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 colors indicate blood in the stool when doing GUAIAC test
Nothing unless the pt is in isolation
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
Blue - Blue - green - GREEN means negative
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


2. What other ATB might be prescribed to treat c diff
A diet high in calories and low fat
C Diff( Clostridium difficle)
Wash their hands before and after handling pets
Oral Flagyl and and Vancomycin


3. What should you wash the toilet seat with
Bleach
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
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
C Diff( Clostridium difficle)


4. What is the two diseased caused by ticks
C Diff( Clostridium difficle)
Rocky mountain fever and Lymes disease
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
Dry cough


5. Where would you see a rash w/ Rocky mountain spotted fever?
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Wrist ankles Palms - soles Forearm
Gown and gloves and disinfectant all the equipments


6. 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
1St provide care 2nd notify MD ( medical 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
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


7. What patients need Droplet precautions?

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8. How can you stop the spread of c diff

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9. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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10. Identify the type of precaution required
C Diff( Clostridium difficle)
Maculopapular rash and vesicular scabs
Gown and gloves and disinfectant all the equipments
Examples: Airborne - droplet - contact or standard


11. Contact Precautions
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
Mask will 3 feet
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


12. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
Chef
Deet spray
A test to decect fecal occult blood assess for hidden blood in stool
1St provide care 2nd notify MD ( medical doctor


13. BLEEDING PRECAUTION Patient. These Patients Who Are On...
1St provide care 2nd notify MD ( medical doctor
Contact which are gloves and gown - Toes - wet - warm - spots
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


14. Rabies pt's would need

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15. To be most effective when should postexposure prophylaxis (PPE) be started?
Wrist ankles Palms - soles Forearm
COPD + Negative pressure room = Keep together
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Gloves - gown - goggles and mask - Everything


16. What should you do if the c diff is linked to an ATB
People w/ egg allergies - pregnant - illness or fever
COPD + Negative pressure room = Keep together
DISCONTINUE The ATB
Gown and gloves and disinfectant all the equipments


17. Infected Air - borne precaution
Private room with negative pressure
Gown and gloves and disinfectant all the equipments
Gloves - gown - goggles and mask - Everything
A consent form to be signed for Hep B - C and HIV


18. What are the characteristics of Chicken pox Varicella?
Maculopapular rash and vesicular scabs
EBOLI - MARBAR - CRIMEAN CONGO
A test to decect fecal occult blood assess for hidden blood in stool
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


19. What is the most dangerous type of Hep?
A test to decect fecal occult blood assess for hidden blood in stool
A
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Rocky mountain fever and Lymes disease


20. What should the school teacher teach kids handleing pets
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Wash their hands before and after handling pets
Contaminated food and water
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


21. How can you prevent Salmonella
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
A diet high in calories and low fat
A consent form to be signed for Hep B - C and HIV


22. Who is not able to start PPE
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
COPD + Negative pressure room = Keep together
Those with liver problems and pregnant women
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


23. What should you wear when taking a pt's VS?
Glanders - Lassa
Feces of infected people or animals
Nothing unless the pt is in isolation
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


24. How is Salmonella transmitted
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Contaminated food and water
Lindane - Crotmiton - Permethrine
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


25. How would you take off Personal protective gear?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Gloves 2.Goggles 3.Gown 4.Mask
Pencillins - Cephalosporins - Clindamycin
People w/ egg allergies - pregnant - illness or fever


26. Rule: DISCHARGE DURING AN EMERGENCY
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gloves
Glanders - Lassa


27. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
Oral Flagyl and and Vancomycin
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


28. Who needs Standard and Contact precautions (SC)
A diet high in calories and low fat
Mask will 3 feet
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis


29. Rule: Transferring PEDS Patient To MS (MED SURGE)
Blue - Blue - green - GREEN means negative
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


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

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31. What are the Ni for Pertussis?
Rest - warm - humid air
C Diff( Clostridium difficle)
Gown and gloves and disinfectant all the equipments
1.Gloves 2.Goggles 3.Gown 4.Mask


32. What precaution are needed for Scabies pt
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
Contact which are gloves and gown - Toes - wet - warm - spots
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Feces of infected people or animals


33. When To USE STAndARD PRECAUTIONS
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
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Those with liver problems and pregnant women


34. When dealing w/ a Droplet percautions pt they require
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
N - V - D and Abd pain
-- 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


35. When should you use Airborne Precautions
COPD + Negative pressure room = Keep together
Rocky mountain fever and Lymes disease
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


36. What would you question with a c diff pt
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
An order for and Anti Diarrhea med like Imodium


37. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Deet spray
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
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


38. What is the order for putting on 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
Those with liver problems and pregnant women
Mask will 3 feet
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


39. What are the S/S for Botulism
Kopliks spots
N - V - D and Abd pain
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


40. What should you wear when drawing blood
A test to decect fecal occult blood assess for hidden blood in stool
Nothing unless the pt is in isolation
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Gloves


41. After getting the Varicella vacc who should you teach pt's to avoid
Pink red maculopapules
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


42. What is the tx for Scabies
Swelling and tenderness of one or more salivary glands
Lindane - Crotmiton - Permethrine
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


43. If aptient is going to surgery do not give them
Lindane - Crotmiton - Permethrine
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Glanders - Lassa


44. What should you have the patient sign after being stuck by a needle?
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
A consent form to be signed for Hep B - C and HIV
A


45. What are the char. of German measles( Rubella)
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
1St provide care 2nd notify MD ( medical doctor
Pink red maculopapules


46. 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
Rest - warm - humid air
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Gloves 2.Goggles 3.Gown 4.Mask


47. Who needs Standard Contact and Droplet precautions
Glanders - Lassa
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Feces of infected people or animals
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


48. Which pt's can't the pregnant nurse care for
Bleach
Private rooms or patient with same organisms
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Lindane - Crotmiton - Permethrine


49. What are char of Pertussis( whooping cough)
Dry cough
A test to decect fecal occult blood assess for hidden blood in stool
An order for and Anti Diarrhea med like Imodium
Pink red maculopapules


50. 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
Pink red maculopapules
People w/ egg allergies - pregnant - illness or fever
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH