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. Rule: DISCHARGE DURING AN EMERGENCY
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
PRIVATE - NEGATIVE PRESSURE ROOM


2. Who shouldn't get the measles vacc
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
People w/ egg allergies - pregnant - illness or fever
Wash their hands before and after handling pets
Dry cough


3. Where would you see a rash w/ Rocky mountain spotted fever?
Oral Flagyl and and Vancomycin
Wrist ankles Palms - soles Forearm
Nothing unless the pt is in isolation
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


4. Infected Air - borne precaution
An order for and Anti Diarrhea med like Imodium
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Fecal/oral
Private room with negative pressure


5. What is the two diseased caused by ticks
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Examples: Airborne - droplet - contact or standard
Rocky mountain fever and Lymes disease
HIV - HEP B - C - Cytmegalovirus


6. What should you wear if blood is spurting?
Bleach
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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


7. What should you teach pt's to wear for protect themselves against Lyme disease
Bleach
Deet spray
Maculopapular rash and vesicular scabs
A diet high in calories and low fat


8. WHen should you use standard percautions
Private rooms or patient with same organisms
PRIVATE - NEGATIVE PRESSURE ROOM
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A consent form to be signed for Hep B - C and HIV


9. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Small pox


10. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
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
Maculopapular rash and vesicular scabs
Wrist ankles Palms - soles Forearm


11. Who needs Standard - Airbourne and Contact precautions
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
1St provide care 2nd notify MD ( medical doctor
Small pox
Deet spray


12. Which pt's can't the pregnant nurse care for
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
Wrist ankles Palms - soles Forearm
DISCONTINUE The ATB
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


13. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
Rest - warm - humid air
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


14. How can you prevent Salmonella
Rest - warm - humid air
A consent form to be signed for Hep B - C and HIV
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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


15. What should you wash the toilet seat with
Bleach
Before the rash appears
A consent form to be signed for Hep B - C and HIV
Mask will 3 feet


16. patient what kind of room they should stay
Those with liver problems and pregnant women
Private rooms or patient with same organisms
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets


17. What are the Ni for Pertussis?
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Rest - warm - humid air
Nothing unless the pt is in isolation
Dry cough


18. How is c diff transmitted?
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Pink red maculopapules


19. Rule: Transferring ADULT To PEDIATRIC WARDS
A
Oral Flagyl and and Vancomycin
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
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


20. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Chef
EBOLI - MARBAR - CRIMEAN CONGO
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.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


21. DON'T TRANSFER Which Patient
Rocky mountain fever and Lymes disease
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


22. What should you do if the c diff is linked to an ATB
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
DISCONTINUE The ATB
Mask will 3 feet


23. What is a GUAIAC test?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Wrist ankles Palms - soles Forearm
A test to decect fecal occult blood assess for hidden blood in stool
Before the rash appears


24. What type of job should a person with hepatitis never have
DISCONTINUE The ATB
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments


25. Where can you find Salmonella
Private room with negative pressure
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
N - V - D and Abd pain


26. When should you use Airborne Precautions
PRIVATE - NEGATIVE PRESSURE ROOM
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


27. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
PRIVATE - NEGATIVE PRESSURE ROOM
Feces of infected people or animals
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


28. What is warn when suctioning?
Gloves - Goggles and a face shield
1.Gloves 2.Goggles 3.Gown 4.Mask
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
COPD + Negative pressure room = Keep together


29. How can you stop the spread of c diff

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


30. INTERVENTION FOR PREVENT ASPIRATION
People w/ egg allergies - pregnant - illness or fever
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. 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
Mask will 3 feet


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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


32. What should the nurse immediately do if she stuck by a used needle?
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Blue - Blue - green - GREEN means negative
Contaminated food and water


33. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


34. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contaminated food and water
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Those with liver problems and pregnant women


35. When CAN INFECTED Patient LEAVE TheIR ROOM
A diet high in calories and low fat
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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.
Nausea - diarrhea and fatigue for up to 28 days


36. If aptient is going to surgery do not give them
COPD + Negative pressure room = Keep together
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Gloves
Deet spray


37. Rabies pt's would need

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


38. Who should get the chicken pox vaccine
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
People w/ egg allergies - pregnant - illness or fever
Kopliks spots


39. How is Salmonella transmitted
Contaminated food and water
Small pox
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
Before the rash appears


40. What patients need Droplet precautions?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


41. What should a Contact Precaution pt have
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A consent form to be signed for Hep B - C and HIV
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


42. What are the char. of German measles( Rubella)
Small pox
Pink red maculopapules
Contact which are gloves and gown - Toes - wet - warm - spots
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.


43. When is a pt w/measles most contagious?
Examples: Airborne - droplet - contact or standard
Before the rash appears
1St provide care 2nd notify MD ( medical doctor
Deet spray


44. Which Patient NEED To ISOLATE
Oral Flagyl and and Vancomycin
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


45. Which Patient CAN KEEP In The SAME ROOM
Mask will 3 feet
-- 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
COPD + Negative pressure room = Keep together
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


46. What are char of Pertussis( whooping cough)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Before the rash appears
Dry cough


47. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
PRIVATE - NEGATIVE PRESSURE ROOM
A diet high in calories and low fat
An order for and Anti Diarrhea med like Imodium


48. How would you take off Personal protective gear?
EBOLI - MARBAR - CRIMEAN CONGO
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


49. What are the characteristics of Chicken pox Varicella?
Bleach
Gown and gloves and disinfectant all the equipments
Maculopapular rash and vesicular scabs
Fecal/oral


50. Who shouldn't get the Chicken pox vaccine

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183