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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: DISCHARGE DURING AN EMERGENCY
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
Maculopapular rash and vesicular scabs
Nothing unless the pt is in isolation
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

2. What colors indicate blood in the stool when doing GUAIAC test
-- 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Blue - Blue - green - GREEN means negative
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

3. After getting the Varicella vacc who should you teach pt's to avoid
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH

4. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
C Diff( Clostridium difficle)

5. To be most effective when should postexposure prophylaxis (PPE) be started?
An order for and Anti Diarrhea med like Imodium
Gloves - Goggles and a face shield
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Kopliks spots

6. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Feces of infected people or animals
Private rooms or patient with same organisms
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

7. What kind of diet is needed for a PT with hepatitis A
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
A diet high in calories and low fat

8. What are the char. of German measles( Rubella)
Gloves - Goggles and a face shield
Wrist ankles Palms - soles Forearm
Pink red maculopapules
Those with liver problems and pregnant women

9. How is c diff transmitted?
Deet spray
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A test to decect fecal occult blood assess for hidden blood in stool

10. 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
Contaminated food and water
A
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

11. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wash their hands before and after handling pets
1.Gloves 2.Goggles 3.Gown 4.Mask
Kopliks spots

12. Who is not able to start PPE
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments
Feces of infected people or animals
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

13. 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
Oral Flagyl and and Vancomycin
Mask will 3 feet
Nothing unless the pt is in isolation

14. When To USE STAndARD PRECAUTIONS
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
A consent form to be signed for Hep B - C and HIV
Gloves - Goggles and a face shield

15. Which pt's can't the pregnant nurse care for
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

16. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE 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
EBOLI - MARBAR - CRIMEAN CONGO
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

17. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments
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
Wash their hands before and after handling pets

18. What should the school teacher teach kids handleing pets
Examples: Airborne - droplet - contact or standard
Wrist ankles Palms - soles Forearm
Swelling and tenderness of one or more salivary glands
Wash their hands before and after handling pets

19. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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
A consent form to be signed for Hep B - C and HIV
Private room with negative pressure
-- 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

20. Identify the type of precaution required
Those with liver problems and pregnant women
Examples: Airborne - droplet - contact or standard
Deet spray
Contaminated food and water

21. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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22. Rabies pt's would need

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23. What should you do if the c diff is linked to an ATB
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
DISCONTINUE The ATB
Rest - warm - humid air
-- 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

24. What should you wash the toilet seat with
A test to decect fecal occult blood assess for hidden blood in stool
Small pox
Bleach
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

25. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Feces of infected people or animals
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

26. Where would you see a rash w/ Rocky mountain spotted fever?
Maculopapular rash and vesicular scabs
Wrist ankles Palms - soles Forearm
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

27. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Those with liver problems and pregnant women
-- 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
COPD + Negative pressure room = Keep together
EBOLI - MARBAR - CRIMEAN CONGO

28. What are char of Pertussis( whooping cough)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wrist ankles Palms - soles Forearm
Dry cough
Gown and gloves and disinfectant all the equipments

29. WHen should you use standard percautions
An order for and Anti Diarrhea med like Imodium
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wrist ankles Palms - soles Forearm
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

30. What are the characteristics of Mumps
Wash their hands before and after handling pets
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Those with liver problems and pregnant women
Swelling and tenderness of one or more salivary glands

31. What should you wear when drawing blood
Gloves
A diet high in calories and low fat
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard

32. What are the characteristics of Chicken pox Varicella?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Before the rash appears
Maculopapular rash and vesicular scabs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

33. Rule: Transferring PEDS Patient To MS (MED SURGE)
Gown and gloves and disinfectant all the equipments
Dry cough
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

34. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
COPD + Negative pressure room = Keep together
1St provide care 2nd notify MD ( medical doctor
Dry cough
A test to decect fecal occult blood assess for hidden blood in stool

35. Who needs Standard Contact and Droplet precautions
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
N - V - D and Abd pain
An order for and Anti Diarrhea med like Imodium
Glanders - Lassa

36. If aptient is going to surgery do not give them
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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

37. Droplet precautions
Kopliks spots
Chef
Mask will 3 feet
PRIVATE - NEGATIVE PRESSURE ROOM

38. What precaution are needed for Scabies pt
Lindane - Crotmiton - Permethrine
Small pox
N - V - D and Abd pain
Contact which are gloves and gown - Toes - wet - warm - spots

39. Infected Air - borne precaution
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Contact which are gloves and gown - Toes - wet - warm - spots
Wash their hands before and after handling pets
Private room with negative pressure

40. How can you prevent Salmonella
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Private rooms or patient with same organisms

41. Who shouldn't get the Chicken pox vaccine

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42. What is the most dangerous type of Hep?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Private room with negative pressure

43. What type of job should a person with hepatitis never have
Chef
N - V - D and Abd pain
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

44. How can you stop the spread of c diff

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45. How is Hep A spread
An order for and Anti Diarrhea med like Imodium
Fecal/oral
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

46. Who needs Standard - Airbourne and Contact precautions
Small pox
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Feces of infected people or animals

47. How would you take off Personal protective gear?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
Contaminated food and water
1St provide care 2nd notify MD ( medical doctor

48. Who shouldn't get the measles vacc
Deet spray
Rocky mountain fever and Lymes disease
People w/ egg allergies - pregnant - illness or fever
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

49. How is Salmonella transmitted
People w/ egg allergies - pregnant - illness or fever
Contaminated food and water
A
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. When is a pt w/measles most contagious?
Before the rash appears
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
Rest - warm - humid air
Lindane - Crotmiton - Permethrine

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NCLEX Lpn Infection Control

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