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 should you use Airborne Precautions
Swelling and tenderness of one or more salivary glands
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private room with negative pressure
C Diff( Clostridium difficle)


2. 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
Oral Flagyl and and Vancomycin
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
Examples: Airborne - droplet - contact or standard


3. How would you take off Personal protective gear?
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.Gloves 2.Goggles 3.Gown 4.Mask
Pencillins - Cephalosporins - Clindamycin
Examples: Airborne - droplet - contact or standard


4. What are the Ni for Pertussis?
COPD + Negative pressure room = Keep together
People w/ egg allergies - pregnant - illness or fever
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Rest - warm - humid air


5. Transferring Patient BETWEEN WARDS
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
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1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
A


6. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
A
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
-- 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
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
-- 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
C Diff( Clostridium difficle)
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


8. Rule: DISCHARGE DURING AN EMERGENCY
Rocky mountain fever and Lymes disease
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
Gloves - gown - goggles and mask - Everything
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


9. What should you wear when drawing blood
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves
An order for and Anti Diarrhea med like Imodium


10. 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
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
-- 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
Dry cough


11. When dealing w/ a Droplet percautions pt they require
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
A diet high in calories and low fat
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


12. DON'T TRANSFER Which Patient
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
1.Gloves 2.Goggles 3.Gown 4.Mask
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Blue - Blue - green - GREEN means negative


13. Which pt's can't the pregnant nurse care for
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


14. If aptient is going to surgery do not give them
Feces of infected people or animals
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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


15. What are char of Pertussis( whooping cough)
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Dry cough
Gloves - gown - goggles and mask - Everything


16. What are the char. of German measles( Rubella)
Pink red maculopapules
Gloves - Goggles and a face shield
N - V - D and Abd pain
Rest - warm - humid air


17. What is the order for putting on personal protective gear?
N - V - D and Abd pain
HIV - HEP B - C - Cytmegalovirus
Private room with negative pressure
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


18. What colors indicate blood in the stool when doing GUAIAC test
A diet high in calories and low fat
Examples: Airborne - droplet - contact or standard
Contact which are gloves and gown - Toes - wet - warm - spots
Blue - Blue - green - GREEN means negative


19. 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)
People w/ egg allergies - pregnant - illness or fever
Oral Flagyl and and Vancomycin
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


20. What should you wash the toilet seat with
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Bleach
1.Gloves 2.Goggles 3.Gown 4.Mask
DISCONTINUE The ATB


21. When is a pt w/measles most contagious?
Before the rash appears
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
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
Private rooms or patient with same organisms


22. What precaution are needed for Scabies pt
Before the rash appears
Gloves - Goggles and a face shield
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


23. Infected Air - borne precaution
-- 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
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.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Private room with negative pressure


24. How is Salmonella transmitted
EBOLI - MARBAR - CRIMEAN CONGO
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Contaminated food and water


25. 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
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
Those with liver problems and pregnant women
1.Gloves 2.Goggles 3.Gown 4.Mask


26. Who needs Standard and Contact precautions (SC)
Gloves
PRIVATE - NEGATIVE PRESSURE ROOM
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


27. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Oral Flagyl and and Vancomycin
Pink red maculopapules


28. Who needs Standard Contact and Droplet precautions
Mask will 3 feet
Glanders - Lassa
Gloves - gown - goggles and mask - Everything
Lindane - Crotmiton - Permethrine


29. What patients need Droplet precautions?

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30. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
EBOLI - MARBAR - CRIMEAN CONGO
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
-- 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


31. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
A diet high in calories and low fat
N - V - D and Abd pain
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


32. Who shouldn't get the Chicken pox vaccine

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33. Contact Precautions
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Gown and gloves and disinfectant all the equipments
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


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

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35. What are the characteristics of Mumps
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
COPD + Negative pressure room = Keep together
Swelling and tenderness of one or more salivary glands
Nothing unless the pt is in isolation


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


37. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
N - V - D and Abd pain
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
HIV - HEP B - C - Cytmegalovirus


38. BLEEDING PRECAUTION Patient. These Patients Who Are On...
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
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Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


39. Rule: Transferring ADULT To PEDIATRIC WARDS
Gown and gloves and disinfectant all the equipments
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
Kopliks spots


40. 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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Wrist ankles Palms - soles Forearm


41. What are characteristics of Measles (Rubeola)
Mask will 3 feet
Kopliks spots
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Lindane - Crotmiton - Permethrine


42. What should you have the patient sign after being stuck by a needle?
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A consent form to be signed for Hep B - C and HIV
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Oral Flagyl and and Vancomycin


43. WHen should you use standard percautions
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
C Diff( Clostridium difficle)
Dry cough


44. What should the school teacher teach kids handleing pets
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Chef
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
Wash their hands before and after handling pets


45. What kind of diet is needed for a PT with hepatitis A
1.Gloves 2.Goggles 3.Gown 4.Mask
A diet high in calories and low fat
Wrist ankles Palms - soles Forearm
Fecal/oral


46. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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47. How can you stop the spread of c diff

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48. What type of job should a person with hepatitis never have
Chef
Lindane - Crotmiton - Permethrine
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Contact which are gloves and gown - Toes - wet - warm - spots


49. What is warn when suctioning?
Gloves - Goggles and a face shield
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Wash their hands before and after handling pets
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


50. After a bloodborne pathogen exposure what should be done later?
Examples: Airborne - droplet - contact or standard
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Chef