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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A
1St provide care 2nd notify MD ( medical doctor


2. What are char of Pertussis( whooping cough)
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A consent form to be signed for Hep B - C and HIV
EBOLI - MARBAR - CRIMEAN CONGO
Dry cough


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


4. Who shouldn't get the measles vacc
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
People w/ egg allergies - pregnant - illness or fever
HIV - HEP B - C - Cytmegalovirus
Nothing unless the pt is in isolation


5. DON'T TRANSFER Which Patient
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
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 consent form to be signed for Hep B - C and HIV


6. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
-- 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.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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


7. What should you wash the toilet seat with
A diet high in calories and low fat
Wash their hands before and after handling pets
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


8. What should you have the patient sign after being stuck by a needle?
N - V - D and Abd pain
Rocky mountain fever and Lymes disease
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
A consent form to be signed for Hep B - C and HIV


9. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
EBOLI - MARBAR - CRIMEAN CONGO
1.Gloves 2.Goggles 3.Gown 4.Mask
Dry cough


10. When should you use Airborne Precautions
A diet high in calories and low fat
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
PRIVATE - NEGATIVE PRESSURE ROOM


11. What precaution are needed for Scabies pt
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact which are gloves and gown - Toes - wet - warm - spots
Those with liver problems and pregnant women


12. How is c diff transmitted?
PRIVATE - NEGATIVE PRESSURE ROOM
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


13. 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
Rocky mountain fever and Lymes disease
Gloves - gown - goggles and mask - Everything
Private room with negative pressure


14. What are the major ATB associated w/ c diff
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
Mask will 3 feet
EBOLI - MARBAR - CRIMEAN CONGO
Pencillins - Cephalosporins - Clindamycin


15. What are the characteristics of Chicken pox Varicella?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Chef
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
Maculopapular rash and vesicular scabs


16. What patients need Droplet precautions?

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17. How would you take off Personal protective gear?
A diet high in calories and low fat
Swelling and tenderness of one or more salivary glands
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.Gloves 2.Goggles 3.Gown 4.Mask


18. What should you wear when drawing blood
Gloves
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Kopliks spots


19. What is the two diseased caused by ticks
A diet high in calories and low fat
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
An order for and Anti Diarrhea med like Imodium
Rocky mountain fever and Lymes disease


20. Rabies pt's would need

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21. WHen should you use standard percautions
Fecal/oral
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


22. After a bloodborne pathogen exposure what should be done later?
Rocky mountain fever and Lymes disease
EBOLI - MARBAR - CRIMEAN CONGO
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Lindane - Crotmiton - Permethrine


23. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
A diet high in calories and low fat
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
-- 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


24. What should a Contact Precaution pt have
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


25. Contact Precautions
Dry cough
PRIVATE - NEGATIVE PRESSURE ROOM
Pencillins - Cephalosporins - Clindamycin
Gown and gloves and disinfectant all the equipments


26. Where can you find Salmonella
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.
Feces of infected people or animals
Blue - Blue - green - GREEN means negative


27. What are common side effects of PPE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
-- 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.. 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
Nausea - diarrhea and fatigue for up to 28 days


28. If aptient is going to surgery do not give them
C Diff( Clostridium difficle)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
People w/ egg allergies - pregnant - illness or fever
1.Gloves 2.Goggles 3.Gown 4.Mask


29. Who needs Standard - Airbourne and Contact precautions
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Small pox
An order for and Anti Diarrhea med like Imodium
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


30. What is the tx for Scabies
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.
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Lindane - Crotmiton - Permethrine


31. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Oral Flagyl and and Vancomycin
Mask will 3 feet


32. Who should get the chicken pox vaccine
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Swelling and tenderness of one or more salivary glands


33. What is the order for putting on personal protective gear?
People w/ egg allergies - pregnant - illness or fever
Chef
A
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


34. What colors indicate blood in the stool when doing GUAIAC test
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears
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
Blue - Blue - green - GREEN means negative


35. What should you teach pt's to wear for protect themselves against Lyme disease
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Deet spray
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 their hands before and after handling pets


36. GENERAL RuleS FOR VACCINES
DISCONTINUE The ATB
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
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


37. Who needs Standard and Contact precautions (SC)
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private room with negative pressure


38. What are characteristics of Measles (Rubeola)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Kopliks spots
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


39. How can you stop the spread of c diff

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40. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Gloves - gown - goggles and mask - Everything
Oral Flagyl and and Vancomycin
Chef


41. Which Patient CAN KEEP In The SAME 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
PRIVATE - NEGATIVE PRESSURE ROOM
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus


42. What are the char. of German measles( Rubella)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Pink red maculopapules
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


43. 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
Rest - warm - humid air
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


44. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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45. When To USE STAndARD 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.
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
An order for and Anti Diarrhea med like Imodium
Examples: Airborne - droplet - contact or standard


46. Rule: Transferring ADULT To PEDIATRIC WARDS
Fecal/oral
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Gloves - gown - goggles and mask - Everything
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


47. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Glanders - Lassa
Kopliks spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


48. patient what kind of room they should stay
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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
-- 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


49. Who shouldn't get the Chicken pox vaccine

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50. What is the most dangerous type of Hep?
People w/ egg allergies - pregnant - illness or fever
A consent form to be signed for Hep B - C and HIV
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
A