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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 colors indicate blood in the stool when doing GUAIAC test
C Diff( Clostridium difficle)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Blue - Blue - green - GREEN means negative
Wrist ankles Palms - soles Forearm

2. Who should get the chicken pox vaccine
Mask will 3 feet
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
Nausea - diarrhea and fatigue for up to 28 days
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

3. Rule: Transferring PEDS Patient To MS (MED SURGE)
Wrist ankles Palms - soles Forearm
N - V - D and Abd pain
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

4. What other ATB might be prescribed to treat c diff
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 - 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
Oral Flagyl and and Vancomycin
Mask will 3 feet

5. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
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
DISCONTINUE The ATB
EBOLI - MARBAR - CRIMEAN CONGO

6. What is the order for putting on personal protective gear?
Gloves
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Private room with negative pressure
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

7. Transferring Patient BETWEEN WARDS
Those with liver problems and pregnant women
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
EBOLI - MARBAR - CRIMEAN CONGO
Kopliks spots

8. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Bleach
N - V - D and Abd pain
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

9. How can you stop the spread of 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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nausea - diarrhea and fatigue for up to 28 days
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

10. What are the Ni for Pertussis?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Rest - warm - humid air
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

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

12. After getting the Varicella vacc who should you teach pt's to avoid
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Bleach
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

13. CONDITIONS REQUIRED SEIZURE PRECAUTIONS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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
Bleach
Private rooms or patient with same organisms

14. What are the char. of German measles( Rubella)
Pink red maculopapules
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool

15. What is the most common cause of ATB associated diarrhea
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
C Diff( Clostridium difficle)
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Deet spray

16. What should you teach pt's to wear for protect themselves against Lyme disease
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Deet spray
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

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
Oral Flagyl and and Vancomycin
C Diff( Clostridium difficle)
Examples: Airborne - droplet - contact or standard

18. Which pt's can't the pregnant nurse care for
Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Private rooms or patient with same organisms
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

19. Rule: Transferring ADULT To PEDIATRIC WARDS
Bleach
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
1.Gloves 2.Goggles 3.Gown 4.Mask

20. What are characteristics of Measles (Rubeola)
Dry cough
PRIVATE - NEGATIVE PRESSURE ROOM
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
Kopliks spots

21. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Rocky mountain fever and Lymes disease
Pencillins - Cephalosporins - Clindamycin
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

22. What are the characteristics of Chicken pox Varicella?
A test to decect fecal occult blood assess for hidden blood in stool
Examples: Airborne - droplet - contact or standard
Maculopapular rash and vesicular scabs
Kopliks spots

23. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Pencillins - Cephalosporins - Clindamycin
EBOLI - MARBAR - CRIMEAN CONGO
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease

24. What should you wear when drawing blood
Lindane - Crotmiton - Permethrine
Pencillins - Cephalosporins - Clindamycin
Gloves
Maculopapular rash and vesicular scabs

25. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm
PRIVATE - NEGATIVE PRESSURE ROOM
An order for and Anti Diarrhea med like Imodium

26. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
Pink red maculopapules
Gloves - gown - goggles and mask - Everything

27. 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
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
An order for and Anti Diarrhea med like Imodium

28. What are the major ATB associated w/ c diff
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
Rest - warm - humid air
Bleach
Pencillins - Cephalosporins - Clindamycin

29. Droplet precautions
Dry cough
Mask will 3 feet
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Examples: Airborne - droplet - contact or standard

30. What patients need Droplet precautions?
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
1.Gloves 2.Goggles 3.Gown 4.Mask

31. What should you wear when taking a pt's VS?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nothing unless the pt is in isolation
Swelling and tenderness of one or more salivary glands

32. Infected Air - borne precaution
Wash their hands before and after handling pets
Private room with negative pressure
People w/ egg allergies - pregnant - illness or fever
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

33. What is warn when suctioning?
Wash their hands before and after handling pets
Gloves - Goggles and a face shield
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

34. What should you wash the toilet seat with
Nausea - diarrhea and fatigue for up to 28 days
Bleach
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

35. Who needs Standard and Contact precautions (SC)
Wash their hands before and after handling pets
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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 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

36. How is c diff transmitted?
PRIVATE - NEGATIVE PRESSURE ROOM
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves - gown - goggles and mask - Everything
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

37. When dealing w/ a Droplet percautions pt they require
Before the rash appears
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Lindane - Crotmiton - Permethrine

38. After a bloodborne pathogen exposure what should be done later?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rest - warm - humid air
Fecal/oral

39. What should you do if the c diff is linked to an ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private rooms or patient with same organisms
DISCONTINUE The ATB
Contaminated food and water

40. GENERAL RuleS FOR VACCINES
Oral Flagyl and and Vancomycin
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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

41. Who shouldn't get the Chicken pox vaccine
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
C Diff( Clostridium difficle)
Mask will 3 feet
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

42. Rabies pt's would need
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

43. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
-- 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
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

44. How is Hep A spread
Fecal/oral
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
HIV - HEP B - C - Cytmegalovirus
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

45. Contact Precautions
Swelling and tenderness of one or more salivary glands
Mask will 3 feet
Kopliks spots
Gown and gloves and disinfectant all the equipments

46. What is a GUAIAC test?
Lindane - Crotmiton - Permethrine
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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

47. Where would you see a rash w/ Rocky mountain spotted fever?
A consent form to be signed for Hep B - C and HIV
Chef
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

48. How is Salmonella transmitted
Contaminated food and water
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days
Rest - warm - humid air

49. When is a pt w/measles most contagious?
A consent form to be signed for Hep B - C and HIV
Before the rash appears
HIV - HEP B - C - Cytmegalovirus
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

50. Which Patient CAN KEEP In The SAME ROOM
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus
Gloves - Goggles and a face shield

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