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. Who is not able to start PPE
Those with liver problems and pregnant women
Oral Flagyl and and Vancomycin
Wash their hands before and after handling pets
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


2. Who shouldn't get the measles vacc
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
N - V - D and Abd pain
People w/ egg allergies - pregnant - illness or fever
DISCONTINUE The ATB


3. When CAN INFECTED Patient LEAVE TheIR ROOM
DISCONTINUE The ATB
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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.
Bleach


4. What is the most dangerous type of Hep?
A
Gloves
A test to decect fecal occult blood assess for hidden blood in stool
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


5. Who needs Standard Contact and Droplet precautions
Dry cough
Glanders - Lassa
Feces of infected people or animals
Nausea - diarrhea and fatigue for up to 28 days


6. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Pink red maculopapules
HIV - HEP B - C - Cytmegalovirus
1St provide care 2nd notify MD ( medical doctor
An order for and Anti Diarrhea med like Imodium


7. How is c diff transmitted?
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
Dry cough
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


8. What should you wear when drawing blood
Dry cough
Gloves
Mask will 3 feet
Fecal/oral


9. Who shouldn't get the Chicken pox vaccine

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10. What should you wear when taking a pt's VS?
A consent form to be signed for Hep B - C and HIV
Nothing unless the pt is in isolation
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


11. To be most effective when should postexposure prophylaxis (PPE) be started?
1St provide care 2nd notify MD ( medical doctor
Gloves - gown - goggles and mask - Everything
Small pox
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


12. What should you teach pt's to wear for protect themselves against Lyme disease
A test to decect fecal occult blood assess for hidden blood in stool
Gloves - gown - goggles and mask - Everything
Deet spray
Small pox


13. What kind of diet is needed for a PT with hepatitis A
Kopliks spots
Before the rash appears
A diet high in calories and low fat
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


14. WHen should you use standard percautions
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Lindane - Crotmiton - Permethrine
Examples: Airborne - droplet - contact or standard


15. What are char of Pertussis( whooping cough)
Dry cough
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Bleach


16. What should you have the patient sign after being stuck by a needle?
Rocky mountain fever and Lymes disease
A consent form to be signed for Hep B - C and HIV
Kopliks spots
Lindane - Crotmiton - Permethrine


17. What is warn when suctioning?
N - V - D and Abd pain
Maculopapular rash and vesicular scabs
PRIVATE - NEGATIVE PRESSURE ROOM
Gloves - Goggles and a face shield


18. Transferring Patient BETWEEN WARDS
Private rooms or patient with same organisms
COPD + Negative pressure room = Keep together
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease


19. After a bloodborne pathogen exposure what should be done later?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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


20. Infected Air - borne precaution
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 room with negative pressure
COPD + Negative pressure room = Keep together
Fecal/oral


21. Droplet precautions
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
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


22. Which Patient CAN KEEP In The SAME ROOM
N - V - D and Abd pain
COPD + Negative pressure room = Keep together
HIV - HEP B - C - Cytmegalovirus
DISCONTINUE The ATB


23. INTERVENTION FOR PREVENT ASPIRATION
PRIVATE - NEGATIVE PRESSURE ROOM
Contaminated food and water
Mask will 3 feet
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


24. After getting the Varicella vacc who should you teach pt's to avoid
Bleach
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A consent form to be signed for Hep B - C and HIV


25. What is the order for putting on personal protective gear?
- 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
Rocky mountain fever and Lymes 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


26. Which pt's can't the pregnant nurse care for
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


27. patient what kind of room they should stay
Private rooms or patient with same organisms
Gloves - Goggles and a face shield
C Diff( Clostridium difficle)
Fecal/oral


28. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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29. What are the characteristics of Mumps
People w/ egg allergies - pregnant - illness or fever
PRIVATE - NEGATIVE PRESSURE ROOM
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Swelling and tenderness of one or more salivary glands


30. What patients need Droplet precautions?

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31. What are the S/S for Botulism
N - V - D and Abd pain
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine
Private rooms or patient with same organisms


32. 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
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
Pencillins - Cephalosporins - Clindamycin
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


33. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gown and gloves and disinfectant all the equipments
Glanders - Lassa
Small pox


34. Who should get the chicken pox vaccine
People w/ egg allergies - pregnant - illness or fever
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A
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


35. When is a pt w/measles most contagious?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Before the rash appears
Rest - warm - humid air
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


36. How can you prevent Salmonella
Pink red maculopapules
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Nothing unless the pt is in isolation
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


37. What is the tx for Scabies
Pencillins - Cephalosporins - Clindamycin
PRIVATE - NEGATIVE PRESSURE ROOM
Lindane - Crotmiton - Permethrine
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


38. Where would you see a rash w/ Rocky mountain spotted fever?
Chef
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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
Wrist ankles Palms - soles Forearm


39. What are the characteristics of Chicken pox Varicella?
Pencillins - Cephalosporins - Clindamycin
Maculopapular rash and vesicular scabs
Examples: Airborne - droplet - contact or standard
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


40. Rabies pt's would need

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41. What should the school teacher teach kids handleing pets
Contact which are gloves and gown - Toes - wet - warm - spots
Wash their hands before and after handling pets
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
DISCONTINUE The ATB


42. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
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
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


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

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44. When should you use Airborne Precautions
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
Bleach
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
C Diff( Clostridium difficle)


45. What are the char. of German measles( Rubella)
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
Pink red maculopapules
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
A test to decect fecal occult blood assess for hidden blood in stool


46. Who needs Standard and Contact precautions (SC)
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.
Gloves - Goggles and a face shield
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
C Diff( Clostridium difficle)


47. Who needs Standard - Airbourne and Contact precautions
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Glanders - Lassa
Small pox
Feces of infected people or animals


48. What are characteristics of Measles (Rubeola)
Before the rash appears
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Kopliks spots
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


49. 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
Gown and gloves and disinfectant all the equipments
Blue - Blue - green - GREEN means negative
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


50. When dealing w/ a Droplet percautions pt they require
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Glanders - Lassa
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