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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.
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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. After a bloodborne pathogen exposure what should be done later?
Kopliks spots
Deet spray
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

2. INTERVENTION FOR PREVENT ASPIRATION
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Chef

3. What is the order for putting on 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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Chef
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

4. Who needs Standard and Contact precautions (SC)
Blue - Blue - green - GREEN means negative
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Swelling and tenderness of one or more salivary glands
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

5. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
An order for and Anti Diarrhea med like Imodium
Examples: Airborne - droplet - contact or standard

6. What are the S/S for Botulism
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
N - V - D and Abd pain
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
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

7. Rule: DISCHARGE DURING AN EMERGENCY
Chef
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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

8. Where can you find Salmonella
Fecal/oral
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
Feces of infected people or animals
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

9. Who shouldn't get the Chicken pox vaccine

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10. What is the most dangerous type of Hep?
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV
A
-- 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

11. What pt's would be ok for a pregnant nurse to care for
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Wrist ankles Palms - soles Forearm
HIV - HEP B - C - Cytmegalovirus
1St provide care 2nd notify MD ( medical doctor

12. What are the Ni for Pertussis?
Nausea - diarrhea and fatigue for up to 28 days
C Diff( Clostridium difficle)
Dry cough
Rest - warm - humid air

13. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
-- 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
Gloves - gown - goggles and mask - Everything
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

14. How would you take off Personal protective gear?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Swelling and tenderness of one or more salivary glands
1.Gloves 2.Goggles 3.Gown 4.Mask
Kopliks spots

15. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
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
Bleach
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months

16. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rocky mountain fever and Lymes disease
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

17. What should the nurse immediately do if she stuck by a used needle?
Kopliks spots
Nausea - diarrhea and fatigue for up to 28 days
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

18. When is a pt w/measles most contagious?
Before the rash appears
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Lindane - Crotmiton - Permethrine
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

20. If aptient is going to surgery do not give them
Bleach
Lindane - Crotmiton - Permethrine
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

21. Which pt's can't the pregnant nurse care for
Gloves
Oral Flagyl and and Vancomycin
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Pink red maculopapules

22. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
PRIVATE - NEGATIVE PRESSURE ROOM
Maculopapular rash and vesicular scabs
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

23. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
PRIVATE - NEGATIVE PRESSURE ROOM
Wrist ankles Palms - soles Forearm

24. What should you do if the c diff is linked to an ATB
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private rooms or patient with same organisms
DISCONTINUE The ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

25. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Contaminated food and water
C Diff( Clostridium difficle)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

26. Who needs Standard - Airbourne and Contact precautions
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments
Contact which are gloves and gown - Toes - wet - warm - spots
Small pox

27. What are char of Pertussis( whooping cough)
Dry cough
Those with liver problems and pregnant women
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Pencillins - Cephalosporins - Clindamycin

28. What are common side effects of PPE
Those with liver problems and pregnant women
Nausea - diarrhea and fatigue for up to 28 days
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

29. What kind of room would an Airborne precaution pt need
Before the rash appears
PRIVATE - NEGATIVE PRESSURE ROOM
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Mask will 3 feet

30. Infected Air - borne precaution
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
Private room with negative pressure
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rocky mountain fever and Lymes disease

31. Identify the type of precaution required
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Examples: Airborne - droplet - contact or standard
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm

32. How is Salmonella transmitted
Gown and gloves and disinfectant all the equipments
Private rooms or patient with same organisms
Contaminated food and water
N - V - D and Abd pain

33. What type of job should a person with hepatitis never have
Oral Flagyl and and Vancomycin
Nothing unless the pt is in isolation
Chef
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 are the characteristics of Mumps
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Swelling and tenderness of one or more salivary glands
DISCONTINUE The ATB
C Diff( Clostridium difficle)

35. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Those with liver problems and pregnant women
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
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

36. 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
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Those with liver problems and pregnant women

37. What should you tell the pt to prepare for the GUAIAC test

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38. 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Swelling and tenderness of one or more salivary glands
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

39. Who shouldn't get the measles vacc
Those with liver problems and pregnant women
Lindane - Crotmiton - Permethrine
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
People w/ egg allergies - pregnant - illness or fever

40. DON'T TRANSFER Which Patient
Fecal/oral
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Mask will 3 feet
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

41. BLEEDING PRECAUTION Patient. These Patients Who Are On...
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - gown - goggles and mask - Everything
PRIVATE - NEGATIVE PRESSURE ROOM

42. What is warn when suctioning?
An order for and Anti Diarrhea med like Imodium
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - Goggles and a face shield
Rocky mountain fever and Lymes disease

43. Who is not able to start PPE
Those with liver problems and pregnant women
People w/ egg allergies - pregnant - illness or fever
C Diff( Clostridium difficle)
PRIVATE - NEGATIVE PRESSURE ROOM

44. Rule: Transferring PEDS Patient To MS (MED SURGE)
EBOLI - MARBAR - CRIMEAN CONGO
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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

45. What should you wear when taking a pt's VS?
Small pox
Nothing unless the pt is in isolation
COPD + Negative pressure room = Keep together
Fecal/oral

46. When dealing w/ a Droplet percautions pt they require
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Fecal/oral
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
N - V - D and Abd pain

47. When should you use Airborne Precautions
Pink red maculopapules
Blue - Blue - green - GREEN means negative
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

48. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
-- 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
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

49. What should you wear when drawing blood
C Diff( Clostridium difficle)
Gloves
Mask will 3 feet
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

50. Rabies pt's would need

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NCLEX Lpn Infection Control

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