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. Which Patient CAN KEEP In The SAME ROOM
Wrist ankles Palms - soles Forearm
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Nausea - diarrhea and fatigue for up to 28 days
COPD + Negative pressure room = Keep together


2. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
An order for and Anti Diarrhea med like Imodium
A consent form to be signed for Hep B - C and HIV
Pencillins - Cephalosporins - Clindamycin


3. What other ATB might be prescribed to treat c diff
Contaminated food and water
Oral Flagyl and and Vancomycin
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
Examples: Airborne - droplet - contact or standard


4. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Examples: Airborne - droplet - contact or standard


5. What should you wear when drawing blood
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves
Contaminated food and water
Glanders - Lassa


6. Droplet precautions
Mask will 3 feet
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


7. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Pencillins - Cephalosporins - Clindamycin
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


8. Rule: Transferring PEDS Patient To MS (MED SURGE)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1St provide care 2nd notify MD ( medical doctor
Gown and gloves and disinfectant all the equipments


9. How is c diff transmitted?
COPD + Negative pressure room = Keep together
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
EBOLI - MARBAR - CRIMEAN CONGO


10. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Private room with negative pressure
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
1.Gloves 2.Goggles 3.Gown 4.Mask


11. What are common side effects of PPE
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nausea - diarrhea and fatigue for up to 28 days
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contaminated food and water


12. When should you use Airborne Precautions
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Fecal/oral
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


13. What is the tx for Scabies
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Lindane - Crotmiton - Permethrine
Pencillins - Cephalosporins - Clindamycin


14. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
People w/ egg allergies - pregnant - illness or fever
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
-- 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
Kopliks spots


15. What are the Ni for Pertussis?
Rest - warm - humid air
Mask will 3 feet
COPD + Negative pressure room = Keep together
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


16. Contact Precautions
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
DISCONTINUE The ATB
Gown and gloves and disinfectant all the equipments
Gloves - gown - goggles and mask - Everything


17. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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18. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Kopliks spots


19. WHen should you use standard percautions
A diet high in calories and low fat
N - V - D and Abd pain
Gloves
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


20. How is Salmonella transmitted
Contaminated food and water
PRIVATE - NEGATIVE PRESSURE ROOM
An order for and Anti Diarrhea med like Imodium
HIV - HEP B - C - Cytmegalovirus


21. If aptient is going to surgery do not give them
EBOLI - MARBAR - CRIMEAN CONGO
Swelling and tenderness of one or more salivary glands
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


22. What patients need Droplet precautions?

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23. INTERVENTION FOR PREVENT ASPIRATION
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 diet high in calories and low fat
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
An order for and Anti Diarrhea med like Imodium


24. What would you question with a c diff pt
Gloves - gown - goggles and mask - Everything
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
An order for and Anti Diarrhea med like Imodium
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


25. What type of job should a person with hepatitis never have
Contaminated food and water
Chef
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1St provide care 2nd notify MD ( medical doctor


26. How can you stop the spread of c diff

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27. When To USE STAndARD PRECAUTIONS
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Maculopapular rash and vesicular scabs
Pencillins - Cephalosporins - Clindamycin


28. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Dry cough
An order for and Anti Diarrhea med like Imodium


29. What should you do if the c diff is linked to an ATB
DISCONTINUE The ATB
Wash their hands before and after handling pets
Pencillins - Cephalosporins - Clindamycin
1St provide care 2nd notify MD ( medical doctor


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

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31. What should you wash the toilet seat with
Mask will 3 feet
Pink red maculopapules
Bleach
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


32. Identify the type of precaution required
Private room with negative pressure
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Examples: Airborne - droplet - contact or standard


33. Who needs Standard and Contact precautions (SC)
People w/ egg allergies - pregnant - illness or fever
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
A
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


34. 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
Contact which are gloves and gown - Toes - wet - warm - spots
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
-- 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


35. Who needs Standard Contact and Droplet precautions
Those with liver problems and pregnant women
Glanders - Lassa
A
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


36. After getting the Varicella vacc who should you teach pt's to avoid
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Feces of infected people or animals
Nausea - diarrhea and fatigue for up to 28 days


37. What are the char. of German measles( Rubella)
Pink red maculopapules
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
A consent form to be signed for Hep B - C and HIV
Contaminated food and water


38. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Contaminated food and water
Gloves


39. Who shouldn't get the Chicken pox vaccine

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40. What is a GUAIAC test?
Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
An order for and Anti Diarrhea med like Imodium
A test to decect fecal occult blood assess for hidden blood in stool


41. What is warn when suctioning?
Gloves - Goggles and a face shield
-- 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
N - V - D and Abd pain
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


42. After a bloodborne pathogen exposure what should be done later?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Lindane - Crotmiton - Permethrine
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
Bleach


43. What colors indicate blood in the stool when doing GUAIAC test
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
Blue - Blue - green - GREEN means negative
Contaminated food and water


44. Who is not able to start PPE
Those with liver problems and pregnant women
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Small pox


45. When is a pt w/measles most contagious?
C Diff( Clostridium difficle)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Before the rash appears
1St provide care 2nd notify MD ( medical doctor


46. BLEEDING PRECAUTION Patient. These Patients Who Are On...
A
Nausea - diarrhea and fatigue for up to 28 days
1.Gloves 2.Goggles 3.Gown 4.Mask
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


47. How would you take off Personal protective gear?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private room with negative pressure
1.Gloves 2.Goggles 3.Gown 4.Mask
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


48. What are characteristics of Measles (Rubeola)
Kopliks spots
Lindane - Crotmiton - Permethrine
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
Chef


49. What pt's would be ok for a pregnant nurse to care for
Private rooms or patient with same organisms
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
HIV - HEP B - C - Cytmegalovirus


50. What are the major ATB associated w/ c diff
Those with liver problems and pregnant women
HIV - HEP B - C - Cytmegalovirus
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.