36. After a bloodborne pathogen exposure what should be done later?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect 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
C Diff( Clostridium difficle)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

37. What other ATB might be prescribed to treat c diff
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
Blue - Blue - green - GREEN means negative
Oral Flagyl and and Vancomycin

38. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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39. Infected Air - borne precaution
Nausea - diarrhea and fatigue for up to 28 days
Bleach
Private room with negative pressure
Gloves - Goggles and a face shield

40. How is c diff transmitted?
Contaminated food and water
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

41. Rule: DISCHARGE DURING AN EMERGENCY
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Kopliks spots

42. INTERVENTION FOR PREVENT ASPIRATION
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
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
Before the rash appears
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

43. patient what kind of room they should stay
Mask will 3 feet
Private rooms or patient with same organisms
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
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

44. Who shouldn't get the Chicken pox vaccine

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45. When dealing w/ a Droplet percautions pt they require
Blue - Blue - green - GREEN means negative
1St provide care 2nd notify MD ( medical doctor
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
Feces of infected people or animals

46. What is warn when suctioning?
Gloves - Goggles and a face shield
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contact which are gloves and gown - Toes - wet - warm - spots
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

47. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
People w/ egg allergies - pregnant - illness or fever
1St provide care 2nd notify MD ( medical doctor
Gloves - gown - goggles and mask - Everything
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

48. What should you wear when taking a pt's VS?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Glanders - Lassa
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Nothing unless the pt is in isolation

49. How can you prevent Salmonella
Rocky mountain fever and Lymes disease
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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. 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
N - V - D and Abd pain
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Those with liver problems and pregnant women

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NCLEX Lpn Infection Control

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