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 characteristics of Measles (Rubeola)
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 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
Kopliks spots
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


2. What patients need Droplet precautions?

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3. INTERVENTION FOR PREVENT ASPIRATION
Rocky mountain fever and Lymes disease
Rest - warm - humid air
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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


4. Who shouldn't get the Chicken pox vaccine

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5. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Blue - Blue - green - GREEN means negative
-- 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
DISCONTINUE The ATB
1St provide care 2nd notify MD ( medical doctor


6. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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7. What are char of Pertussis( whooping cough)
An order for and Anti Diarrhea med like Imodium
Dry cough
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
C Diff( Clostridium difficle)


8. patient what kind of room they should stay
Private rooms or patient with same organisms
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
1.Gloves 2.Goggles 3.Gown 4.Mask


9. What are the S/S for Botulism
N - V - D and Abd pain
Gloves - Goggles and a face shield
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


10. What should you wear if blood is spurting?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
COPD + Negative pressure room = Keep together
Gloves - gown - goggles and mask - Everything
Contaminated food and water


11. What are common side effects of PPE
Glanders - Lassa
Maculopapular rash and vesicular scabs
People w/ egg allergies - pregnant - illness or fever
Nausea - diarrhea and fatigue for up to 28 days


12. What should you do if the c diff is linked to an ATB
N - V - D and Abd pain
Blue - Blue - green - GREEN means negative
DISCONTINUE The ATB
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


13. Contact Precautions
Those with liver problems and pregnant women
Gown and gloves and disinfectant all the equipments
HIV - HEP B - C - Cytmegalovirus
Contaminated food and water


14. How can you stop the spread of c diff

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15. What should you wear when drawing blood
Gloves
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Mask will 3 feet
C Diff( Clostridium difficle)


16. What should you wash the toilet seat with
Bleach
Gloves - Goggles and a face shield
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
1.Gloves 2.Goggles 3.Gown 4.Mask


17. Who needs Standard Contact and Droplet precautions
Gown and gloves and disinfectant all the equipments
Chef
Glanders - Lassa
Blue - Blue - green - GREEN means negative


18. 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
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
Contaminated food and water
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


19. Who needs Standard - Airbourne and Contact precautions
Rocky mountain fever and Lymes disease
Blue - Blue - green - GREEN means negative
MEASLES - GERMAN MEASLES - PARAVIRUS B19 - VARICELLA CHICKEN POX - RADIO ACTIVE ISO TOPE - HANGING CHEMO MEDS
Small pox


20. How would you take off Personal protective gear?
Examples: Airborne - droplet - contact or standard
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
1.Gloves 2.Goggles 3.Gown 4.Mask
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


21. What is the order for putting on personal protective gear?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Blue - Blue - green - GREEN means negative
Chef


22. Who is not able to start PPE
Those with liver problems and pregnant women
Examples: Airborne - droplet - contact or standard
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


23. Who should get the chicken pox vaccine
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. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
An order for and Anti Diarrhea med like Imodium
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients


24. What type of job should a person with hepatitis never have
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
Chef
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


25. What should the nurse immediately do if she stuck by a used needle?
A
Blue - Blue - green - GREEN means negative
Bleach
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


26. What should you have the patient sign after being stuck by a needle?
EBOLI - MARBAR - CRIMEAN CONGO
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Blue - Blue - green - GREEN means negative
A consent form to be signed for Hep B - C and HIV


27. What is a GUAIAC test?
A test to decect fecal occult blood assess for hidden blood in stool
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Examples: Airborne - droplet - contact or standard


28. What should you wear when taking a pt's VS?
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
Nothing unless the pt is in isolation
-- 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
Deet spray


29. What pt's would be ok for a pregnant nurse to care for
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Swelling and tenderness of one or more salivary glands
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
HIV - HEP B - C - Cytmegalovirus


30. When dealing w/ a Droplet percautions pt they require
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
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
Deet spray
Lindane - Crotmiton - Permethrine


31. Where can you find Salmonella
Feces of infected people or animals
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)
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB


32. How can you prevent Salmonella
Those with liver problems and pregnant women
Pink red maculopapules
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Contaminated food and water


33. What kind of diet is needed for a PT with hepatitis A
Wash their hands before and after handling pets
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
Maculopapular rash and vesicular scabs
A diet high in calories and low fat


34. Who shouldn't get the measles vacc
Swelling and tenderness of one or more salivary glands
Private rooms or patient with same organisms
People w/ egg allergies - pregnant - illness or fever
A test to decect fecal occult blood assess for hidden blood in stool


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

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36. What precaution are needed for Scabies pt
Deet spray
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
Contact which are gloves and gown - Toes - wet - warm - spots


37. 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
Gloves
Mask will 3 feet


38. Which Patient NEED To ISOLATE
A
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
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


39. What is the tx for Scabies
Lindane - Crotmiton - Permethrine
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.
Gloves - Goggles and a face shield
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


40. What are the characteristics of Mumps
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
Swelling and tenderness of one or more salivary glands
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. 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


41. When CAN INFECTED Patient LEAVE TheIR ROOM
Kopliks spots
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.
Those with liver problems and pregnant women
Contact which are gloves and gown - Toes - wet - warm - spots


42. Transferring Patient BETWEEN WARDS
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Gloves - gown - goggles and mask - Everything
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


43. How is Hep A spread
Fecal/oral
Chef
Nothing unless the pt is in isolation
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months


44. BLEEDING PRECAUTION Patient. These Patients Who Are On...
Nothing unless the pt is in isolation
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
-- 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
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS


45. Identify the type of precaution required
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
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
Examples: Airborne - droplet - contact or standard
Rest - warm - humid air


46. What kind of room would an Airborne precaution pt need
Contact which are gloves and gown - Toes - wet - warm - spots
PRIVATE - NEGATIVE PRESSURE ROOM
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Feces of infected people or animals


47. When should you use Airborne Precautions
Blue - Blue - green - GREEN means negative
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Examples: Airborne - droplet - contact or standard
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C


48. Which Patient CAN KEEP In The SAME ROOM
COPD + Negative pressure room = Keep together
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
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


49. What should a Contact Precaution pt have
Swelling and tenderness of one or more salivary glands
Gown and gloves and disinfectant all the equipments
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room


50. If aptient is going to surgery do not give them
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
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
Those with liver problems and pregnant women
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K