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. How can you prevent Salmonella
Glanders - Lassa
COPD + Negative pressure room = Keep together
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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.


2. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women
Lindane - Crotmiton - Permethrine
Small pox


3. What should you wear when taking a pt's VS?
Contaminated food and water
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nothing unless the pt is in isolation


4. Infected Air - borne precaution
Private room with negative pressure
Pencillins - Cephalosporins - Clindamycin
Rocky mountain fever and Lymes disease
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


5. How would you take off Personal protective gear?
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
Lindane - Crotmiton - Permethrine
1.Gloves 2.Goggles 3.Gown 4.Mask
Feces of infected people or animals


6. What is the order for putting on personal protective gear?
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
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
-- 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


7. What should you wear when drawing blood
Lindane - Crotmiton - Permethrine
Maculopapular rash and vesicular scabs
Gloves
Wrist ankles Palms - soles Forearm


8. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots
EBOLI - MARBAR - CRIMEAN CONGO
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


9. Who should get the chicken pox vaccine
Contact which are gloves and gown - Toes - wet - warm - spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Lindane - Crotmiton - Permethrine


10. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Those with liver problems and pregnant women
A test to decect fecal occult blood assess for hidden blood in stool
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Contact which are gloves and gown - Toes - wet - warm - spots


11. DON'T TRANSFER Which Patient
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Before the rash appears


12. What are char of Pertussis( whooping cough)
Dry cough
N - V - D and Abd pain
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


13. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


14. What should you teach pt's to wear for protect themselves against Lyme disease
Oral Flagyl and and Vancomycin
Deet spray
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


15. Transferring Patient BETWEEN WARDS
Wrist ankles Palms - soles Forearm
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
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


16. What should a Contact Precaution pt have
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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 their hands before and after handling pets


17. What are the char. of German measles( Rubella)
Pink red maculopapules
Rocky mountain fever and Lymes disease
People w/ egg allergies - pregnant - illness or fever
Bleach


18. BLEEDING PRECAUTION Patient. These Patients Who Are On...
People w/ egg allergies - pregnant - illness or fever
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


19. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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20. Rule: Transferring ADULT To PEDIATRIC WARDS
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
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
HIV - HEP B - C - Cytmegalovirus


21. What are the Ni for Pertussis?
1St provide care 2nd notify MD ( medical doctor
Rest - warm - humid air
Private room with negative pressure
Maculopapular rash and vesicular scabs


22. When dealing w/ a Droplet percautions pt they require
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
A
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
COPD + Negative pressure room = Keep together


23. How can you stop the spread of c diff

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24. What is warn when suctioning?
Before the rash appears
A
Gloves - Goggles and a face shield
EBOLI - MARBAR - CRIMEAN CONGO


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

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26. What is the tx for Scabies
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Lindane - Crotmiton - Permethrine


27. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
A diet high in calories and low fat
C Diff( Clostridium difficle)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


28. What are the characteristics of Chicken pox Varicella?
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
EBOLI - MARBAR - CRIMEAN CONGO
Maculopapular rash and vesicular scabs


29. When To USE STAndARD PRECAUTIONS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Rest - warm - humid air
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
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


30. Contact Precautions
Gown and gloves and disinfectant all the equipments
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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.


31. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
A test to decect fecal occult blood assess for hidden blood in stool


32. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
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
Fecal/oral
A test to decect fecal occult blood assess for hidden blood in stool


33. Which Patient NEED To ISOLATE
Mask will 3 feet
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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


34. How is Hep A spread
1St provide care 2nd notify MD ( medical doctor
Kopliks spots
Fecal/oral
Contact which are gloves and gown - Toes - wet - warm - spots


35. How is Salmonella transmitted
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Nothing unless the pt is in isolation
Contaminated food and water


36. WHen should you use standard percautions
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact which are gloves and gown - Toes - wet - warm - spots
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


37. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
-- 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. 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 test to decect fecal occult blood assess for hidden blood in stool


38. If aptient is going to surgery do not give them
1St provide care 2nd notify MD ( medical doctor
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
C Diff( Clostridium difficle)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


39. What other ATB might be prescribed to treat c diff
Nausea - diarrhea and fatigue for up to 28 days
Small pox
Oral Flagyl and and Vancomycin
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


40. Who shouldn't get the Chicken pox vaccine

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41. What should the school teacher teach kids handleing pets
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
PRIVATE - NEGATIVE PRESSURE ROOM
Wash their hands before and after handling pets


42. What should the nurse immediately do if she stuck by a used needle?
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Dry cough
People w/ egg allergies - pregnant - illness or fever


43. GENERAL RuleS FOR VACCINES
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Rocky mountain fever and Lymes disease
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


44. Rabies pt's would need

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45. Who needs Standard Contact and Droplet precautions
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.
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Glanders - Lassa
Oral Flagyl and and Vancomycin


46. Who needs Standard - Airbourne and Contact precautions
EBOLI - MARBAR - CRIMEAN CONGO
Small pox
Private room with negative pressure
Feces of infected people or animals


47. When is a pt w/measles most contagious?
Before the rash appears
N - V - D and Abd pain
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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


48. Which Patient CAN KEEP In The SAME ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
COPD + Negative pressure room = Keep together
Rocky mountain fever and Lymes disease


49. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


50. What are the S/S for Botulism
N - V - D and Abd pain
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Those with liver problems and pregnant women
Private rooms or patient with same organisms