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 are the Ni for Pertussis?
Rest - warm - humid air
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
A
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


2. Droplet precautions
Pink red maculopapules
Mask will 3 feet
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


3. What should you do if the c diff is linked to an ATB
C Diff( Clostridium difficle)
Those with liver problems and pregnant women
Kopliks spots
DISCONTINUE The ATB


4. What is the most dangerous type of Hep?
Nausea - diarrhea and fatigue for up to 28 days
Feces of infected people or animals
A
Gloves - gown - goggles and mask - Everything


5. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Chef
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
A consent form to be signed for Hep B - C and HIV


6. How is Salmonella transmitted
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
Bleach
An order for and Anti Diarrhea med like Imodium
Contaminated food and water


7. What is the two diseased caused by ticks
An order for and Anti Diarrhea med like Imodium
Rocky mountain fever and Lymes disease
Contact which are gloves and gown - Toes - wet - warm - spots
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


8. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Gloves - Goggles and a face shield


9. 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
Gloves - gown - goggles and mask - Everything
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


10. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


11. Contact Precautions
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Nothing unless the pt is in isolation
Gown and gloves and disinfectant all the equipments
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


12. Who needs Standard - Airbourne and Contact precautions
Blue - Blue - green - GREEN means negative
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]
Small pox


13. What should you have the patient sign after being stuck by a needle?
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
An order for and Anti Diarrhea med like Imodium
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 consent form to be signed for Hep B - C and HIV


14. Rabies pt's would need

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15. What pt's would be ok for a pregnant nurse to care for
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Wrist ankles Palms - soles Forearm
HIV - HEP B - C - Cytmegalovirus
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS


16. Who needs Standard and Contact precautions (SC)
Private rooms or patient with same organisms
PRIVATE - NEGATIVE PRESSURE ROOM
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Pink red maculopapules


17. Which pt's can't the pregnant nurse care for
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Wash their hands before and after handling pets
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
Pencillins - Cephalosporins - Clindamycin


18. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
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


19. Who shouldn't get the Chicken pox vaccine

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20. How can you prevent Salmonella
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Nausea - diarrhea and fatigue for up to 28 days
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 should you wear when taking a pt's VS?
Small pox
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Nothing unless the pt is in isolation


22. What is the most common cause of ATB associated diarrhea
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
C Diff( Clostridium difficle)
Gloves - gown - goggles and mask - Everything
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


23. How is Hep A spread
Nausea - diarrhea and fatigue for up to 28 days
Fecal/oral
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
Pink red maculopapules


24. When is a pt w/measles most contagious?
Before the rash appears
-- 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
Those with liver problems and pregnant women
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


25. What is the tx for Scabies
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Lindane - Crotmiton - Permethrine
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Mask will 3 feet


26. What kind of diet is needed for a PT with hepatitis A
Small pox
Rest - warm - humid air
A consent form to be signed for Hep B - C and HIV
A diet high in calories and low fat


27. Which Patient CAN KEEP In The SAME ROOM
Wash their hands before and after handling pets
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)
COPD + Negative pressure room = Keep together


28. Rule: DISCHARGE DURING AN EMERGENCY
Swelling and tenderness of one or more salivary glands
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Small pox
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


29. What is the order for putting on personal protective gear?
Glanders - Lassa
1.Gloves 2.Goggles 3.Gown 4.Mask
Lindane - Crotmiton - Permethrine
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


30. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
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.
1St provide care 2nd notify MD ( medical doctor
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


31. patient what kind of room they should stay
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Private rooms or patient with same organisms


32. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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33. What are the char. of German measles( Rubella)
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
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Pink red maculopapules


34. To be most effective when should postexposure prophylaxis (PPE) be started?
A diet high in calories and low fat
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Small pox
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


35. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Mask will 3 feet
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


36. What patients need Droplet precautions?

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37. WHen should you use standard percautions
Bleach
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Contact which are gloves and gown - Toes - wet - warm - spots


38. Identify the type of precaution required
COPD + Negative pressure room = Keep together
Gloves
1.Gloves 2.Goggles 3.Gown 4.Mask
Examples: Airborne - droplet - contact or standard


39. How would you take off Personal protective gear?
Those with liver problems and pregnant women
Rocky mountain fever and Lymes disease
Glanders - Lassa
1.Gloves 2.Goggles 3.Gown 4.Mask


40. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE 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.
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
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


41. What should the nurse immediately do if she stuck by a used needle?
Gown and gloves and disinfectant all the equipments
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Small pox
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


42. 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
Gown and gloves and disinfectant all the equipments
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


43. What are the characteristics of Mumps
Swelling and tenderness of one or more salivary glands
Feces of infected people or animals
COPD + Negative pressure room = Keep together
Private rooms or patient with same organisms


44. How can you stop the spread of c diff

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45. INTERVENTION FOR PREVENT ASPIRATION
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
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


46. After getting the Varicella vacc who should you teach pt's to avoid
Nausea - diarrhea and fatigue for up to 28 days
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
Pink red maculopapules
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


47. Transferring Patient BETWEEN WARDS
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
Private rooms or patient with same organisms
-- 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


48. Who should get the chicken pox vaccine
N - V - D and Abd pain
Deet spray
Gloves - Goggles and a face shield
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


49. Rule: Transferring ADULT To PEDIATRIC WARDS
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
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
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


50. What are char of Pertussis( whooping cough)
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
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
Dry cough
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves