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 wash the toilet seat with
Bleach
Lindane - Crotmiton - Permethrine
Dry cough
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


2. What are char of Pertussis( whooping cough)
Dry cough
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
PRIVATE - NEGATIVE PRESSURE ROOM
Feces of infected people or animals


3. What are the Ni for Pertussis?
Wrist ankles Palms - soles Forearm
Private rooms or patient with same organisms
Rest - warm - humid air
Feces of infected people or animals


4. Who needs Standard and Contact precautions (SC)
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
COPD + Negative pressure room = Keep together


5. WHen should you use standard percautions
Nausea - diarrhea and fatigue for up to 28 days
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


6. When should you use Airborne Precautions
Maculopapular rash and vesicular scabs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


7. Identify the type of precaution required
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Dry cough
Examples: Airborne - droplet - contact or standard
Pink red maculopapules


8. DON'T TRANSFER Which Patient
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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


9. What should the nurse immediately do if she stuck by a used needle?
Glanders - Lassa
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A test to decect fecal occult blood assess for hidden blood in stool
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


10. Rabies pt's would need

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11. What should you wear when taking a pt's VS?
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
Nothing unless the pt is in isolation
Pink red maculopapules
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


12. Who needs Standard Contact and Droplet precautions
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Glanders - Lassa
Gown and gloves and disinfectant all the equipments


13. Infected Air - borne precaution
1St provide care 2nd notify MD ( medical doctor
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Private room with negative pressure
Gown and gloves and disinfectant all the equipments


14. Which pt's can't the pregnant nurse care for
Feces of infected people or animals
A
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


15. What are characteristics of Measles (Rubeola)
A
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
DISCONTINUE The ATB
Kopliks spots


16. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wrist ankles Palms - soles Forearm
A test to decect fecal occult blood assess for hidden blood in stool


17. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gown and gloves and disinfectant all the equipments
Bleach


18. What colors indicate blood in the stool when doing GUAIAC test
Wash their hands before and after handling pets
Blue - Blue - green - GREEN means negative
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves - Goggles and a face shield


19. How is Hep A spread
Fecal/oral
Lindane - Crotmiton - Permethrine
Wash their hands before and after handling pets
Nothing unless the pt is in isolation


20. How can you stop the spread of c diff

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21. What are the S/S for Botulism
N - V - D and Abd pain
Contact which are gloves and gown - Toes - wet - warm - spots
A consent form to be signed for Hep B - C and HIV
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


22. Rule: Transferring ADULT To PEDIATRIC WARDS
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Swelling and tenderness of one or more salivary glands
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.


23. Which Patient NEED To ISOLATE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Gloves - Goggles and a face shield
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 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


24. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Before the rash appears
Nausea - diarrhea and fatigue for up to 28 days


25. What is the most common cause of ATB associated diarrhea
Examples: Airborne - droplet - contact or standard
Nausea - diarrhea and fatigue for up to 28 days
C Diff( Clostridium difficle)
Glanders - Lassa


26. Who shouldn't get the Chicken pox vaccine

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27. Who shouldn't get the measles vacc
Contaminated food and water
People w/ egg allergies - pregnant - illness or fever
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


28. What precaution are needed for Scabies pt
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Glanders - Lassa
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Contact which are gloves and gown - Toes - wet - warm - spots


29. Where can you find Salmonella
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Oral Flagyl and and Vancomycin
Feces of infected people or animals
Rest - warm - humid air


30. Who needs Standard - Airbourne and Contact precautions
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
Small pox
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


31. 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.
Glanders - Lassa
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.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


32. If aptient is going to surgery do not give them
People w/ egg allergies - pregnant - illness or fever
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
Dry cough


33. How is Salmonella transmitted
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.
Swelling and tenderness of one or more salivary glands
Glanders - Lassa
Contaminated food and water


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

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35. What type of job should a person with hepatitis never have
Chef
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
-- 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
Before the rash appears


36. What is the most dangerous type of Hep?
Examples: Airborne - droplet - contact or standard
A
Lindane - Crotmiton - Permethrine
Fecal/oral


37. What are the char. of German measles( Rubella)
Private rooms or patient with same organisms
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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


38. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
N - V - D and Abd pain


39. When is a pt w/measles most contagious?
Before the rash appears
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
N - V - D and Abd pain
Private rooms or patient with same organisms


40. Contact Precautions
1.Gloves 2.Goggles 3.Gown 4.Mask
Gown and gloves and disinfectant all the equipments
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
DISCONTINUE The ATB


41. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
People w/ egg allergies - pregnant - illness or fever
COPD + Negative pressure room = Keep together
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
EBOLI - MARBAR - CRIMEAN CONGO


42. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Nothing unless the pt is in isolation
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
C Diff( Clostridium difficle)


43. What other ATB might be prescribed to treat c diff
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wrist ankles Palms - soles Forearm
Oral Flagyl and and Vancomycin
A consent form to be signed for Hep B - C and HIV


44. What kind of room would an Airborne precaution pt need
Private rooms or patient with same organisms
EBOLI - MARBAR - CRIMEAN CONGO
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
PRIVATE - NEGATIVE PRESSURE ROOM


45. What should you wear if blood is spurting?
Pencillins - Cephalosporins - Clindamycin
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.
A diet high in calories and low fat
Gloves - gown - goggles and mask - Everything


46. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Nothing unless the pt is in isolation
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


47. GENERAL RuleS FOR VACCINES
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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Private rooms or patient with same organisms


48. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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49. What would you question with a c diff pt
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
An order for and Anti Diarrhea med like Imodium
Mask will 3 feet
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


50. What should you do if the c diff is linked to an ATB
Gown and gloves and disinfectant all the equipments
Fecal/oral
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
DISCONTINUE The ATB