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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 should a Contact Precaution pt have
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Swelling and tenderness of one or more salivary glands
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

2. WHen should you use standard percautions
DISCONTINUE The ATB
Bleach
Nausea - diarrhea and fatigue for up to 28 days
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

3. Rabies pt's would need

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4. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
DISCONTINUE The ATB
Mask will 3 feet
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

5. What should you wear when taking a pt's VS?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Nothing unless the pt is in isolation
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
Gloves - Goggles and a face shield

6. How can you stop the spread of c diff

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7. How is c diff transmitted?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gown and gloves and disinfectant all the equipments
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.
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

8. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
A
COPD + Negative pressure room = Keep together
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

9. To be most effective when should postexposure prophylaxis (PPE) be started?
A
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
COPD + Negative pressure room = Keep together
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

10. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
A consent form to be signed for Hep B - C and HIV
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
A diet high in calories and low fat

11. What is a GUAIAC test?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A test to decect fecal occult blood assess for hidden blood in stool

12. Which Patient NEED To ISOLATE
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
Private rooms or patient with same organisms
Contact which are gloves and gown - Toes - wet - warm - spots
Mask will 3 feet

13. What are the Ni for Pertussis?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Those with liver problems and pregnant women
Rest - warm - humid air
Wrist ankles Palms - soles Forearm

14. When To USE STAndARD PRECAUTIONS
Contaminated food and water
Chef
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

15. DON'T TRANSFER Which Patient
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
-- 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
Examples: Airborne - droplet - contact or standard
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

16. When dealing w/ a Droplet percautions pt they require
Mask will 3 feet
Chef
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

17. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Bleach
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 test to decect fecal occult blood assess for hidden blood in stool

18. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contaminated food and water
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

19. What is the tx for Scabies
DISCONTINUE The ATB
HIV - HEP B - C - Cytmegalovirus
-- 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
Lindane - Crotmiton - Permethrine

20. What are common side effects of PPE
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard
Nausea - diarrhea and fatigue for up to 28 days
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

21. What are characteristics of Measles (Rubeola)
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
Kopliks spots
Lindane - Crotmiton - Permethrine
Dry cough

22. How would you take off Personal protective gear?
A
1.Gloves 2.Goggles 3.Gown 4.Mask
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

23. BLEEDING PRECAUTION Patient. These Patients Who Are On...
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gown and gloves and disinfectant all the equipments
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Fecal/oral

24. Who needs Standard - Airbourne and Contact precautions
Small pox
Pencillins - Cephalosporins - Clindamycin
Chef
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

25. Which Patient CAN KEEP In The SAME ROOM
Examples: Airborne - droplet - contact or standard
An order for and Anti Diarrhea med like Imodium
COPD + Negative pressure room = Keep together
Private rooms or patient with same organisms

26. Who shouldn't get the Chicken pox vaccine

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27. 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
HIV - HEP B - C - Cytmegalovirus
Rocky mountain fever and Lymes disease
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

28. Infected Air - borne precaution
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Private room with negative pressure
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor

29. After getting the Varicella vacc who should you teach pt's to avoid
C Diff( Clostridium difficle)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Blue - Blue - green - GREEN means negative
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
HIV - HEP B - C - Cytmegalovirus
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

31. Droplet precautions
Rocky mountain fever and Lymes disease
Mask will 3 feet
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

32. patient what kind of room they should stay
Contaminated food and water
Private rooms or patient with same organisms
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Those with liver problems and pregnant women

33. Who should get the chicken pox vaccine
Bleach
Chef
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

34. What colors indicate blood in the stool when doing GUAIAC test
Pencillins - Cephalosporins - Clindamycin
Blue - Blue - green - GREEN means negative
Deet spray
Maculopapular rash and vesicular scabs

35. What is the two diseased caused by ticks
1.Gloves 2.Goggles 3.Gown 4.Mask
Rocky mountain fever and Lymes disease
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

36. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets
Mask will 3 feet

37. What is warn when suctioning?
Feces of infected people or animals
Gloves - Goggles and a face shield
Bleach
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

38. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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39. When CAN INFECTED Patient LEAVE TheIR ROOM
Rocky mountain fever and Lymes disease
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.
Mask will 3 feet

40. When should you use Airborne Precautions
Mask will 3 feet
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Oral Flagyl and and Vancomycin
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

41. What other ATB might be prescribed to treat c diff
Glanders - Lassa
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Oral Flagyl and and Vancomycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

42. What are the S/S for Botulism
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
N - V - D and Abd pain
Kopliks spots
Wash their hands before and after handling pets

43. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
DISCONTINUE The ATB
Kopliks spots
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

44. How is Salmonella transmitted
Contaminated food and water
Private rooms or patient with same organisms
A diet high in calories and low fat
Glanders - Lassa

45. How is Hep A spread
Gloves
Fecal/oral
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
Examples: Airborne - droplet - contact or standard

46. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
COPD + Negative pressure room = Keep together
A
Private room with negative pressure

47. Transferring Patient BETWEEN WARDS
Those with liver problems and pregnant women
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Bleach
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

48. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
DISCONTINUE The ATB
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Private rooms or patient with same organisms

49. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Gloves - Goggles and a face shield
Bleach
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

50. Rule: Transferring ADULT To PEDIATRIC WARDS
Dry cough
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
An order for and Anti Diarrhea med like Imodium
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

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NCLEX Lpn Infection Control

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