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. Infected Air - borne precaution
A test to decect fecal occult blood assess for hidden blood in stool
Private room with negative pressure
N - V - D and Abd pain
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


2. What are the S/S for Botulism
PRIVATE - NEGATIVE PRESSURE ROOM
N - V - D and Abd pain
Dry cough
Lindane - Crotmiton - Permethrine


3. Rule: Transferring ADULT To PEDIATRIC WARDS
Those with liver problems and pregnant women
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
Oral Flagyl and and Vancomycin
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


4. How is Salmonella transmitted
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
Contaminated food and water
Gown and gloves and disinfectant all the equipments
Deet spray


5. Who shouldn't get the Chicken pox vaccine

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6. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Nothing unless the pt is in isolation
Gown and gloves and disinfectant all the equipments
An order for and Anti Diarrhea med like Imodium


7. What is the two diseased caused by ticks
People w/ egg allergies - pregnant - illness or fever
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)
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


8. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Private room with negative pressure
Deet spray
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


9. How would you take off Personal protective gear?
EBOLI - MARBAR - CRIMEAN CONGO
Fecal/oral
An order for and Anti Diarrhea med like Imodium
1.Gloves 2.Goggles 3.Gown 4.Mask


10. When CAN INFECTED Patient LEAVE TheIR ROOM
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.
Contact which are gloves and gown - Toes - wet - warm - spots
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


11. What are the characteristics of Mumps
Chef
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
An order for and Anti Diarrhea med like Imodium
Swelling and tenderness of one or more salivary glands


12. What are the characteristics of Chicken pox Varicella?
Feces of infected people or animals
A diet high in calories and low fat
Maculopapular rash and vesicular scabs
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


13. What is a GUAIAC test?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Mask will 3 feet
A test to decect fecal occult blood assess for hidden blood in stool
PRIVATE - NEGATIVE PRESSURE ROOM


14. If aptient is going to surgery do not give them
An order for and Anti Diarrhea med like Imodium
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash their hands before and after handling pets


15. Which Patient CAN KEEP In The SAME ROOM
Bleach
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
1St provide care 2nd notify MD ( medical doctor
COPD + Negative pressure room = Keep together


16. INTERVENTION FOR PREVENT ASPIRATION
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
Small pox
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


17. What are characteristics of Measles (Rubeola)
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Kopliks spots
Contact which are gloves and gown - Toes - wet - warm - spots
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


18. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Gloves
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
C Diff( Clostridium difficle)


19. Where can you find Salmonella
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Mask will 3 feet
Feces of infected people or animals


20. What are the Ni for Pertussis?
Those with liver problems and pregnant women
Lindane - Crotmiton - Permethrine
Rest - warm - humid air
Before the rash appears


21. How can you stop the spread of c diff

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22. What are common side effects of PPE
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


23. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Gloves
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
Rest - warm - humid air


24. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


25. What are char of Pertussis( whooping cough)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gloves
Dry cough


26. What is the order for putting on personal protective gear?
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nausea - diarrhea and fatigue for up to 28 days
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Fecal/oral


27. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contaminated food and water
HIV - HEP B - C - Cytmegalovirus
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


28. What should you have the patient sign after being stuck by a needle?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Before the rash appears
A consent form to be signed for Hep B - C and HIV
Lindane - Crotmiton - Permethrine


29. How is c diff transmitted?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
-- 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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


30. What patients need Droplet precautions?

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31. What should a Contact Precaution pt have
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Dry cough
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


32. What should the school teacher teach kids handleing pets
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Swelling and tenderness of one or more salivary glands
Wash their hands before and after handling pets
Nothing unless the pt is in isolation


33. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Maculopapular rash and vesicular scabs
Nausea - diarrhea and fatigue for up to 28 days
HIV - HEP B - C - Cytmegalovirus


34. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Swelling and tenderness of one or more salivary glands
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 hands before eating - after handling pets wash fruit and through cook meat and eggs


35. Rabies pt's would need

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36. What should you wear if blood is spurting?
Nausea - diarrhea and fatigue for up to 28 days
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves - gown - goggles and mask - Everything


37. What would you question with a c diff pt
Rocky mountain fever and Lymes disease
An order for and Anti Diarrhea med like Imodium
A
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


38. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Gown and gloves and disinfectant all the equipments
Bleach
-- 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
A consent form to be signed for Hep B - C and HIV


39. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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


40. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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41. What is the tx for Scabies
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Lindane - Crotmiton - Permethrine
C Diff( Clostridium difficle)
A test to decect fecal occult blood assess for hidden blood in stool


42. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - gown - goggles and mask - Everything
Deet spray
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


43. Who needs Standard - Airbourne and Contact precautions
Gloves - gown - goggles and mask - Everything
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Small pox


44. patient what kind of room they should stay
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
Dry cough
Contact which are gloves and gown - Toes - wet - warm - spots


45. To be most effective when should postexposure prophylaxis (PPE) be started?
Wash their hands before and after handling pets
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Rocky mountain fever and Lymes disease
Gloves - Goggles and a face shield


46. Which pt's can't the pregnant nurse care for
Maculopapular rash and vesicular scabs
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
Before the rash appears
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


47. What kind of room would an Airborne precaution pt need
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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 - NEGATIVE PRESSURE ROOM


48. Who shouldn't get the measles vacc
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
Glanders - Lassa
People w/ egg allergies - pregnant - illness or fever
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


49. What should you do if the c diff is linked to an ATB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB


50. Droplet precautions
Mask will 3 feet
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)