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 should you wear when drawing blood
Gloves
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wrist ankles Palms - soles Forearm
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


2. What patients need Droplet precautions?

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3. Who shouldn't get the measles vacc
Dry cough
People w/ egg allergies - pregnant - illness or fever
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
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


4. How can you prevent Salmonella
Private room with negative pressure
Lindane - Crotmiton - Permethrine
Before the rash appears
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


5. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
Maculopapular rash and vesicular scabs
Pencillins - Cephalosporins - Clindamycin
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


6. What is the two diseased caused by ticks
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Those with liver problems and pregnant women
Rocky mountain fever and Lymes disease


7. What should you teach pt's to wear for protect themselves against Lyme disease
DISCONTINUE The ATB
Deet spray
A test to decect fecal occult blood assess for hidden blood in stool
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


8. What type of job should a person with hepatitis never have
Chef
Kopliks spots
Examples: Airborne - droplet - contact or standard
N - V - D and Abd pain


9. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
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.
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


10. Who needs Standard - Airbourne and Contact precautions
Small pox
Blue - Blue - green - GREEN means negative
HIV - HEP B - C - Cytmegalovirus
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


11. WHen should you use standard percautions
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
Nothing unless the pt is in isolation
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


12. What are characteristics of Measles (Rubeola)
HIV - HEP B - C - Cytmegalovirus
C Diff( Clostridium difficle)
Kopliks spots
Glanders - Lassa


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

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14. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Rocky mountain fever and Lymes disease
Contaminated food and water
Those with liver problems and pregnant women


15. What are the Ni for Pertussis?
Fecal/oral
Blue - Blue - green - GREEN means negative
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
Rest - warm - humid air


16. patient what kind of room they should stay
Swelling and tenderness of one or more salivary glands
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Private rooms or patient with same organisms
Feces of infected people or animals


17. What kind of diet is needed for a PT with hepatitis A
Maculopapular rash and vesicular scabs
A diet high in calories and low fat
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
HIV - HEP B - C - Cytmegalovirus


18. Contact Precautions
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
An order for and Anti Diarrhea med like Imodium
Gown and gloves and disinfectant all the equipments


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


20. What is the most dangerous type of Hep?
Small pox
A
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


21. What should you wear when taking a pt's VS?
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
HIV - HEP B - C - Cytmegalovirus
Nothing unless the pt is in isolation
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


22. When To USE STAndARD 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
Private room with negative pressure
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)


23. Who shouldn't get the Chicken pox vaccine

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24. What are the characteristics of Chicken pox Varicella?
A diet high in calories and low fat
Fecal/oral
Examples: Airborne - droplet - contact or standard
Maculopapular rash and vesicular scabs


25. Who is not able to start PPE
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Contaminated food and water
Those with liver problems and pregnant women
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


26. INTERVENTION FOR PREVENT ASPIRATION
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.
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
HIV - HEP B - C - Cytmegalovirus
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


27. What are the char. of German measles( Rubella)
Nothing unless the pt is in isolation
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Pink red maculopapules
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


28. What is a GUAIAC test?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A test to decect fecal occult blood assess for hidden blood in stool
Dry cough
Maculopapular rash and vesicular scabs


29. When is a pt w/measles most contagious?
Rest - warm - humid air
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Before the rash appears
N - V - D and Abd pain


30. What pt's would be ok for a pregnant nurse to care for
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
HIV - HEP B - C - Cytmegalovirus
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
C Diff( Clostridium difficle)


31. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
EBOLI - MARBAR - CRIMEAN CONGO
Fecal/oral


32. When dealing w/ a Droplet percautions pt they require
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
Contact which are gloves and gown - Toes - wet - warm - spots
Rest - warm - humid air
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


33. Rabies pt's would need

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34. What are char of Pertussis( whooping cough)
Dry cough
A consent form to be signed for Hep B - C and HIV
1.Gloves 2.Goggles 3.Gown 4.Mask
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


35. What is warn when suctioning?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Gloves - Goggles and a face shield


36. What is the most common cause of ATB associated diarrhea
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
C Diff( Clostridium difficle)
Small pox


37. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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38. What are the major ATB associated w/ c diff
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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.
Pencillins - Cephalosporins - Clindamycin
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


39. How can you stop the spread of c diff

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40. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Contaminated food and water
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private room with negative pressure


41. Who needs Standard and Contact precautions (SC)
Gown and gloves and disinfectant all the equipments
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


42. Who needs Standard Contact and Droplet precautions
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Glanders - Lassa


43. GENERAL RuleS FOR VACCINES
A
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
EBOLI - MARBAR - CRIMEAN CONGO
1.Gloves 2.Goggles 3.Gown 4.Mask


44. Which pt's can't the pregnant nurse care for
EBOLI - MARBAR - CRIMEAN CONGO
Gloves - gown - goggles and mask - Everything
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Fecal/oral


45. Which Patient CAN KEEP In The SAME ROOM
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
Bleach
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
COPD + Negative pressure room = Keep together


46. What other ATB might be prescribed to treat c diff
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
Fecal/oral
Gloves
Oral Flagyl and and Vancomycin


47. Where can you find Salmonella
A test to decect fecal occult blood assess for hidden blood in stool
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
Feces of infected people or animals


48. 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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Before the rash appears


49. What are the S/S for Botulism
A consent form to be signed for Hep B - C and HIV
Contaminated food and water
N - V - D and Abd pain
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


50. When should you use Airborne Precautions
An order for and Anti Diarrhea med like Imodium
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves - gown - goggles and mask - Everything
Oral Flagyl and and Vancomycin