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. When is a pt w/measles most contagious?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Before the rash appears
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Kopliks spots


2. Who is not able to start PPE
Those with liver problems and pregnant women
Dry cough
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


3. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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
COPD + Negative pressure room = Keep together
Gloves - Goggles and a face shield


4. Who shouldn't get the Chicken pox vaccine

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5. How is Salmonella transmitted
Contaminated food and water
Gloves - gown - goggles and mask - Everything
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


6. What should you wash the toilet seat with
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
A diet high in calories and low fat
Bleach
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


7. Transferring Patient BETWEEN WARDS
Pink red maculopapules
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


8. What should you teach pt's to wear for protect themselves against Lyme disease
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Deet spray
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
An order for and Anti Diarrhea med like Imodium


9. What is the two diseased caused by ticks
Rocky mountain fever and Lymes disease
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Examples: Airborne - droplet - contact or standard


10. What is a GUAIAC test?
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Gloves - gown - goggles and mask - Everything


11. What should you wear when taking a pt's VS?
1St provide care 2nd notify MD ( medical doctor
Nothing unless the pt is in isolation
DISCONTINUE The ATB
-- 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


12. Infected Air - borne precaution
Rocky mountain fever and Lymes disease
Private room with negative pressure
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Private rooms or patient with same organisms


13. Which Patient CAN KEEP In The SAME ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
PRIVATE - NEGATIVE PRESSURE 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
COPD + Negative pressure room = Keep together


14. Who shouldn't get the measles vacc
Those with liver problems and pregnant women
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Chef
People w/ egg allergies - pregnant - illness or fever


15. What are characteristics of Measles (Rubeola)
Kopliks spots
Gown and gloves and disinfectant all the equipments
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.Gloves 2.Goggles 3.Gown 4.Mask


16. Where would you see a rash w/ Rocky mountain spotted fever?
Wrist ankles Palms - soles Forearm
Swelling and tenderness of one or more salivary glands
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
DISCONTINUE The ATB


17. How is Hep A spread
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
Gloves - Goggles and a face shield
Gloves - gown - goggles and mask - Everything


18. To be most effective when should postexposure prophylaxis (PPE) be started?
An order for and Anti Diarrhea med like Imodium
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Wrist ankles Palms - soles Forearm
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


19. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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20. When CAN INFECTED Patient LEAVE TheIR ROOM
Oral Flagyl and and Vancomycin
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.
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


21. How can you prevent Salmonella
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Lindane - Crotmiton - Permethrine
Bleach
EBOLI - MARBAR - CRIMEAN CONGO


22. Rule: Transferring ADULT To PEDIATRIC WARDS
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
PRIVATE - NEGATIVE PRESSURE ROOM
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


23. Rabies pt's would need

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24. What are common side effects of PPE
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
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
Nausea - diarrhea and fatigue for up to 28 days


25. What are the characteristics of Mumps
Before the rash appears
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
Swelling and tenderness of one or more salivary glands
COPD + Negative pressure room = Keep together


26. What kind of room would an Airborne precaution pt need
Dry cough
PRIVATE - NEGATIVE PRESSURE ROOM
1St provide care 2nd notify MD ( medical doctor
COPD + Negative pressure room = Keep together


27. Which Patient NEED To ISOLATE
Before the rash appears
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
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
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 can you stop the spread of c diff

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29. When should you use Airborne Precautions
Private rooms or patient with same organisms
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
EBOLI - MARBAR - CRIMEAN CONGO
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


30. How would you take off Personal protective gear?
Examples: Airborne - droplet - contact or standard
Private rooms or patient with same organisms
1.Gloves 2.Goggles 3.Gown 4.Mask
An order for and Anti Diarrhea med like Imodium


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


32. Rule: DISCHARGE DURING AN EMERGENCY
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Bleach
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


33. What should you wear if blood is spurting?
Private rooms or patient with same organisms
EBOLI - MARBAR - CRIMEAN CONGO
Gloves - gown - goggles and mask - Everything
Contact which are gloves and gown - Toes - wet - warm - spots


34. Droplet precautions
An order for and Anti Diarrhea med like Imodium
Mask will 3 feet
A consent form to be signed for Hep B - C and HIV
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


35. When To USE STAndARD PRECAUTIONS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Lindane - Crotmiton - Permethrine
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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


36. Who needs Standard Contact and Droplet precautions
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Lindane - Crotmiton - Permethrine
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Glanders - Lassa


37. After getting the Varicella vacc who should you teach pt's to avoid
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Kopliks spots


38. Who needs Standard and Contact precautions (SC)
-- 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
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


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

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40. What are the characteristics of Chicken pox Varicella?
Gloves - gown - goggles and mask - Everything
Those with liver problems and pregnant women
Wash their hands before and after handling pets
Maculopapular rash and vesicular scabs


41. What kind of diet is needed for a PT with hepatitis A
1St provide care 2nd notify MD ( medical doctor
Kopliks spots
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


42. 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
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Private room with negative pressure


43. When dealing w/ a Droplet percautions pt they require
Feces of infected people or animals
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
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
Private room with negative pressure


44. 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
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
Wash their hands before and after handling pets
Private rooms or patient with same organisms


45. After a bloodborne pathogen exposure what should be done later?
An order for and Anti Diarrhea med like Imodium
Dry cough
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


46. If aptient is going to surgery do not give them
Dry cough
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
1St provide care 2nd notify MD ( medical doctor


47. What are char of Pertussis( whooping cough)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Contact which are gloves and gown - Toes - wet - warm - spots
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
Dry cough


48. What are the Ni for Pertussis?
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Nausea - diarrhea and fatigue for up to 28 days
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Rest - warm - humid air


49. What patients need Droplet precautions?

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50. 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
Bleach
Before the rash appears
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C