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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. How is Hep A spread
Those with liver problems and pregnant women
An order for and Anti Diarrhea med like Imodium
Fecal/oral
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

2. What kind of diet is needed for a PT with hepatitis A
N - V - D and Abd pain
PRIVATE - NEGATIVE PRESSURE ROOM
Nausea - diarrhea and fatigue for up to 28 days
A diet high in calories and low fat

3. Contact Precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Gown and gloves and disinfectant all the equipments
Rest - warm - humid air
Private rooms or patient with same organisms

4. If aptient is going to surgery do not give them
Pink red maculopapules
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease

5. What should you have the patient sign after being stuck by a needle?
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A consent form to be signed for Hep B - C and HIV
Bleach
Small pox

6. Where would you see a rash w/ Rocky mountain spotted fever?
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
Wrist ankles Palms - soles Forearm
N - V - D and Abd pain

7. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
A test to decect fecal occult blood assess for hidden blood in stool
Pink red maculopapules
Gown and gloves and disinfectant all the equipments
EBOLI - MARBAR - CRIMEAN CONGO

8. What are the major ATB associated w/ c diff
DISCONTINUE The ATB
Gloves - Goggles and a face shield
Pencillins - Cephalosporins - Clindamycin
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

9. Droplet precautions
Mask will 3 feet
A diet high in calories and low fat
Before the rash appears
Swelling and tenderness of one or more salivary glands

10. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact which are gloves and gown - Toes - wet - warm - spots
Gown and gloves and disinfectant all the equipments

11. What should you wash the toilet seat with
Wash their hands before and after handling pets
Pink red maculopapules
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Bleach

12. Who shouldn't get the measles vacc
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever
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

13. Who needs Standard - Airbourne and Contact precautions
Small pox
Mask will 3 feet
Feces of infected people or animals
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

14. Identify the type of precaution required
Oral Flagyl and and Vancomycin
DISCONTINUE The ATB
Kopliks spots
Examples: Airborne - droplet - contact or standard

15. WHen should you use standard percautions
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.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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contaminated food and water

16. Rule: Transferring ADULT To PEDIATRIC WARDS
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
Swelling and tenderness of one or more salivary glands
Dry cough

17. What are common side effects of PPE
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

18. How can you stop the spread of c diff

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19. How would you take off Personal protective gear?
Kopliks spots
1.Gloves 2.Goggles 3.Gown 4.Mask
Dry cough
Fecal/oral

20. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Rest - warm - humid air
Maculopapular rash and vesicular scabs
C Diff( Clostridium difficle)

21. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Wrist ankles Palms - soles Forearm
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
COPD + Negative pressure room = Keep together
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

22. When is a pt w/measles most contagious?
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days
Before the rash appears
Nothing unless the pt is in isolation

23. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
1St provide care 2nd notify MD ( medical doctor
Private rooms or patient with same organisms
Small pox

24. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Oral Flagyl and and Vancomycin
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

25. What type of job should a person with hepatitis never have
Contaminated food and water
Pencillins - Cephalosporins - Clindamycin
Chef
An order for and Anti Diarrhea med like Imodium

26. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Those with liver problems and pregnant women
Nothing unless the pt is in isolation
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

27. What is a GUAIAC test?
Contaminated food and water
Gloves
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A test to decect fecal occult blood assess for hidden blood in stool

28. INTERVENTION FOR PREVENT ASPIRATION
Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Rest - warm - humid air

29. Rabies pt's would need

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30. 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
PRIVATE - NEGATIVE PRESSURE ROOM
C Diff( Clostridium difficle)
Fecal/oral

31. What should the nurse immediately do if she stuck by a used needle?
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

32. What are the characteristics of Chicken pox Varicella?
Rest - warm - humid air
Maculopapular rash and vesicular scabs
Gown and gloves and disinfectant all the equipments
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

33. To be most effective when should postexposure prophylaxis (PPE) be started?
An order for and Anti Diarrhea med like Imodium
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard

34. What should you do if the c diff is linked to an ATB
Swelling and tenderness of one or more salivary glands
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin
DISCONTINUE The ATB

35. How is c diff transmitted?
Mask will 3 feet
Examples: Airborne - droplet - contact or standard
Bleach
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

36. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
1St provide care 2nd notify MD ( medical doctor
-- 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
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
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

37. What kind of room would an Airborne precaution pt need
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
PRIVATE - NEGATIVE PRESSURE ROOM
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

38. Rule: Transferring PEDS Patient To MS (MED SURGE)
Gloves - gown - goggles and mask - Everything
Rest - warm - humid air
Blue - Blue - green - GREEN means negative
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

39. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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40. What colors indicate blood in the stool when doing GUAIAC test
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Blue - Blue - green - GREEN means negative

41. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Feces of infected people or animals
1.Gloves 2.Goggles 3.Gown 4.Mask
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

42. Who is not able to start PPE
Bleach
A test to decect fecal occult blood assess for hidden blood in stool
Those with liver problems and pregnant women
Wrist ankles Palms - soles Forearm

43. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Nausea - diarrhea and fatigue for up to 28 days
Before the rash appears
Examples: Airborne - droplet - contact or standard

44. When dealing w/ a Droplet percautions pt they require
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
Bleach
Rocky mountain fever and Lymes disease

45. What other ATB might be prescribed to treat c diff
Glanders - Lassa
Pencillins - Cephalosporins - Clindamycin
Oral Flagyl and and Vancomycin
Gloves - Goggles and a face shield

46. How is Salmonella transmitted
Oral Flagyl and and Vancomycin
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
Contaminated food and water
Maculopapular rash and vesicular scabs

47. What would you question with a c diff pt
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
An order for and Anti Diarrhea med like Imodium
Maculopapular rash and vesicular scabs
PRIVATE - NEGATIVE PRESSURE ROOM

48. Which Patient NEED To ISOLATE
Pink red maculopapules
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Those with liver problems and pregnant women

49. What should you wear when drawing blood
C Diff( Clostridium difficle)
Those with liver problems and pregnant women
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gloves

50. What is warn when suctioning?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - Goggles and a face shield
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

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NCLEX Lpn Infection Control

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