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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 are the characteristics of Mumps
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Swelling and tenderness of one or more salivary glands
A
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

2. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Blue - Blue - green - GREEN means negative
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)

3. Where can you find Salmonella
A diet high in calories and low fat
Feces of infected people or animals
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.
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

4. Rabies pt's would need

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5. When To USE STAndARD PRECAUTIONS
Private rooms or patient with same organisms
Oral Flagyl and and Vancomycin
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

6. INTERVENTION FOR PREVENT ASPIRATION
HIV - HEP B - C - Cytmegalovirus
Mask will 3 feet
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

7. How is Salmonella transmitted
Contaminated food and water
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Kopliks spots

8. What are the Ni for Pertussis?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
HIV - HEP B - C - Cytmegalovirus
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Rest - warm - humid air

9. Which Patient CAN KEEP In The SAME ROOM
DISCONTINUE The ATB
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Swelling and tenderness of one or more salivary glands
COPD + Negative pressure room = Keep together

10. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Rest - warm - humid air
Feces of infected people or animals
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Bleach

11. What type of job should a person with hepatitis never have
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
N - V - D and Abd pain
Chef
Nothing unless the pt is in isolation

12. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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

13. What should you wear when drawing blood
Small pox
Gloves
Rest - warm - humid air
Bleach

14. Contact Precautions
Gloves
Gown and gloves and disinfectant all the equipments
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
C Diff( Clostridium difficle)

15. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nothing unless the pt is in isolation

16. What colors indicate blood in the stool when doing GUAIAC test
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Chef

17. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Mask will 3 feet
Contact which are gloves and gown - Toes - wet - warm - spots
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

18. After a bloodborne pathogen exposure what should be done later?
PRIVATE - NEGATIVE PRESSURE ROOM
A diet high in calories and low fat
Kopliks spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

19. Who needs Standard and Contact precautions (SC)
COPD + Negative pressure room = Keep together
A
DISCONTINUE The ATB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

20. Who needs Standard Contact and Droplet precautions
Wash their hands before and after handling pets
Contaminated food and water
Feces of infected people or animals
Glanders - Lassa

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

22. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

23. Which pt's can't the pregnant nurse care for
People w/ egg allergies - pregnant - illness or fever
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact which are gloves and gown - Toes - wet - warm - spots
Gloves - Goggles and a face shield

24. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
DISCONTINUE The ATB
Examples: Airborne - droplet - contact or standard
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
-- 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

25. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
COPD + Negative pressure room = Keep together
Pencillins - Cephalosporins - Clindamycin
Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

26. What should you have the patient sign after being stuck by a needle?
Rest - warm - humid air
A consent form to be signed for Hep B - C and HIV
Contaminated food and water
Nausea - diarrhea and fatigue for up to 28 days

27. What pt's would be ok for a pregnant nurse to care for
DISCONTINUE The ATB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
HIV - HEP B - C - Cytmegalovirus

28. What should the school teacher teach kids handleing pets
Kopliks spots
Private room with negative pressure
Wash their hands before and after handling pets
Feces of infected people or animals

29. What are characteristics of Measles (Rubeola)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Kopliks spots
Pencillins - Cephalosporins - Clindamycin
Rest - warm - humid air

30. What should you wear when taking a pt's VS?
A
Nothing unless the pt is in isolation
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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

31. What is the most dangerous type of Hep?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Gloves 2.Goggles 3.Gown 4.Mask
A
Examples: Airborne - droplet - contact or standard

32. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

33. Droplet precautions
Rocky mountain fever and Lymes disease
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Mask will 3 feet
Private rooms or patient with same organisms

34. What should you do if the c diff is linked to an ATB
HIV - HEP B - C - Cytmegalovirus
DISCONTINUE The ATB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments

35. patient what kind of room they should stay
Private rooms or patient with same organisms
Pencillins - Cephalosporins - Clindamycin
Contaminated food and water
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

36. Transferring Patient BETWEEN WARDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Before the rash appears
People w/ egg allergies - pregnant - illness or fever

37. 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
Wash their hands before and after handling pets
EBOLI - MARBAR - CRIMEAN CONGO
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

38. Where would you see a rash w/ Rocky mountain spotted fever?
A consent form to be signed for Hep B - C and HIV
Wrist ankles Palms - soles Forearm
Deet spray
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

39. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO
Gloves - gown - goggles and mask - Everything
Blue - Blue - green - GREEN means negative

40. What are char of Pertussis( whooping cough)
Small pox
Mask will 3 feet
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Dry cough

41. How is Hep A spread
Chef
Fecal/oral
Blue - Blue - green - GREEN means negative
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

42. How can you stop the spread of c diff

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43. Who should get the chicken pox vaccine
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.
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

44. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Oral Flagyl and and Vancomycin
Contact which are gloves and gown - Toes - wet - warm - spots
Private room with negative pressure

45. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Wrist ankles Palms - soles Forearm
People w/ egg allergies - pregnant - illness or fever
Gown and gloves and disinfectant all the equipments

46. Who needs Standard - Airbourne and Contact precautions
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
1.Gloves 2.Goggles 3.Gown 4.Mask
Small pox

47. What is warn when suctioning?
Gloves - Goggles and a face shield
Before the rash appears
A consent form to be signed for Hep B - C and HIV
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

48. What is the tx for Scabies
A
Rest - warm - humid air
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Lindane - Crotmiton - Permethrine

49. Rule: Transferring PEDS Patient To MS (MED SURGE)
Contact which are gloves and gown - Toes - wet - warm - spots
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves - gown - goggles and mask - Everything

50. 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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Kopliks spots
Blue - Blue - green - GREEN means negative

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NCLEX Lpn Infection Control

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