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. When To USE STAndARD PRECAUTIONS
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
An order for and Anti Diarrhea med like Imodium
Private room with negative pressure
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


2. What are the characteristics of Mumps
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 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
A test to decect fecal occult blood assess for hidden blood in stool
Swelling and tenderness of one or more salivary glands


3. To be most effective when should postexposure prophylaxis (PPE) be started?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Swelling and tenderness of one or more salivary glands
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef


4. 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
Blue - Blue - green - GREEN means negative
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
Private room with negative pressure


5. What are char of Pertussis( whooping cough)
Dry cough
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Swelling and tenderness of one or more salivary glands


6. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Deet spray
Bleach
Gown and gloves and disinfectant all the equipments


7. Which Patient NEED To ISOLATE
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.
C Diff( Clostridium difficle)
Before the rash appears
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


8. What would you question with a c diff pt
An order for and Anti Diarrhea med like Imodium
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1St provide care 2nd notify MD ( medical doctor
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


9. Identify the type of precaution required
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contact which are gloves and gown - Toes - wet - warm - spots
Examples: Airborne - droplet - contact or standard


10. What are the S/S for Botulism
A test to decect fecal occult blood assess for hidden blood in stool
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
N - V - D and Abd pain
Dry cough


11. Who is not able to start PPE
Those with liver problems and pregnant women
Blue - Blue - green - GREEN means negative
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Feces of infected people or animals


12. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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13. Rule: DISCHARGE DURING AN EMERGENCY
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. 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


14. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Swelling and tenderness of one or more salivary glands
Dry cough


15. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Pink red maculopapules
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
HIV - HEP B - C - Cytmegalovirus


16. When dealing w/ a Droplet percautions pt they require
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
C Diff( Clostridium difficle)
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


17. patient what kind of room they should stay
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Pink red maculopapules
Private rooms or patient with same organisms
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


18. What is the most dangerous type of Hep?
C Diff( Clostridium difficle)
A
Gloves
An order for and Anti Diarrhea med like Imodium


19. Contact Precautions
Gown and gloves and disinfectant all the equipments
1St provide care 2nd notify MD ( medical doctor
Contact which are gloves and gown - Toes - wet - warm - spots
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


20. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
PRIVATE - NEGATIVE PRESSURE ROOM
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


21. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Gown and gloves and disinfectant all the equipments
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


22. What are the char. of German measles( Rubella)
Gown and gloves and disinfectant all the equipments
Pink red maculopapules
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
DISCONTINUE The ATB


23. Who shouldn't get the Chicken pox vaccine

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24. Transferring Patient BETWEEN WARDS
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1St provide care 2nd notify MD ( medical doctor
Blue - Blue - green - GREEN means negative


25. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Mask will 3 feet
Wash their hands before and after handling pets
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


26. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor
Those with liver problems and pregnant women


27. What should the school teacher teach kids handleing pets
Nothing unless the pt is in isolation
Wash their hands before and after handling pets
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


28. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Mask will 3 feet
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


29. 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
An order for and Anti Diarrhea med like Imodium
Mask will 3 feet
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


30. What are common side effects of PPE
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Blue - Blue - green - GREEN means negative
Nausea - diarrhea and fatigue for up to 28 days
Pencillins - Cephalosporins - Clindamycin


31. What should you teach pt's to wear for protect themselves against Lyme disease
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
Deet spray
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
DISCONTINUE The ATB


32. Rabies pt's would need

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33. How is Salmonella transmitted
DISCONTINUE The ATB
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
Contaminated food and water
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


34. Who needs Standard and Contact precautions (SC)
Chef
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
DISCONTINUE The ATB


35. What is the most common cause of ATB associated diarrhea
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Nothing unless the pt is in isolation
C Diff( Clostridium difficle)
Blue - Blue - green - GREEN means negative


36. What is the two diseased caused by ticks
People w/ egg allergies - pregnant - illness or fever
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Rocky mountain fever and Lymes disease
C Diff( Clostridium difficle)


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

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38. What kind of diet is needed for a PT with hepatitis A
A diet high in calories and low fat
Lindane - Crotmiton - Permethrine
Mask will 3 feet
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


39. Who needs Standard - Airbourne and Contact precautions
Contaminated food and water
Small pox
Feces of infected people or animals
Before the rash appears


40. How can you prevent Salmonella
Contaminated food and water
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Nausea - diarrhea and fatigue for up to 28 days
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


41. What should you wear when taking a pt's VS?
Wash their hands before and after handling pets
Nothing unless the pt is in isolation
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


42. What are the major ATB associated w/ c diff
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
Pencillins - Cephalosporins - Clindamycin
Contact which are gloves and gown - Toes - wet - warm - spots


43. When is a pt w/measles most contagious?
Private rooms or patient with same organisms
EBOLI - MARBAR - CRIMEAN CONGO
Before the rash appears
Swelling and tenderness of one or more salivary glands


44. Droplet precautions
PRIVATE - NEGATIVE PRESSURE ROOM
Mask will 3 feet
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
A diet high in calories and low fat


45. What precaution are needed for Scabies pt
An order for and Anti Diarrhea med like Imodium
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Contact which are gloves and gown - Toes - wet - warm - spots
Fecal/oral


46. When CAN INFECTED Patient LEAVE TheIR 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.
-- 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
HIV - HEP B - C - Cytmegalovirus
Rocky mountain fever and Lymes disease


47. 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
Gown and gloves and disinfectant all the equipments
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


48. If aptient is going to surgery do not give them
C Diff( Clostridium difficle)
Lindane - Crotmiton - Permethrine
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


49. What should you wear if blood is spurting?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Lindane - Crotmiton - Permethrine
Gloves - gown - goggles and mask - Everything
Kopliks spots


50. How can you stop the spread of c diff

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