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 pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
A diet high in calories and low fat
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gown and gloves and disinfectant all the equipments


2. What should you wear if blood is spurting?
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
Gloves - gown - goggles and mask - Everything
Gown and gloves and disinfectant all the equipments
A diet high in calories and low fat


3. What is the most dangerous type of Hep?
A
-- 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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect 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


4. How is c diff transmitted?
Contact which are gloves and gown - Toes - wet - warm - spots
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Lindane - Crotmiton - Permethrine


5. What is the tx for Scabies
Private room with negative pressure
An order for and Anti Diarrhea med like Imodium
Lindane - Crotmiton - Permethrine
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


6. What are the char. of German measles( Rubella)
Gloves - gown - goggles and mask - Everything
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Pink red maculopapules
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.


7. What is the most common cause of ATB associated diarrhea
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Glanders - Lassa
C Diff( Clostridium difficle)


8. What type of job should a person with hepatitis never have
Private room with negative pressure
Contaminated food and water
Chef
Rocky mountain fever and Lymes disease


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

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10. Who needs Standard Contact and Droplet precautions
HIV - HEP B - C - Cytmegalovirus
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
A
Glanders - Lassa


11. How can you prevent Salmonella
C Diff( Clostridium difficle)
Those with liver problems and pregnant women
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Deet spray


12. When is a pt w/measles most contagious?
Before the rash appears
A consent form to be signed for Hep B - C and HIV
An order for and Anti Diarrhea med like Imodium
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


13. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Feces of infected people or animals
1St provide care 2nd notify MD ( medical doctor
Pencillins - Cephalosporins - Clindamycin
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


14. What should the school teacher teach kids handleing pets
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash their hands before and after handling pets
Chef


15. 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
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


16. 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
Gloves - gown - goggles and mask - Everything
Chef
Those with liver problems and pregnant women


17. How is Hep A spread
Feces of infected people or animals
Fecal/oral
1.Gloves 2.Goggles 3.Gown 4.Mask
A test to decect fecal occult blood assess for hidden blood in stool


18. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
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.
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
-- 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


19. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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20. patient what kind of room they should stay
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
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 rooms or patient with same organisms
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


21. How is Salmonella transmitted
Contaminated food and water
1.Gloves 2.Goggles 3.Gown 4.Mask
Rocky mountain fever and Lymes disease
A


22. What should you wear when drawing blood
C Diff( Clostridium difficle)
HIV - HEP B - C - Cytmegalovirus
Gloves
Chef


23. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


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


25. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


26. Where would you see a rash w/ Rocky mountain spotted fever?
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
An order for and Anti Diarrhea med like Imodium
Wrist ankles Palms - soles Forearm
A test to decect fecal occult blood assess for hidden blood in stool


27. Who shouldn't get the Chicken pox vaccine

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28. WHen should you use standard percautions
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
Wash their hands before and after handling pets
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Small pox


29. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


30. Where can you find Salmonella
Feces of infected people or animals
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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
Examples: Airborne - droplet - contact or standard


31. How can you stop the spread of c diff

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32. 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
Examples: Airborne - droplet - contact or standard
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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


33. Which Patient CAN KEEP In The SAME 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
COPD + Negative pressure room = Keep together
Rest - warm - humid air
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


34. When To USE STAndARD PRECAUTIONS
COPD + Negative pressure room = Keep together
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.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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


35. Transferring Patient BETWEEN WARDS
Rocky mountain fever and Lymes disease
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A test to decect fecal occult blood assess for hidden blood in stool
C Diff( Clostridium difficle)


36. When CAN INFECTED Patient LEAVE TheIR ROOM
N - V - D and Abd pain
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.
An order for and Anti Diarrhea med like Imodium
Glanders - Lassa


37. What should you have the patient sign after being stuck by a needle?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves
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.
A consent form to be signed for Hep B - C and HIV


38. What are the S/S for Botulism
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
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
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
N - V - D and Abd pain


39. What patients need Droplet precautions?

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40. Rule: Transferring ADULT To PEDIATRIC WARDS
An order for and Anti Diarrhea med like Imodium
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


41. What should you wash the toilet seat with
A test to decect fecal occult blood assess for hidden blood in stool
Rocky mountain fever and Lymes disease
Bleach
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


42. What is the two diseased caused by ticks
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
Rocky mountain fever and Lymes disease
Glanders - Lassa
Blue - Blue - green - GREEN means negative


43. What should you do if the c diff is linked to an ATB
C Diff( Clostridium difficle)
Pink red maculopapules
Gown and gloves and disinfectant all the equipments
DISCONTINUE The ATB


44. What are the Ni for Pertussis?
1St provide care 2nd notify MD ( medical doctor
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Rest - warm - humid air


45. If aptient is going to surgery do not give them
Blue - Blue - green - GREEN means negative
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
Gloves - Goggles and a face shield


46. DON'T TRANSFER Which Patient
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
-- 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
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


47. After a bloodborne pathogen exposure what should be done later?
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
Contact which are gloves and gown - Toes - wet - warm - spots
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


48. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
PRIVATE - NEGATIVE PRESSURE 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.


49. What should a Contact Precaution pt have
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
Feces of infected people or animals
Fecal/oral
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


50. What kind of diet is needed for a PT with hepatitis A
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Small pox
A diet high in calories and low fat
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS