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 are char of Pertussis( whooping cough)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A test to decect fecal occult blood assess for hidden blood in stool
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Dry cough


2. What is the tx for Scabies
Nothing unless the pt is in isolation
Feces of infected people or animals
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Lindane - Crotmiton - Permethrine


3. What other ATB might be prescribed to treat c diff
Dry cough
Oral Flagyl and and Vancomycin
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


4. To be most effective when should postexposure prophylaxis (PPE) be started?
Rocky mountain fever and Lymes disease
Bleach
Before the rash appears
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


5. When is a pt w/measles most contagious?
Pencillins - Cephalosporins - Clindamycin
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
Kopliks spots


6. What are the char. of German measles( Rubella)
Private rooms or patient with same organisms
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pink red maculopapules
Gloves


7. After a bloodborne pathogen exposure what should be done later?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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.Gloves 2.Goggles 3.Gown 4.Mask


8. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves
Gown and gloves and disinfectant all the equipments


9. What are the major ATB associated w/ c diff
Feces of infected people or animals
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Small pox
Pencillins - Cephalosporins - Clindamycin


10. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool
Chef


11. What should you wear when drawing blood
Gloves
Wash their hands before and after handling pets
Mask will 3 feet
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


12. Rabies pt's would need

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13. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


14. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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.


15. Rule: Transferring ADULT To PEDIATRIC WARDS
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
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
Deet spray


16. 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
A
Private room with negative pressure
Wash their hands before and after handling pets


17. 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.
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Chef
Wash their hands before and after handling pets


18. What patients need Droplet precautions?

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19. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Private room with negative pressure
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Kopliks spots
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


20. 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.. 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
1St provide care 2nd notify MD ( medical doctor
Rocky mountain fever and Lymes disease


21. Who shouldn't get the Chicken pox vaccine

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22. After getting the Varicella vacc who should you teach pt's to avoid
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Rest - warm - humid air
A consent form to be signed for Hep B - C and HIV


23. How is Salmonella transmitted
Rest - warm - humid air
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Contaminated food and water
Before the rash appears


24. WHen should you use standard percautions
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
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
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


25. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Gown and gloves and disinfectant all the equipments
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
Contact which are gloves and gown - Toes - wet - warm - spots


26. What kind of diet is needed for a PT with hepatitis 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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A diet high in calories and low fat
An order for and Anti Diarrhea med like Imodium


27. Rule: Transferring PEDS Patient To MS (MED SURGE)
N - V - D and Abd pain
-- 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]
Private rooms or patient with same organisms


28. 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
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Gloves


29. Who needs Standard and Contact precautions (SC)
Rocky mountain fever and Lymes disease
Those with liver problems and pregnant women
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


30. When dealing w/ a Droplet percautions pt they require
Pink red maculopapules
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 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
Pencillins - Cephalosporins - Clindamycin


31. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


32. What are characteristics of Measles (Rubeola)
1.Gloves 2.Goggles 3.Gown 4.Mask
Deet spray
Kopliks spots
Private room with negative pressure


33. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
Small pox
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


34. What is the most dangerous type of Hep?
Private rooms or patient with same organisms
A
EBOLI - MARBAR - CRIMEAN CONGO
Feces of infected people or animals


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

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36. What is the most common cause of ATB associated diarrhea
1.Gloves 2.Goggles 3.Gown 4.Mask
Blue - Blue - green - GREEN means negative
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
C Diff( Clostridium difficle)


37. What pt's would be ok for a pregnant nurse to care for
A consent form to be signed for Hep B - C and HIV
HIV - HEP B - C - Cytmegalovirus
Nausea - diarrhea and fatigue for up to 28 days
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.


38. Where can you find Salmonella
Chef
Feces of infected people or animals
Kopliks spots
Private rooms or patient with same organisms


39. What should you wear if blood is spurting?
Gloves - gown - goggles and mask - Everything
Glanders - Lassa
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A test to decect fecal occult blood assess for hidden blood in stool


40. Which Patient NEED To ISOLATE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Examples: Airborne - droplet - contact or standard
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
Swelling and tenderness of one or more salivary glands


41. What is warn when suctioning?
Gloves - Goggles and a face shield
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gown and gloves and disinfectant all the equipments
A


42. INTERVENTION FOR PREVENT ASPIRATION
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
C Diff( Clostridium difficle)
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


43. Who is not able to start PPE
Nothing unless the pt is in isolation
Lindane - Crotmiton - Permethrine
HIV - HEP B - C - Cytmegalovirus
Those with liver problems and pregnant women


44. Droplet precautions
COPD + Negative pressure room = Keep together
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
Dry cough
Mask will 3 feet


45. How can you stop the spread of c diff

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46. Who shouldn't get the measles vacc
Gloves - gown - goggles and mask - Everything
Contaminated food and water
Oral Flagyl and and Vancomycin
People w/ egg allergies - pregnant - illness or fever


47. Contact Precautions
Gloves - Goggles and a face shield
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Chef
Gown and gloves and disinfectant all the equipments


48. What should you teach pt's to wear for protect themselves against Lyme disease
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
Chef
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Deet spray


49. What type of job should a person with hepatitis never have
Chef
A
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Swelling and tenderness of one or more salivary glands


50. What precaution are needed for Scabies pt
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
People w/ egg allergies - pregnant - illness or fever
Contact which are gloves and gown - Toes - wet - warm - spots