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. Which Patient CAN KEEP In The SAME ROOM
Contaminated food and water
COPD + Negative pressure room = Keep together
DISCONTINUE The ATB
1.Gloves 2.Goggles 3.Gown 4.Mask


2. After getting the Varicella vacc who should you teach pt's to avoid
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
Gloves - gown - goggles and mask - Everything
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


3. What are the Ni for Pertussis?
Rest - warm - humid air
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Before the rash appears


4. Contact Precautions
Kopliks spots
Gown and gloves and disinfectant all the equipments
PRIVATE - NEGATIVE PRESSURE ROOM
Dry cough


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

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6. When To USE STAndARD PRECAUTIONS
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


7. How can you prevent Salmonella
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private rooms or patient with same organisms
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.


8. What is the order for putting on personal protective gear?
A diet high in calories and low fat
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


9. What patients need Droplet precautions?

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10. To be most effective when should postexposure prophylaxis (PPE) be started?
Bleach
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nothing unless the pt is in isolation
Gloves


11. Which Patient NEED To ISOLATE
Maculopapular rash and vesicular scabs
Pencillins - Cephalosporins - Clindamycin
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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


12. Transferring Patient BETWEEN WARDS
Gloves
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


13. What is the tx for Scabies
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Pencillins - Cephalosporins - Clindamycin
HIV - HEP B - C - Cytmegalovirus
Lindane - Crotmiton - Permethrine


14. When is a pt w/measles most contagious?
Before the rash appears
PRIVATE - NEGATIVE PRESSURE 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


15. GENERAL RuleS FOR VACCINES
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. 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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Gown and gloves and disinfectant all the equipments


16. Rabies pt's would need

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17. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
A test to decect fecal occult blood assess for hidden blood in stool
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


18. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Before the rash appears
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Maculopapular rash and vesicular scabs


19. Who is not able to start PPE
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves
Those with liver problems and pregnant women
Wash their hands before and after handling pets


20. What precaution are needed for Scabies pt
Examples: Airborne - droplet - contact or standard
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
An order for and Anti Diarrhea med like Imodium
Contact which are gloves and gown - Toes - wet - warm - spots


21. What are characteristics of Measles (Rubeola)
Kopliks spots
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


22. When should you use Airborne Precautions
Glanders - Lassa
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Chef
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


23. Who shouldn't get the Chicken pox vaccine

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24. What is a GUAIAC test?
C Diff( Clostridium difficle)
A test to decect fecal occult blood assess for hidden blood in stool
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
Fecal/oral


25. How can you stop the spread of c diff

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26. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Maculopapular rash and vesicular scabs
Blue - Blue - green - GREEN means negative


27. What should you do if the c diff is linked to an ATB
PRIVATE - NEGATIVE PRESSURE ROOM
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Nausea - diarrhea and fatigue for up to 28 days
DISCONTINUE The ATB


28. 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
Dry cough
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


29. What should you teach pt's to wear for protect themselves against Lyme disease
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Pencillins - Cephalosporins - Clindamycin
Deet spray
Mask will 3 feet


30. patient what kind of room they should stay
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
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 rooms or patient with same organisms


31. What would you question with a c diff pt
Wrist ankles Palms - soles Forearm
Pencillins - Cephalosporins - Clindamycin
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
An order for and Anti Diarrhea med like Imodium


32. What should the school teacher teach kids handleing pets
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Swelling and tenderness of one or more salivary glands
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


33. What pt's would be ok for a pregnant nurse to care for
Before the rash appears
HIV - HEP B - C - Cytmegalovirus
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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. What colors indicate blood in the stool when doing GUAIAC test
Swelling and tenderness of one or more salivary glands
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Feces of infected people or animals
Blue - Blue - green - GREEN means negative


35. Where would you see a rash w/ Rocky mountain spotted fever?
A consent form to be signed for Hep B - C and HIV
Wrist ankles Palms - soles Forearm
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


36. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Those with liver problems and pregnant women


37. What other ATB might be prescribed to treat c diff
1.Gloves 2.Goggles 3.Gown 4.Mask
Oral Flagyl and and Vancomycin
Rocky mountain fever and Lymes disease
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


38. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
Feces of infected people or animals
Examples: Airborne - droplet - contact or standard


39. What is the two diseased caused by ticks
Feces of infected people or animals
People w/ egg allergies - pregnant - illness or fever
Rocky mountain fever and Lymes disease
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.


40. What are the characteristics of Chicken pox Varicella?
Examples: Airborne - droplet - contact or standard
Contact which are gloves and gown - Toes - wet - warm - spots
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
Maculopapular rash and vesicular scabs


41. After a bloodborne pathogen exposure what should be done later?
Glanders - Lassa
Oral Flagyl and and Vancomycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Private rooms or patient with same organisms


42. What are the characteristics of Mumps
Chef
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves - gown - goggles and mask - Everything
Swelling and tenderness of one or more salivary glands


43. Droplet precautions
Dry cough
Mask will 3 feet
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin


44. Which pt's can't the pregnant nurse care for
C Diff( Clostridium difficle)
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wrist ankles Palms - soles Forearm
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


45. When CAN INFECTED Patient LEAVE TheIR ROOM
Wrist ankles Palms - soles Forearm
Small pox
Glanders - Lassa
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.


46. What is the most dangerous type of Hep?
A
-- 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
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
Feces of infected people or animals


47. What is the most common cause of ATB associated diarrhea
Small pox
Contaminated food and water
COPD + Negative pressure room = Keep together
C Diff( Clostridium difficle)


48. Who shouldn't get the measles vacc
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
People w/ egg allergies - pregnant - illness or fever
Swelling and tenderness of one or more salivary glands
Private rooms or patient with same organisms


49. 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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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


50. Where can you find Salmonella
DISCONTINUE The ATB
Kopliks spots
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
Feces of infected people or animals