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 nurse immediately do if she stuck by a used needle?
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.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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


2. What are the characteristics of Chicken pox Varicella?
1St provide care 2nd notify MD ( medical doctor
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Maculopapular rash and vesicular scabs
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


3. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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
HIV - HEP B - C - Cytmegalovirus
A test to decect fecal occult blood assess for hidden blood in stool
1St provide care 2nd notify MD ( medical doctor


4. Who should get the chicken pox vaccine
Small pox
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
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


5. What should the school teacher teach kids handleing pets
A consent form to be signed for Hep B - C and HIV
Wash their hands before and after handling pets
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
Rest - warm - humid air


6. 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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


7. After getting the Varicella vacc who should you teach pt's to avoid
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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.. 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 should you teach pt's to wear for protect themselves against Lyme disease
Deet spray
Feces of infected people or animals
1St provide care 2nd notify MD ( medical doctor
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


9. What are common side effects of PPE
Nausea - diarrhea and fatigue for up to 28 days
Glanders - Lassa
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.
Rest - warm - humid air


10. patient what kind of room they should stay
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Private rooms or patient with same organisms
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress


11. What precaution are needed for Scabies pt
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
An order for and Anti Diarrhea med like Imodium
Contact which are gloves and gown - Toes - wet - warm - spots
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


12. What type of job should a person with hepatitis never have
Chef
-- 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
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
A test to decect fecal occult blood assess for hidden blood in stool


13. What is the most dangerous type of Hep?
Rest - warm - humid air
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
A


14. How is Hep A spread
Fecal/oral
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
People w/ egg allergies - pregnant - illness or fever
An order for and Anti Diarrhea med like Imodium


15. What is the two diseased caused by ticks
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. 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.
Rocky mountain fever and Lymes disease
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


16. What should a Contact Precaution pt have
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
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


17. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Nothing unless the pt is in isolation
Rest - warm - humid air
Swelling and tenderness of one or more salivary glands


18. Rule: Transferring PEDS Patient To MS (MED SURGE)
Glanders - Lassa
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]
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


19. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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20. What are the Ni for Pertussis?
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 you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Blue - Blue - green - GREEN means negative
Rest - warm - humid air


21. What are the char. of German measles( Rubella)
Pink red maculopapules
A diet high in calories and low fat
1.Gloves 2.Goggles 3.Gown 4.Mask
C Diff( Clostridium difficle)


22. When CAN INFECTED Patient LEAVE TheIR ROOM
A test to decect fecal occult blood assess for hidden blood in stool
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.
N - V - D and Abd pain
Bleach


23. Transferring Patient BETWEEN WARDS
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
EBOLI - MARBAR - CRIMEAN CONGO
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


24. 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
Maculopapular rash and vesicular scabs
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


25. 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
N - V - D and Abd pain
Kopliks spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


26. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A
EBOLI - MARBAR - CRIMEAN CONGO
Gloves


27. Identify the type of precaution required
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Examples: Airborne - droplet - contact or standard
PRIVATE - NEGATIVE PRESSURE ROOM
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


28. Rabies pt's would need

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29. Who needs Standard - Airbourne and Contact precautions
Small pox
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
PRIVATE - NEGATIVE PRESSURE ROOM
Pencillins - Cephalosporins - Clindamycin


30. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Bleach


31. Rule: DISCHARGE DURING AN EMERGENCY
Maculopapular rash and vesicular scabs
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Small pox


32. 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
Contact which are gloves and gown - Toes - wet - warm - spots
COPD + Negative pressure room = Keep together
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


33. If aptient is going to surgery do not give them
Glanders - Lassa
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


34. WHen should you use standard percautions
Gloves
Swelling and tenderness of one or more salivary glands
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Dry cough


35. What are the major ATB associated w/ c diff
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Pencillins - Cephalosporins - Clindamycin
Contaminated food and water
Glanders - Lassa


36. Who shouldn't get the Chicken pox vaccine

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37. How is c diff transmitted?
Wash their hands before and after handling pets
Lindane - Crotmiton - Permethrine
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


38. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Glanders - Lassa
A consent form to be signed for Hep B - C and HIV


39. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Swelling and tenderness of one or more salivary glands
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late


40. When is a pt w/measles most contagious?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Before the rash appears
Wash their hands before and after handling pets
Those with liver problems and pregnant women


41. What would you question with a c diff pt
Bleach
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
Gloves - gown - goggles and mask - Everything


42. How can you stop the spread of c diff

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43. What patients need Droplet precautions?

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44. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Chef
Glanders - Lassa
Gloves


45. How can you prevent Salmonella
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
An order for and Anti Diarrhea med like Imodium
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


46. 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
Those with liver problems and pregnant women
Private rooms or patient with same organisms
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


47. When dealing w/ a Droplet percautions pt they require
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
Maculopapular rash and vesicular scabs
Gloves - Goggles and a face shield
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


48. How is Salmonella transmitted
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
Contaminated food and water
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
DISCONTINUE The ATB


49. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


50. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Deet spray