NCLEX Lpn Infection Control

Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• 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. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
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
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


2. When is a pt w/measles most contagious?
Before the rash appears
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Deet spray


3. Rule: DISCHARGE DURING AN EMERGENCY
People w/ egg allergies - pregnant - illness or fever
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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


4. What are the characteristics of Chicken pox Varicella?
A
A diet high in calories and low fat
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Maculopapular rash and vesicular scabs


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

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6. What should you do if the c diff is linked to an ATB
Nothing unless the pt is in isolation
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
DISCONTINUE The ATB


7. 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
Those with liver problems and pregnant women
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)


8. How is Hep A spread
Maculopapular rash and vesicular scabs
Fecal/oral
Contact which are gloves and gown - Toes - wet - warm - spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


9. What should you have the patient sign after being stuck by a needle?
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A consent form to be signed for Hep B - C and HIV
Lindane - Crotmiton - Permethrine
Rocky mountain fever and Lymes disease


10. GENERAL RuleS FOR VACCINES
Kopliks spots
A diet high in calories and low fat
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


11. Contact Precautions
Gown and gloves and disinfectant all the equipments
A consent form to be signed for Hep B - C and HIV
Rest - warm - humid air
Gloves


12. What kind of room would an Airborne precaution pt need
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
Those with liver problems and pregnant women
Contaminated food and water


13. What are the major ATB associated w/ c diff
Maculopapular rash and vesicular scabs
Pencillins - Cephalosporins - Clindamycin
A
Before the rash appears


14. Where would you see a rash w/ Rocky mountain spotted fever?
Contaminated food and water
1.Gloves 2.Goggles 3.Gown 4.Mask
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wrist ankles Palms - soles Forearm


15. What are characteristics of Measles (Rubeola)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Kopliks spots


16. Who is not able to start PPE
Those with liver problems and pregnant women
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Before the rash appears
Gown and gloves and disinfectant all the equipments


17. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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18. What is the two diseased caused by ticks
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gloves
Contaminated food and water
Rocky mountain fever and Lymes disease


19. What are char of Pertussis( whooping cough)
Dry cough
Gown and gloves and disinfectant all the equipments
1St provide care 2nd notify MD ( medical doctor
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. What should you wear if blood is spurting?
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves - gown - goggles and mask - Everything
Swelling and tenderness of one or more salivary glands


21. What is warn when suctioning?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Feces of infected people or animals
Gloves - Goggles and a face shield


22. Who needs Standard Contact and Droplet precautions
Feces of infected people or animals
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Glanders - Lassa
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


23. 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
Those with liver problems and pregnant women
Examples: Airborne - droplet - contact or standard
Blue - Blue - green - GREEN means negative


24. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
Rocky mountain fever and Lymes disease
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


25. What should a Contact Precaution pt have
Kopliks spots
Feces of infected people or animals
-- 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


26. What should the nurse immediately do if she stuck by a used needle?
Gloves - Goggles and a face shield
Chef
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Lindane - Crotmiton - Permethrine


27. What type of job should a person with hepatitis never have
Pink red maculopapules
Chef
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.
C Diff( Clostridium difficle)


28. Infected Air - borne precaution
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private room with negative pressure
Small pox
Dry cough


29. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
C Diff( Clostridium difficle)
1St provide care 2nd notify MD ( medical doctor
Contaminated food and water
Fecal/oral


30. Rabies pt's would need

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31. Where can you find Salmonella
EBOLI - MARBAR - CRIMEAN CONGO
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Small pox
Feces of infected people or animals


32. When CAN INFECTED Patient LEAVE TheIR ROOM
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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]


33. What is the most dangerous type of Hep?
A
Wash their hands before and after handling pets
C Diff( Clostridium difficle)
-- 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


34. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
Wrist ankles Palms - soles Forearm
C Diff( Clostridium difficle)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


35. What should you teach pt's to wear for protect themselves against Lyme disease
A diet high in calories and low fat
Bleach
Deet spray
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


36. What should you wear when drawing blood
Gloves
Rest - warm - humid air
People w/ egg allergies - pregnant - illness or fever
Nothing unless the pt is in isolation


37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contact which are gloves and gown - Toes - wet - warm - spots
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


38. What are the Ni for Pertussis?
Pink red maculopapules
Dry cough
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Rest - warm - humid air


39. Identify the type of precaution required
Private rooms or patient with same organisms
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


40. How can you stop the spread of c diff

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41. Rule: Transferring ADULT To PEDIATRIC WARDS
Private room with negative pressure
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
Glanders - Lassa
Wash their hands before and after handling pets


42. What is the order for putting on personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves - Goggles and a face shield
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


43. What are the char. of German measles( Rubella)
Pink red maculopapules
Bleach
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Gloves 2.Goggles 3.Gown 4.Mask


44. When dealing w/ a Droplet percautions pt they require
Wash their hands before and after handling pets
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
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
1St provide care 2nd notify MD ( medical doctor


45. What precaution are needed for Scabies pt
N - V - D and Abd pain
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact which are gloves and gown - Toes - wet - warm - spots


46. What patients need Droplet precautions?

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47. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
A
A diet high in calories and low fat
Before the rash appears


48. What should the school teacher teach kids handleing pets
Mask will 3 feet
Pencillins - Cephalosporins - Clindamycin
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Wash their hands before and after handling pets


49. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Glanders - Lassa


50. Who needs Standard and Contact precautions (SC)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis