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. Who shouldn't get the Chicken pox vaccine

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2. What kind of diet is needed for a PT with hepatitis A
Gloves - Goggles and a face shield
A diet high in calories and low fat
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves


3. Rule: Transferring ADULT To PEDIATRIC WARDS
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
EBOLI - MARBAR - CRIMEAN CONGO
-- 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


4. What other ATB might be prescribed to treat c diff
Deet spray
Swelling and tenderness of one or more salivary glands
A test to decect fecal occult blood assess for hidden blood in stool
Oral Flagyl and and Vancomycin


5. Identify the type of precaution required
Gloves - Goggles and a face shield
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gloves - gown - goggles and mask - Everything
Examples: Airborne - droplet - contact or standard


6. What would you question with a c diff pt
Wash their hands before and after handling pets
An order for and Anti Diarrhea med like Imodium
Mask will 3 feet
A


7. How is Salmonella transmitted
C Diff( Clostridium difficle)
Contaminated food and water
Those with liver problems and pregnant women
A diet high in calories and low fat


8. What colors indicate blood in the stool when doing GUAIAC test
Swelling and tenderness of one or more salivary glands
Blue - Blue - green - GREEN means negative
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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


9. What are char of Pertussis( whooping cough)
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
Dry cough
Oral Flagyl and and Vancomycin
Before the rash appears


10. What are the characteristics of Chicken pox Varicella?
Pink red maculopapules
Maculopapular rash and vesicular scabs
Gloves
Small pox


11. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Maculopapular rash and vesicular scabs
Examples: Airborne - droplet - contact or standard
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
EBOLI - MARBAR - CRIMEAN CONGO


12. Rule: DISCHARGE DURING AN EMERGENCY
An order for and Anti Diarrhea med like Imodium
1.Gloves 2.Goggles 3.Gown 4.Mask
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Small pox


13. What type of job should a person with hepatitis never have
Chef
Before the rash appears
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Nausea - diarrhea and fatigue for up to 28 days


14. When To USE STAndARD PRECAUTIONS
Private rooms or patient with same organisms
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
C Diff( Clostridium difficle)
Swelling and tenderness of one or more salivary glands


15. What are common side effects of PPE
Rest - warm - humid air
Nausea - diarrhea and fatigue for up to 28 days
Swelling and tenderness of one or more salivary glands
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


16. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Private rooms or patient with same organisms
A consent form to be signed for Hep B - C and HIV


17. What are the S/S for Botulism
Oral Flagyl and and Vancomycin
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
N - V - D and Abd pain
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


18. Who shouldn't get the measles vacc
Swelling and tenderness of one or more salivary glands
Nausea - diarrhea and fatigue for up to 28 days
People w/ egg allergies - pregnant - illness or 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


19. How would you take off Personal protective gear?
Kopliks spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Gloves 2.Goggles 3.Gown 4.Mask
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


20. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots
1.Gloves 2.Goggles 3.Gown 4.Mask
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


21. INTERVENTION FOR PREVENT ASPIRATION
Dry cough
DISCONTINUE The ATB
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 consent form to be signed for Hep B - C and HIV


22. How can you stop the spread of c diff

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23. What should the nurse immediately do if she stuck by a used needle?
EBOLI - MARBAR - CRIMEAN CONGO
Feces of infected people or animals
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A diet high in calories and low fat


24. How is Hep A spread
1.Gloves 2.Goggles 3.Gown 4.Mask
A test to decect fecal occult blood assess for hidden blood in stool
Private room with negative pressure
Fecal/oral


25. DON'T TRANSFER Which Patient
Wash their hands before and after handling pets
Gloves - Goggles and a face shield
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
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


26. Which Patient CAN KEEP In The SAME ROOM
Kopliks spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
COPD + Negative pressure room = Keep together
A diet high in calories and low fat


27. Who is not able to start PPE
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
Those with liver problems and pregnant women
Bleach
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


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

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29. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Wrist ankles Palms - soles Forearm
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Wash their hands before and after handling pets


30. patient what kind of room they should stay
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Bleach
Private rooms or patient with same organisms
DISCONTINUE The ATB


31. Who needs Standard - Airbourne and Contact precautions
Small pox
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


32. What should you teach pt's to wear for protect themselves against Lyme disease
Small pox
Mask will 3 feet
Deet spray
Oral Flagyl and and Vancomycin


33. WHen should you use standard percautions
Gloves
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


34. What patients need Droplet precautions?

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35. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
Private room with negative pressure
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
DISCONTINUE The ATB


36. What is the most dangerous type of Hep?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1St provide care 2nd notify MD ( medical doctor
A
Mask will 3 feet


37. Where can you find Salmonella
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
PRIVATE - NEGATIVE PRESSURE ROOM
Feces of infected people or animals
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


38. What are the major ATB associated w/ c diff
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
People w/ egg allergies - pregnant - illness or fever
Pencillins - Cephalosporins - Clindamycin
-- 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


39. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Lindane - Crotmiton - Permethrine
Glanders - Lassa


40. How can you prevent Salmonella
Bleach
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
1St provide care 2nd notify MD ( medical doctor
EBOLI - MARBAR - CRIMEAN CONGO


41. What are the char. of German measles( Rubella)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A test to decect fecal occult blood assess for hidden blood in stool
N - V - D and Abd pain
Pink red maculopapules


42. 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
Rest - warm - humid air
Private room with negative pressure
PRIVATE - NEGATIVE PRESSURE ROOM


43. If aptient is going to surgery do not give them
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. 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
Those with liver problems and pregnant women
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


44. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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45. When is a pt w/measles most contagious?
Before the rash appears
Gloves
Oral Flagyl and and Vancomycin
HIV - HEP B - C - Cytmegalovirus


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


47. Droplet precautions
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.
Deet spray
Nothing unless the pt is in isolation
Mask will 3 feet


48. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1St provide care 2nd notify MD ( medical doctor
Swelling and tenderness of one or more salivary glands
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Lindane - Crotmiton - Permethrine


49. 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.
Bleach
Dry cough
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


50. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Mask will 3 feet
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