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 you wear if blood is spurting?
Bleach
Gloves - gown - goggles and mask - Everything
People w/ egg allergies - pregnant - illness or fever
Dry cough


2. When dealing w/ a Droplet percautions pt they require
Gloves
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
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
Rocky mountain fever and Lymes disease


3. Where can you find Salmonella
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Feces of infected people or animals
Fecal/oral


4. Droplet precautions
Mask will 3 feet
Maculopapular rash and vesicular scabs
Nothing unless the pt is in isolation
Feces of infected people or animals


5. What is the most dangerous type of Hep?
An order for and Anti Diarrhea med like Imodium
A
Gown and gloves and disinfectant all the equipments
Rocky mountain fever and Lymes disease


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

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7. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Bleach
A
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


8. If aptient is going to surgery do not give them
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Blue - Blue - green - GREEN means negative
Wash their hands before and after handling pets
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


9. Identify the type of precaution required
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard
Wash their hands before and after handling pets
Lindane - Crotmiton - Permethrine


10. How would you take off Personal protective gear?
Nausea - diarrhea and fatigue for up to 28 days
EBOLI - MARBAR - CRIMEAN CONGO
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


11. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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12. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Before the rash appears
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


13. Who is not able to start PPE
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Mask will 3 feet
Swelling and tenderness of one or more salivary glands
Those with liver problems and pregnant women


14. 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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


15. How is c diff transmitted?
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Lindane - Crotmiton - Permethrine
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
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


16. Infected Air - borne precaution
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
-- 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
Private room with negative pressure


17. When is a pt w/measles most contagious?
Contaminated food and water
Feces of infected people or animals
Gown and gloves and disinfectant all the equipments
Before the rash appears


18. What other ATB might be prescribed to treat c diff
PRIVATE - NEGATIVE PRESSURE ROOM
People w/ egg allergies - pregnant - illness or fever
Oral Flagyl and and Vancomycin
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


19. What would you question with a c diff pt
Kopliks spots
An order for and Anti Diarrhea med like Imodium
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
Small pox


20. 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
N - V - D and Abd pain
Rocky mountain fever and Lymes 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


21. What is the tx for Scabies
A consent form to be signed for Hep B - C and HIV
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)
Lindane - Crotmiton - Permethrine


22. What should you do if the c diff is linked to an ATB
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
DISCONTINUE The ATB
Gloves - gown - goggles and mask - Everything
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


23. What is a GUAIAC test?
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
A test to decect fecal occult blood assess for hidden blood in stool
Oral Flagyl and and Vancomycin
Gown and gloves and disinfectant all the equipments


24. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
A test to decect fecal occult blood assess for hidden blood in stool
C Diff( Clostridium difficle)
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.
EBOLI - MARBAR - CRIMEAN CONGO


25. Who shouldn't get the measles vacc
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
People w/ egg allergies - pregnant - illness or fever
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
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


26. What is the most common cause of ATB associated diarrhea
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
DISCONTINUE The ATB
C Diff( Clostridium difficle)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


27. What type of job should a person with hepatitis never have
Chef
People w/ egg allergies - pregnant - illness or fever
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
Before the rash appears


28. Transferring Patient BETWEEN WARDS
PRIVATE - NEGATIVE PRESSURE ROOM
Those with liver problems and pregnant women
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
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


29. What is warn when suctioning?
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
People w/ egg allergies - pregnant - illness or fever
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
Gloves - Goggles and a face shield


30. What are common side effects of PPE
People w/ egg allergies - pregnant - illness or fever
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Nausea - diarrhea and fatigue for up to 28 days


31. What should you have the patient sign after being stuck by a needle?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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


32. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
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
COPD + Negative pressure room = Keep together


33. Who shouldn't get the Chicken pox vaccine

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34. What are the S/S for Botulism
A consent form to be signed for Hep B - C and HIV
Swelling and tenderness of one or more salivary glands
N - V - D and Abd pain
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


35. What are characteristics of Measles (Rubeola)
Gloves
DISCONTINUE The ATB
Kopliks spots
A


36. What are the characteristics of Mumps
C Diff( Clostridium difficle)
Private rooms or patient with same organisms
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Swelling and tenderness of one or more salivary glands


37. How can you stop the spread of c diff

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38. GENERAL RuleS FOR VACCINES
A diet high in calories and low fat
HIV - HEP B - C - Cytmegalovirus
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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


39. To be most effective when should postexposure prophylaxis (PPE) be started?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A consent form to be signed for Hep B - C and HIV
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


40. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves
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


41. What should you wear when drawing blood
Chef
Gloves
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Before the rash appears


42. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Pink red maculopapules
-- 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
Feces of infected people or animals
Pencillins - Cephalosporins - Clindamycin


43. What precaution are needed for Scabies pt
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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
Contact which are gloves and gown - Toes - wet - warm - spots
An order for and Anti Diarrhea med like Imodium


44. Which pt's can't the pregnant nurse care for
A consent form to be signed for Hep B - C and HIV
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Gown and gloves and disinfectant all the equipments
Private rooms or patient with same organisms


45. What are the characteristics of Chicken pox Varicella?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Pencillins - Cephalosporins - Clindamycin
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
Maculopapular rash and vesicular scabs


46. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
People w/ egg allergies - pregnant - illness or fever
A consent form to be signed for Hep B - C and HIV
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


47. What colors indicate blood in the stool when doing GUAIAC test
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Dry cough
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Blue - Blue - green - GREEN means negative


48. What patients need Droplet precautions?

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49. What pt's would be ok for a pregnant nurse to care for
Rocky mountain fever and Lymes disease
Pink red maculopapules
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water


50. When should you use Airborne Precautions
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
DISCONTINUE The ATB
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Bleach