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 should the school teacher teach kids handleing pets
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Fecal/oral
Wash their hands before and after handling pets


2. What precaution are needed for Scabies pt
Deet spray
Contact which are gloves and gown - Toes - wet - warm - spots
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


3. Rabies pt's would need

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4. What would you question with a c diff pt
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Before the rash appears
Wash their hands before and after handling pets
An order for and Anti Diarrhea med like Imodium


5. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
C Diff( Clostridium difficle)
Gown and gloves and disinfectant all the equipments
1St provide care 2nd notify MD ( medical doctor


6. To be most effective when should postexposure prophylaxis (PPE) be started?
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Oral Flagyl and and Vancomycin
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
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


7. What are common side effects of PPE
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 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
Before the rash appears
Nausea - diarrhea and fatigue for up to 28 days


8. What should you wear if blood is spurting?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Kopliks spots
Gloves - gown - goggles and mask - Everything
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


9. Rule: DISCHARGE DURING AN EMERGENCY
Gloves
Swelling and tenderness of one or more salivary glands
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


10. Rule: Transferring ADULT To PEDIATRIC WARDS
1St provide care 2nd notify MD ( medical doctor
A
N - V - D and Abd pain
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


11. Who needs Standard and Contact precautions (SC)
A consent form to be signed for Hep B - C and HIV
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


12. Infected Air - borne precaution
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Chef
Private room with negative pressure
Gown and gloves and disinfectant all the equipments


13. Who should get the chicken pox vaccine
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


14. Who shouldn't get the Chicken pox vaccine

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15. Droplet 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
Wash their hands before and after handling pets
Mask will 3 feet
Bleach


16. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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17. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
A consent form to be signed for Hep B - C and HIV
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves - Goggles and a face shield


18. DON'T TRANSFER Which Patient
DISCONTINUE The ATB
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
PRIVATE - NEGATIVE PRESSURE ROOM
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


19. What should you wear when taking a pt's VS?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. 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
Nothing unless the pt is in isolation
Contaminated food and water


20. What is the order for putting on personal protective gear?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
EBOLI - MARBAR - CRIMEAN CONGO
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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


21. When To USE STAndARD PRECAUTIONS
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
Bleach
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
1St provide care 2nd notify MD ( medical doctor


22. 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
Private room with negative pressure
Those with liver problems and pregnant women
A consent form to be signed for Hep B - C and HIV


23. What patients need Droplet precautions?

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24. How is Hep A spread
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
Those with liver problems and pregnant women
Fecal/oral
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


25. What is the tx for Scabies
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
Lindane - Crotmiton - Permethrine
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


26. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
1St provide care 2nd notify MD ( medical doctor
Fecal/oral
Nausea - diarrhea and fatigue for up to 28 days


27. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Small pox
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
Pencillins - Cephalosporins - Clindamycin


28. Which Patient CAN KEEP In The SAME 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.
COPD + Negative pressure room = Keep together
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


29. Which Patient NEED To ISOLATE
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
Contaminated food and water
Rocky mountain fever and Lymes disease
HIV - HEP B - C - Cytmegalovirus


30. What is a GUAIAC test?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Rocky mountain fever and Lymes disease
A test to decect fecal occult blood assess for hidden blood in stool
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


31. Where can you find Salmonella
Feces of infected people or animals
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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


32. How can you stop the spread of c diff

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33. What type of job should a person with hepatitis never have
Chef
Examples: Airborne - droplet - contact or standard
Contact which are gloves and gown - Toes - wet - warm - spots
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


34. After getting the Varicella vacc who should you teach pt's to avoid
Oral Flagyl and and Vancomycin
Before the rash appears
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
PRIVATE - NEGATIVE PRESSURE ROOM


35. What should you wash the toilet seat with
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Lindane - Crotmiton - Permethrine
Bleach


36. What pt's would be ok for a pregnant nurse to care for
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat
HIV - HEP B - C - Cytmegalovirus
C Diff( Clostridium difficle)


37. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Pencillins - Cephalosporins - Clindamycin
Gloves - gown - goggles and mask - Everything
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


38. What is the two diseased caused by ticks
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
Rocky mountain fever and Lymes disease
Examples: Airborne - droplet - contact or standard


39. How can you prevent Salmonella
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private rooms or patient with same organisms
Gloves - Goggles and a face shield
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


40. What are characteristics of Measles (Rubeola)
A consent form to be signed for Hep B - C and HIV
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
Kopliks spots


41. 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
DISCONTINUE The ATB
Oral Flagyl and and Vancomycin
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


42. Contact Precautions
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
Before the rash appears
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Gown and gloves and disinfectant all the equipments


43. What are the S/S for Botulism
EBOLI - MARBAR - CRIMEAN CONGO
Fecal/oral
N - V - D and Abd pain
Gown and gloves and disinfectant all the equipments


44. After a bloodborne pathogen exposure what should be done later?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Bleach


45. What is the most dangerous type of Hep?
Gown and gloves and disinfectant all the equipments
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Kopliks spots
A


46. What should you teach pt's to wear for protect themselves against Lyme disease
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Kopliks spots
Deet spray


47. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Private rooms or patient with same organisms
Nausea - diarrhea and fatigue for up to 28 days
-- 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


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

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49. 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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Rest - warm - humid air


50. patient what kind of room they should stay
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
Wash their hands before and after handling pets
Private rooms or patient with same organisms
Glanders - Lassa