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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: Transferring ADULT To PEDIATRIC WARDS
An order for and Anti Diarrhea med like Imodium
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 their hands before and after handling pets
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

2. What is the most dangerous type of Hep?
Maculopapular rash and vesicular scabs
Feces of infected people or animals
A
Gloves - gown - goggles and mask - Everything

3. What should the school teacher teach kids handleing pets
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wash their hands before and after handling pets
Pencillins - Cephalosporins - Clindamycin
A

4. 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
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
Fecal/oral
HIV - HEP B - C - Cytmegalovirus

5. patient what kind of room they should stay
Private rooms or patient with same organisms
Dry cough
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

6. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Nausea - diarrhea and fatigue for up to 28 days
Dry cough
Private room with negative pressure

7. What is the two diseased caused by ticks
Kopliks spots
Rocky mountain fever and Lymes disease
A diet high in calories and low fat
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

8. WHen should you use standard percautions
A consent form to be signed for Hep B - C and HIV
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

9. What colors indicate blood in the stool when doing GUAIAC test
C Diff( Clostridium difficle)
Blue - Blue - green - GREEN means negative
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

10. Droplet precautions
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Mask will 3 feet

11. What is the order for putting on personal protective gear?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Mask will 3 feet
Fecal/oral

12. What should you do if the c diff is linked to an ATB
Nothing unless the pt is in isolation
DISCONTINUE The ATB
Fecal/oral
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

13. Identify the type of precaution required
1.Gloves 2.Goggles 3.Gown 4.Mask
Bleach
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Examples: Airborne - droplet - contact or standard

14. When dealing w/ a Droplet percautions pt they require
C Diff( Clostridium difficle)
Feces of infected people or animals
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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

15. Transferring Patient BETWEEN WARDS
Gloves - gown - goggles and mask - Everything
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A diet high in calories and low fat

16. What are the S/S for Botulism
COPD + Negative pressure room = Keep together
N - V - D and Abd pain
Dry cough
Mask will 3 feet

17. Who should get the chicken pox vaccine
HIV - HEP B - C - Cytmegalovirus
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
N - V - D and Abd pain
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

18. Who shouldn't get the Chicken pox vaccine
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.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
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
Lindane - Crotmiton - Permethrine

19. How is Hep A spread
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Fecal/oral

20. Who needs Standard - Airbourne and Contact precautions
Small pox
Gloves
Blue - Blue - green - GREEN means negative
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

21. Who needs Standard Contact and Droplet precautions
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
-- 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
Glanders - Lassa
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers

22. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments

23. What type of job should a person with hepatitis never have
An order for and Anti Diarrhea med like Imodium
Chef
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept

24. What should you wear if blood is spurting?
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
Deet spray
Gloves - gown - goggles and mask - Everything
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

25. Rule: DISCHARGE DURING AN EMERGENCY
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wash their hands before and after handling pets
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

26. What should you wear when taking a pt's VS?
People w/ egg allergies - pregnant - illness or fever
A
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
Nothing unless the pt is in isolation

27. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
Bleach
An order for and Anti Diarrhea med like Imodium
Mask will 3 feet

28. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

29. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- 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
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
Glanders - Lassa

30. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Rest - warm - humid air
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.
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
-- 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

31. Who needs Standard and Contact precautions (SC)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Dry cough
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

32. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Blue - Blue - green - GREEN means negative
Contact which are gloves and gown - Toes - wet - warm - spots

33. Rule: Transferring PEDS Patient To MS (MED SURGE)
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)
PRIVATE - NEGATIVE PRESSURE ROOM
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

34. To be most effective when should postexposure prophylaxis (PPE) be started?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Mask will 3 feet
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure

35. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Small pox
Kopliks spots
Gloves - gown - goggles and mask - Everything

36. What should you tell the pt to prepare for the GUAIAC test
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
-- 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
Blue - Blue - green - GREEN means negative
Maculopapular rash and vesicular scabs

37. What are characteristics of Measles (Rubeola)
Kopliks spots
Fecal/oral
Dry cough
A

38. What is the most common cause of ATB associated diarrhea
Private rooms or patient with same organisms
Glanders - Lassa
C Diff( Clostridium difficle)
A

39. What pt's would be ok for a pregnant nurse to care for
1.Gloves 2.Goggles 3.Gown 4.Mask
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
HIV - HEP B - C - Cytmegalovirus
A consent form to be signed for Hep B - C and HIV

40. When CAN INFECTED Patient LEAVE TheIR ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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.
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

41. Rabies pt's would need
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Rocky mountain fever and Lymes disease

42. What is the tx for Scabies
Rocky mountain fever and Lymes disease
Contaminated food and water
Lindane - Crotmiton - Permethrine
Mask will 3 feet

43. After getting the Varicella vacc who should you teach pt's to avoid
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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

44. How can you prevent Salmonella
Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private room with negative pressure

45. What should you wash the toilet seat with
Private room with negative pressure
Nausea - diarrhea and fatigue for up to 28 days
Bleach
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

46. What are the char. of German measles( Rubella)
Kopliks spots
Pink red maculopapules
COPD + Negative pressure room = Keep together
Bleach

47. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
Rocky mountain fever and Lymes disease
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
PRIVATE - NEGATIVE PRESSURE ROOM

48. How would you take off Personal protective gear?
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
1.Gloves 2.Goggles 3.Gown 4.Mask
Blue - Blue - green - GREEN means negative
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

49. What patients need Droplet precautions?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
Pencillins - Cephalosporins - Clindamycin
Lindane - Crotmiton - Permethrine

50. What would you question with a c diff pt
Kopliks spots
-- 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
People w/ egg allergies - pregnant - illness or fever

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