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. How is c diff transmitted?
Blue - Blue - green - GREEN means negative
Chef
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Wrist ankles Palms - soles Forearm


2. Rabies pt's would need

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3. Who shouldn't get the Chicken pox vaccine

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4. What precaution are needed for Scabies pt
Deet spray
Contact which are gloves and gown - Toes - wet - warm - spots
1.Gloves 2.Goggles 3.Gown 4.Mask
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


5. What should you wear if blood is spurting?
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Pink red maculopapules
Gloves - gown - goggles and mask - Everything


6. When dealing w/ a Droplet percautions pt they require
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
Wrist ankles Palms - soles Forearm
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Gloves - Goggles and a face shield


7. GENERAL RuleS FOR VACCINES
Examples: Airborne - droplet - contact or standard
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. 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
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


8. How is Hep A spread
Kopliks spots
Private room with negative pressure
Fecal/oral
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


9. What is the most dangerous type of Hep?
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Fecal/oral
Rest - warm - humid air
A


10. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
EBOLI - MARBAR - CRIMEAN CONGO
Rest - warm - humid air
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
1St provide care 2nd notify MD ( medical doctor


11. What is the two diseased caused by ticks
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Rocky mountain fever and Lymes disease
HIV - HEP B - C - Cytmegalovirus
Dry cough


12. Which Patient NEED To ISOLATE
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
C Diff( Clostridium difficle)
Glanders - Lassa
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


13. What kind of diet is needed for a PT with hepatitis A
Fecal/oral
A diet high in calories and low fat
Kopliks spots
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


14. What should you wear when drawing blood
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
A


15. Where can you find Salmonella
A test to decect fecal occult blood assess for hidden blood in stool
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Feces of infected people or animals


16. Who needs Standard Contact and Droplet precautions
Wrist ankles Palms - soles Forearm
Glanders - Lassa
Swelling and tenderness of one or more salivary glands
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves


17. What should you wear when taking a pt's VS?
EBOLI - MARBAR - CRIMEAN CONGO
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Nothing unless the pt is in isolation


18. What are the characteristics of Chicken pox Varicella?
Lindane - Crotmiton - Permethrine
Contaminated food and water
Gloves - Goggles and a face shield
Maculopapular rash and vesicular scabs


19. How can you stop the spread of c diff

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20. Which Patient CAN KEEP In The SAME ROOM
-- 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
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
Private room with negative pressure


21. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Private room with negative pressure
Nothing unless the pt is in isolation
HIV - HEP B - C - Cytmegalovirus
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


22. What type of job should a person with hepatitis never have
Chef
A diet high in calories and low fat
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


23. Identify the type of precaution required
Examples: Airborne - droplet - contact or standard
Gloves - gown - goggles and mask - Everything
Small pox
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


24. What should the school teacher teach kids handleing pets
Wash their hands before and after handling pets
Fecal/oral
Examples: Airborne - droplet - contact or standard
Glanders - Lassa


25. What are the S/S for Botulism
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Feces of infected people or animals
N - V - D and Abd pain
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


26. Who shouldn't get the measles vacc
People w/ egg allergies - pregnant - illness or fever
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
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
Private room with negative pressure


27. Contact Precautions
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Small pox
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments


28. How would you take off Personal protective gear?
1.Gloves 2.Goggles 3.Gown 4.Mask
Gloves
Contact which are gloves and gown - Toes - wet - warm - spots
Private rooms or patient with same organisms


29. After getting the Varicella vacc who should you teach pt's to avoid
A test to decect fecal occult blood assess for hidden blood in stool
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - Goggles and a face shield
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.


30. What colors indicate blood in the stool when doing GUAIAC test
Blue - Blue - green - GREEN means negative
Rocky mountain fever and Lymes disease
Wash their hands before and after handling pets
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


31. When is a pt w/measles most contagious?
A consent form to be signed for Hep B - C and HIV
HIV - HEP B - C - Cytmegalovirus
Fecal/oral
Before the rash appears


32. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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33. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
N - V - D and Abd pain
Gloves - gown - goggles and mask - Everything
A consent form to be signed for Hep B - C and HIV


34. What is warn when suctioning?
Dry cough
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
Gloves - Goggles and a face shield


35. When should you use Airborne Precautions
Contact which are gloves and gown - Toes - wet - warm - spots
A test to decect fecal occult blood assess for hidden blood in stool
EBOLI - MARBAR - CRIMEAN CONGO
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


36. 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
HIV - HEP B - C - Cytmegalovirus
People w/ egg allergies - pregnant - illness or fever
Contact which are gloves and gown - Toes - wet - warm - spots


37. DON'T TRANSFER Which Patient
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Maculopapular rash and vesicular scabs
Blue - Blue - green - GREEN means negative


38. What is the most common cause of ATB associated diarrhea
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
C Diff( Clostridium difficle)
People w/ egg allergies - pregnant - illness or fever
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES


39. What are the char. of German measles( Rubella)
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
Gown and gloves and disinfectant all the equipments
Pink red maculopapules
Swelling and tenderness of one or more salivary glands


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

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41. What kind of room would an Airborne precaution pt need
HIV - HEP B - C - Cytmegalovirus
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
PRIVATE - NEGATIVE PRESSURE ROOM
Fecal/oral


42. What should you have the patient sign after being stuck by a needle?
A consent form to be signed for Hep B - C and HIV
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Wash their hands before and after handling pets


43. WHen should you use standard percautions
HIV - HEP B - C - Cytmegalovirus
Swelling and tenderness of one or more salivary glands
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
DISCONTINUE The ATB


44. What should you teach pt's to wear for protect themselves against Lyme disease
Private rooms or patient with same organisms
An order for and Anti Diarrhea med like Imodium
Deet spray
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


45. What are the characteristics of Mumps
Lindane - Crotmiton - Permethrine
Swelling and tenderness of one or more salivary glands
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


46. What should a Contact Precaution pt have
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
A diet high in calories and low fat
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


47. How can you prevent Salmonella
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
DISCONTINUE The ATB


48. Where would you see a rash w/ Rocky mountain spotted fever?
PRIVATE - NEGATIVE PRESSURE ROOM
Oral Flagyl and and Vancomycin
Blue - Blue - green - GREEN means negative
Wrist ankles Palms - soles Forearm


49. Who needs Standard - Airbourne and Contact precautions
Small pox
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contaminated food and water


50. What are characteristics of Measles (Rubeola)
Pencillins - Cephalosporins - Clindamycin
A consent form to be signed for Hep B - C and HIV
Deet spray
Kopliks spots