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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. Who should get the chicken pox vaccine
1.Gloves 2.Goggles 3.Gown 4.Mask
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
Lindane - Crotmiton - Permethrine

2. Where would you see a rash w/ Rocky mountain spotted fever?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wrist ankles Palms - soles Forearm
Private room with negative pressure
Fecal/oral

3. What are the major ATB associated w/ c diff
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
Dry cough
Bleach
Pencillins - Cephalosporins - Clindamycin

4. What kind of room would an Airborne precaution pt need
COPD + Negative pressure room = Keep together
1.Gloves 2.Goggles 3.Gown 4.Mask
Bleach
PRIVATE - NEGATIVE PRESSURE ROOM

5. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Pencillins - Cephalosporins - Clindamycin
Wrist ankles Palms - soles Forearm
1St provide care 2nd notify MD ( medical doctor
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

6. What is the two diseased caused by ticks
N - V - D and Abd pain
Rocky mountain fever and Lymes disease
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

7. What type of job should a person with hepatitis never have
Chef
People w/ egg allergies - pregnant - illness or fever
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1St provide care 2nd notify MD ( medical doctor

8. Who needs Standard Contact and Droplet precautions
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash their hands before and after handling pets
Glanders - Lassa
EBOLI - MARBAR - CRIMEAN CONGO

9. WHen should you use standard percautions
Private rooms or patient with same organisms
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
COPD + Negative pressure room = Keep together

10. INTERVENTION FOR PREVENT ASPIRATION
Before the rash appears
Examples: Airborne - droplet - contact or standard
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis

11. 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
An order for and Anti Diarrhea med like Imodium
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation

12. Identify the type of precaution required
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Feces of infected people or animals
Examples: Airborne - droplet - contact or standard
Gloves

13. What should you wear when drawing blood
Gloves
-- 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask

14. How would you take off Personal protective gear?
Feces of infected people or animals
1.Gloves 2.Goggles 3.Gown 4.Mask
1St provide care 2nd notify MD ( medical doctor
Small pox

15. What should you wash the toilet seat with
Bleach
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the 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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

16. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Nothing unless the pt is in isolation
A test to decect fecal occult blood assess for hidden blood in stool
Private rooms or patient with same organisms

17. Which Patient NEED To ISOLATE
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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

18. What are char of Pertussis( whooping cough)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Dry cough
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients

19. Which Patient CAN KEEP In The SAME ROOM
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Private rooms or patient with same organisms
Kopliks spots
COPD + Negative pressure room = Keep together

20. After a bloodborne pathogen exposure what should be done later?
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
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
Gloves - Goggles and a face shield

21. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Deet spray
Small pox
PRIVATE - NEGATIVE PRESSURE ROOM

22. Droplet precautions
EBOLI - MARBAR - CRIMEAN CONGO
Blue - Blue - green - GREEN means negative
Mask will 3 feet
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

23. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Deet spray
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
Pencillins - Cephalosporins - Clindamycin

24. What colors indicate blood in the stool when doing GUAIAC test
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
An order for and Anti Diarrhea med like Imodium
Blue - Blue - green - GREEN means negative
A

25. What are the S/S for Botulism
N - V - D and Abd pain
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C

26. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
Wash their hands before and after handling pets
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Blue - Blue - green - GREEN means negative

27. If aptient is going to surgery do not give them
Nausea - diarrhea and fatigue for up to 28 days
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
People w/ egg allergies - pregnant - illness or fever
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB

28. Who needs Standard - Airbourne and Contact precautions
A test to decect fecal occult blood assess for hidden blood in stool
Examples: Airborne - droplet - contact or standard
Small pox
-- 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

29. Who is not able to start PPE
Kopliks spots
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments
1.Gloves 2.Goggles 3.Gown 4.Mask

30. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Maculopapular rash and vesicular scabs
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
Contaminated food and water

31. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Kopliks spots
A diet high in calories and low fat
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

32. What are the characteristics of Mumps
People w/ egg allergies - pregnant - illness or fever
A diet high in calories and low fat
Swelling and tenderness of one or more salivary glands
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES

33. When is a pt w/measles most contagious?
A diet high in calories and low fat
Before the rash appears
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Glanders - Lassa

34. What pt's would be ok for a pregnant nurse to care for
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
Kopliks spots
HIV - HEP B - C - Cytmegalovirus

35. How is Hep A spread
Fecal/oral
Wash their hands before and after handling pets
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 rooms or patient with same organisms

36. What should the nurse immediately do if she stuck by a used needle?
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Private rooms or patient with same organisms

37. Rule: DISCHARGE DURING AN EMERGENCY
Small pox
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress

38. What is warn when suctioning?
An order for and Anti Diarrhea med like Imodium
People w/ egg allergies - pregnant - illness or fever
Gloves - Goggles and a face shield
Small pox

39. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
An order for and Anti Diarrhea med like Imodium
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

40. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

41. When should you use Airborne Precautions
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Mask will 3 feet

42. What is a GUAIAC test?
Lindane - Crotmiton - Permethrine
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A test to decect fecal occult blood assess for hidden blood in stool
Those with liver problems and pregnant women

43. How can you stop the spread of c diff
Pink red maculopapules
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
Private rooms or patient with same organisms
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs

44. How is c diff transmitted?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Dry cough
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

45. Rule: Transferring ADULT To PEDIATRIC WARDS
Swelling and tenderness of one or more salivary glands
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
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

46. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
DISCONTINUE The ATB
Contaminated food and water
An order for and Anti Diarrhea med like Imodium

47. 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
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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

48. What should you wear if blood is spurting?
Bleach
Gloves - gown - goggles and mask - Everything
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Feces of infected people or animals

49. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
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
Rocky mountain fever and Lymes disease

50. What is the order for putting on personal protective gear?
Contact which are gloves and gown - Toes - wet - warm - spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
EBOLI - MARBAR - CRIMEAN CONGO
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

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NCLEX Lpn Infection Control

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