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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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
-- 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

2. How is Salmonella transmitted
-- 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
Contaminated food and water
Nausea - diarrhea and fatigue for up to 28 days
A test to decect fecal occult blood assess for hidden blood in stool

3. What is the two diseased caused by ticks
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus
Rocky mountain fever and Lymes disease
Dry cough

4. When is a pt w/measles most contagious?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Swelling and tenderness of one or more salivary glands
1.Gloves 2.Goggles 3.Gown 4.Mask
Before the rash appears

5. Who is not able to start PPE
Those with liver problems and pregnant women
DISCONTINUE The ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs

6. What should you wear when taking a pt's VS?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
Dry cough
Nothing unless the pt is in isolation

7. What is the most common cause of ATB associated diarrhea
A
Those with liver problems and pregnant women
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

8. What kind of diet is needed for a PT with hepatitis A
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A diet high in calories and low fat
Contaminated food and water
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

9. patient what kind of room they should stay
Rocky mountain fever and Lymes disease
Private rooms or patient with same organisms
Kopliks spots
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

10. DON'T TRANSFER Which Patient
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Swelling and tenderness of one or more salivary glands
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

11. What should you wear if blood is spurting?
Contact which are gloves and gown - Toes - wet - warm - spots
C Diff( Clostridium difficle)
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
Gloves - gown - goggles and mask - Everything

12. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Blue - Blue - green - GREEN means negative
DISCONTINUE The ATB
Gloves - Goggles and a face shield

13. Infected Air - borne precaution
Private room with negative pressure
Glanders - Lassa
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
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

14. What is the most dangerous type of Hep?
Feces of infected people or animals
PRIVATE - NEGATIVE PRESSURE ROOM
A
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

15. What are characteristics of Measles (Rubeola)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Kopliks spots
Private room with negative pressure

16. What type of job should a person with hepatitis never have
Rest - warm - humid air
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
Chef
Pink red maculopapules

17. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Private room with negative pressure
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)

18. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
PRIVATE - NEGATIVE PRESSURE ROOM
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
PRIVATE - NEGATIVE PRESSURE ROOM
Wash their hands before and after handling pets
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

20. What is a GUAIAC test?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A test to decect fecal occult blood assess for hidden blood in stool
Private room with negative pressure

21. Who shouldn't get the Chicken pox vaccine

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22. After getting the Varicella vacc who should you teach pt's to avoid
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves - Goggles and a face shield
Nothing unless the pt is in isolation
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

23. What are the char. of German measles( Rubella)
Lindane - Crotmiton - Permethrine
Pink red maculopapules
Small pox
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.

24. What are the Ni for Pertussis?
Rest - warm - humid air
Wash their hands before and after handling pets
Glanders - Lassa
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

25. WHen should you use standard percautions
A consent form to be signed for Hep B - C and HIV
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

26. What would you question with a c diff pt
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
An order for and Anti Diarrhea med like Imodium
Glanders - Lassa
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

27. What colors indicate blood in the stool when doing GUAIAC test
EBOLI - MARBAR - CRIMEAN CONGO
Maculopapular rash and vesicular scabs
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

28. What are common side effects of PPE
Contaminated food and water
Swelling and tenderness of one or more salivary glands
Nausea - diarrhea and fatigue for up to 28 days
Pencillins - Cephalosporins - Clindamycin

29. How is Hep A spread
Chef
Fecal/oral
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

30. When dealing w/ a Droplet percautions pt they require
Nausea - diarrhea and fatigue for up to 28 days
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 but the door can remain open - Use standard percautions but a wear a MASK When YOUR W/In 3FT of The PT - SPIT ZOne
Glanders - Lassa

31. Droplet precautions
Mask will 3 feet
Private rooms or patient with same organisms
N - V - D and Abd pain
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

32. How is c diff transmitted?
Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Oral Flagyl and and Vancomycin

33. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gloves - gown - goggles and mask - Everything

34. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Pencillins - Cephalosporins - Clindamycin
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

35. 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
Rest - warm - humid air
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

36. What kind of room would an Airborne precaution pt need
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contaminated food and water
PRIVATE - NEGATIVE PRESSURE ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

37. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
C Diff( Clostridium difficle)
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

38. What is warn when suctioning?
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Private rooms or patient with same organisms
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves - Goggles and a face shield

39. Who needs Standard Contact and Droplet precautions
COPD + Negative pressure room = Keep together
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
Glanders - Lassa

40. What should you do if the c diff is linked to an ATB
Kopliks spots
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wrist ankles Palms - soles Forearm
DISCONTINUE The ATB

41. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
DISCONTINUE The ATB
Private room with negative pressure
Wrist ankles Palms - soles Forearm

42. How would you take off Personal protective gear?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Chef

43. What other ATB might be prescribed to treat c diff
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Oral Flagyl and and Vancomycin
Pencillins - Cephalosporins - Clindamycin

44. What should you teach pt's to wear for protect themselves against Lyme disease
Maculopapular rash and vesicular scabs
N - V - D and Abd pain
HIV - HEP B - C - Cytmegalovirus
Deet spray

45. 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
Pencillins - Cephalosporins - Clindamycin
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Nausea - diarrhea and fatigue for up to 28 days

46. After a bloodborne pathogen exposure what should be done later?
A consent form to be signed for Hep B - C and HIV
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

47. What should the school teacher teach kids handleing pets
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Rest - warm - humid air
Oral Flagyl and and Vancomycin
Wash their hands before and after handling pets

48. What are the S/S for Botulism
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
N - V - D and Abd pain
Fecal/oral

49. Contact Precautions
C Diff( Clostridium difficle)
PRIVATE - NEGATIVE PRESSURE ROOM
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments

50. 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
Private room with negative pressure
Glanders - Lassa
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

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NCLEX Lpn Infection Control

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