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NCLEX Lpn Infection Control

Subjects : nclex, health-sciences, nursing

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 precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Wrist ankles Palms - soles Forearm
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative

2. When dealing w/ a Droplet percautions pt they require
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
Gloves - Goggles and a face shield
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

3. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pink red maculopapules
Dry cough
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

4. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Pencillins - Cephalosporins - Clindamycin
Small pox
EBOLI - MARBAR - CRIMEAN CONGO
Contaminated food and water

5. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
1.Gloves 2.Goggles 3.Gown 4.Mask
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
Gloves

6. What is the most common cause of ATB associated diarrhea
A consent form to be signed for Hep B - C and HIV
Swelling and tenderness of one or more salivary glands
C Diff( Clostridium difficle)
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

7. Where can you find Salmonella
Gloves
Feces of infected people or animals
Gloves - Goggles and a face shield
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)

8. Who is not able to start PPE
Those with liver problems and pregnant women
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
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

9. What should you wear when taking a pt's VS?
Contaminated food and water
Nothing unless the pt is in isolation
N - V - D and Abd pain
Feces of infected people or animals

10. How is Hep A spread
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Fecal/oral
Glanders - Lassa
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact

11. GENERAL RuleS FOR VACCINES
Gloves - gown - goggles and mask - Everything
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Kopliks spots

12. 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
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
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
Contaminated food and water

13. DON'T TRANSFER Which Patient
DISCONTINUE The ATB
Chef
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

14. If aptient is going to surgery do not give them
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
Private room with negative pressure

15. What are the characteristics of Chicken pox Varicella?
A consent form to be signed for Hep B - C and HIV
Maculopapular rash and vesicular scabs
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
Nothing unless the pt is in isolation

16. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nothing unless the pt is in isolation
EBOLI - MARBAR - CRIMEAN CONGO
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards

17. 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)
Oral Flagyl and and Vancomycin
COPD + Negative pressure room = Keep together
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS

18. When CAN INFECTED Patient LEAVE TheIR ROOM
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Fecal/oral
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.

19. What should a Contact Precaution pt have
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Maculopapular rash and vesicular scabs
Nausea - diarrhea and fatigue for up to 28 days
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

20. What pt's would be ok for a pregnant nurse to care for
Mask will 3 feet
HIV - HEP B - C - Cytmegalovirus
Wash their hands before and after handling pets
Gloves - gown - goggles and mask - Everything

21. Rabies pt's would need

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22. Which Patient NEED To ISOLATE
A diet high in calories and low fat
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K

23. 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Chef

24. Which Patient CAN KEEP In The SAME ROOM
A consent form to be signed for Hep B - C and HIV
Chef
Swelling and tenderness of one or more salivary glands
COPD + Negative pressure room = Keep together

25. What is a GUAIAC test?
HIV - HEP B - C - Cytmegalovirus
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool
N - V - D and Abd pain

26. What are char of Pertussis( whooping cough)
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.
Mask will 3 feet
N - V - D and Abd pain
Dry cough

27. How would you take off Personal protective gear?
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.Gloves 2.Goggles 3.Gown 4.Mask
Mask will 3 feet
Gown and gloves and disinfectant all the equipments

28. What is the most dangerous type of Hep?
HIV - HEP B - C - Cytmegalovirus
N - V - D and Abd pain
A
DISCONTINUE The ATB

29. Who needs Standard Contact and Droplet precautions
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
Glanders - Lassa
Pink red maculopapules

30. INTERVENTION FOR PREVENT ASPIRATION
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 - gown - goggles and mask - Everything
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 consent form to be signed for Hep B - C and HIV

31. What should you wash the toilet seat with
PRIVATE - NEGATIVE PRESSURE ROOM
Blue - Blue - green - GREEN means negative
Bleach
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

32. What should you teach pt's to wear for protect themselves against Lyme disease
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 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
An order for and Anti Diarrhea med like Imodium
Deet spray

33. Who needs Standard - Airbourne and Contact precautions
Swelling and tenderness of one or more salivary glands
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Small pox
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late

34. What should you wear when drawing blood
DISCONTINUE The ATB
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves
Gown and gloves and disinfectant all the equipments

35. What is the two diseased caused by ticks
Lindane - Crotmiton - Permethrine
Rocky mountain fever and Lymes disease
Gloves
Wrist ankles Palms - soles Forearm

36. What are the Ni for Pertussis?
Nausea - diarrhea and fatigue for up to 28 days
Contact which are gloves and gown - Toes - wet - warm - spots
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Rest - warm - humid air

37. Transferring Patient BETWEEN WARDS
Bleach
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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

38. Who needs Standard and Contact precautions (SC)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Oral Flagyl and and Vancomycin
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.

39. What type of job should a person with hepatitis never have
Mask will 3 feet
Glanders - Lassa
Chef
Deet spray

40. What are the char. of German measles( Rubella)
Fecal/oral
Pink red maculopapules
Private rooms or patient with same organisms
Examples: Airborne - droplet - contact or standard

41. Contact Precautions
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Gown and gloves and disinfectant all the equipments
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

42. Infected Air - borne precaution
A test to decect fecal occult blood assess for hidden blood in stool
Private room with negative pressure
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room

43. What should you do if the c diff is linked to an ATB
N - V - D and Abd pain
Examples: Airborne - droplet - contact or standard
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
DISCONTINUE The ATB

44. How is c diff transmitted?
Gloves
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
Bleach

45. How can you prevent Salmonella
Bleach
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS

46. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Nausea - diarrhea and fatigue for up to 28 days
1St provide care 2nd notify MD ( medical doctor
HIV - HEP B - C - Cytmegalovirus
Private room with negative pressure

47. Rule: Transferring PEDS Patient To MS (MED SURGE)
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]

48. What is the order for putting on personal protective gear?
Gloves - gown - goggles and mask - Everything
Pencillins - Cephalosporins - Clindamycin
A test to decect fecal occult blood assess for hidden blood in stool
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves

49. When should you use Airborne Precautions
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
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
Dry cough

50. What are characteristics of Measles (Rubeola)
Dry cough
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Kopliks spots
Fecal/oral