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
A diet high in calories and low fat
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
COPD + Negative pressure room = Keep together


2. If aptient is going to surgery do not give them
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Wrist ankles Palms - soles Forearm


3. 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Examples: Airborne - droplet - contact or standard
Private room with negative pressure


4. What should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Bleach
A consent form to be signed for Hep B - C and HIV
COPD + Negative pressure room = Keep together


5. How is Salmonella transmitted
Nothing unless the pt is in isolation
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gown and gloves and disinfectant all the equipments
Contaminated food and water


6. What are the characteristics of Chicken pox Varicella?
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
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
Feces of infected people or animals


7. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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


8. Who shouldn't get the Chicken pox vaccine

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9. When is a pt w/measles most contagious?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Before the rash appears


10. How can you stop the spread of c diff

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11. When To USE STAndARD PRECAUTIONS
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


12. What would you question with a c diff pt
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
A test to decect fecal occult blood assess for hidden blood in stool
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
An order for and Anti Diarrhea med like Imodium


13. Who needs Standard - Airbourne and Contact precautions
Small pox
Wrist ankles Palms - soles Forearm
Rest - warm - humid air
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


14. What is the order for putting on personal protective gear?
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Feces of infected people or animals
HIV - HEP B - C - Cytmegalovirus
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


15. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
Those with liver problems and pregnant women
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


16. 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
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A diet high in calories and low fat


17. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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18. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
A diet high in calories and low fat
Swelling and tenderness of one or more salivary glands
C Diff( Clostridium difficle)


19. What kind of room would an Airborne precaution pt need
Kopliks spots
Gown and gloves and disinfectant all the equipments
PRIVATE - NEGATIVE PRESSURE ROOM
Pencillins - Cephalosporins - Clindamycin


20. Droplet precautions
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
HIV - HEP B - C - Cytmegalovirus
Mask will 3 feet


21. After getting the Varicella vacc who should you teach pt's to avoid
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
An order for and Anti Diarrhea med like Imodium
Wrist ankles Palms - soles Forearm
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


22. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
-- 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
Pink red maculopapules
Those with liver problems and pregnant women
A consent form to be signed for Hep B - C and HIV


23. Who needs Standard and Contact precautions (SC)
Contact which are gloves and gown - Toes - wet - warm - spots
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Rest - warm - humid air
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


24. What are the char. of German measles( Rubella)
Contaminated food and water
Pink red maculopapules
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


25. 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
Nausea - diarrhea and fatigue for up to 28 days
1.Gloves 2.Goggles 3.Gown 4.Mask
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


26. What precaution are needed for Scabies pt
Mask will 3 feet
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
Oral Flagyl and and Vancomycin


27. What is warn when suctioning?
Private room with negative pressure
Gloves
Gloves - Goggles and a face shield
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


28. How is Hep A spread
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash their hands before and after handling pets
Fecal/oral
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


29. What type of job should a person with hepatitis never have
Contaminated food and water
Chef
Lindane - Crotmiton - Permethrine
Gloves - Goggles and a face shield


30. Who is not able to start PPE
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
Examples: Airborne - droplet - contact or standard
Those with liver problems and pregnant women


31. Which pt's can't the pregnant nurse care for
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Swelling and tenderness of one or more salivary glands
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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. When should you use Airborne Precautions
Those with liver problems and pregnant women
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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


33. Identify the type of precaution required
Pencillins - Cephalosporins - Clindamycin
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Maculopapular rash and vesicular scabs
Examples: Airborne - droplet - contact or standard


34. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Blue - Blue - green - GREEN means negative
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1St provide care 2nd notify MD ( medical doctor
C Diff( Clostridium difficle)


35. Infected Air - borne precaution
Blue - Blue - green - GREEN means negative
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
Private room with negative pressure
Private rooms or patient with same organisms


36. What is the two diseased caused by ticks
Gloves - gown - goggles and mask - Everything
Rocky mountain fever and Lymes disease
Oral Flagyl and and Vancomycin
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


37. How can you prevent Salmonella
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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


38. What is the most dangerous type of Hep?
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A
Lindane - Crotmiton - Permethrine
Small pox


39. 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
Examples: Airborne - droplet - contact or standard
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


40. What should you wear when taking a pt's VS?
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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Nothing unless the pt is in isolation
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


41. Rule: Transferring ADULT To PEDIATRIC WARDS
DISCONTINUE The ATB
People w/ egg allergies - pregnant - illness or fever
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
COPD + Negative pressure room = Keep together


42. WHen should you use standard percautions
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Contact which are gloves and gown - Toes - wet - warm - spots


43. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
A consent form to be signed for Hep B - C and HIV
DISCONTINUE The ATB
Lindane - Crotmiton - Permethrine


44. Rabies pt's would need

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45. Where can you find Salmonella
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
Feces of infected people or animals
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
Gloves - gown - goggles and mask - Everything


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

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47. When dealing w/ a Droplet percautions pt they require
C Diff( Clostridium difficle)
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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gloves - Goggles and a face shield


48. What are char of Pertussis( whooping cough)
Dry cough
Mask will 3 feet
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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


49. What should you have the patient sign after being stuck by a needle?
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
C Diff( Clostridium difficle)
Those with liver problems and pregnant women
A consent form to be signed for Hep B - C and HIV


50. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
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
Glanders - Lassa