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. Where can you find Salmonella
Feces of infected people or animals
Examples: Airborne - droplet - contact or standard
Pink red maculopapules
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.


2. What type of job should a person with hepatitis never have
Chef
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves - Goggles and a face shield
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


3. 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
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.
Examples: Airborne - droplet - contact or standard


4. 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
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
N - V - D and Abd pain
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


5. What should you wear if blood is spurting?
Examples: Airborne - droplet - contact or standard
Gloves - gown - goggles and mask - Everything
A
A test to decect fecal occult blood assess for hidden blood in stool


6. What is a GUAIAC test?
Maculopapular rash and vesicular scabs
C Diff( Clostridium difficle)
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
A test to decect fecal occult blood assess for hidden blood in stool


7. What pt's would be ok for a pregnant nurse to care for
Glanders - Lassa
HIV - HEP B - C - Cytmegalovirus
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


8. What patients need Droplet precautions?

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9. Who is not able to start PPE
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
Pink red maculopapules
Those with liver problems and pregnant women


10. What are the characteristics of Chicken pox Varicella?
Gloves - gown - goggles and mask - Everything
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Maculopapular rash and vesicular scabs


11. What are the major ATB associated w/ c diff
Pencillins - Cephalosporins - Clindamycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
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


12. How can you prevent Salmonella
Nothing unless the pt is in isolation
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 - gown - goggles and mask - Everything
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


13. What should a Contact Precaution pt have
Swelling and tenderness of one or more salivary glands
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.
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
EBOLI - MARBAR - CRIMEAN CONGO


14. When dealing w/ a Droplet percautions pt they require
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
Nausea - diarrhea and fatigue for up to 28 days
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
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


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

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16. Who shouldn't get the Chicken pox vaccine

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17. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
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
Before the rash appears
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
1St provide care 2nd notify MD ( medical doctor


18. To be most effective when should postexposure prophylaxis (PPE) be started?
Blue - Blue - green - GREEN means negative
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Rest - warm - humid air
Bleach


19. 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
DISCONTINUE The ATB
Rest - warm - humid air
C Diff( Clostridium difficle)


20. When To USE STAndARD PRECAUTIONS
Maculopapular rash and vesicular scabs
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


21. What is the most dangerous type of Hep?
Contact which are gloves and gown - Toes - wet - warm - spots
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


22. 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. Cirrhosis encephalopathy 2. PIH (pregenancy induced hypertension) 3. DT'S (delirium tremors) 4. ICP 5. CVA 6. Meningitis 7. Brian surgery 8. head trauma
Those with liver problems and pregnant women
Gloves


23. How is Hep A spread
Fecal/oral
Nothing unless the pt is in isolation
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Gloves - Goggles and a face shield


24. What should you wear when taking a pt's VS?
Nothing unless the pt is in isolation
Contaminated food and water
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K


25. What are characteristics of Measles (Rubeola)
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Kopliks spots
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
COPD + Negative pressure room = Keep together


26. Who needs Standard and Contact precautions (SC)
N - V - D and Abd pain
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
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


27. If aptient is going to surgery do not give them
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH


28. 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)
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Gloves - gown - goggles and mask - Everything
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


29. INTERVENTION FOR PREVENT ASPIRATION
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
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
Gloves


30. What are the char. of German measles( Rubella)
Rest - warm - humid air
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Pink red maculopapules
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


31. CONDITIONS REQUIRED SEIZURE PRECAUTIONS

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32. What is the two diseased caused by ticks
EBOLI - MARBAR - CRIMEAN CONGO
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
Rocky mountain fever and Lymes disease
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


33. When should you use Airborne Precautions
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Private room with negative pressure
Before the rash appears
N - V - D and Abd pain


34. What should you have the patient sign after being stuck by a needle?
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Rest - warm - humid air
A consent form to be signed for Hep B - C and HIV


35. Droplet precautions
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.. 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
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure
Mask will 3 feet


36. Rule: What YOU CAN USE When Patient GOING To SURGERY And Which MED YOU CAN HOLD
Wrist ankles Palms - soles Forearm
-- 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
Don't take anti - inflammatory drugs like Ibuprofen - asparin more than 325mg a day 7days prior - Colchine - Iron - Vit C
Pink red maculopapules


37. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE 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
Examples: Airborne - droplet - contact or standard
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept


38. After getting the Varicella vacc who should you teach pt's to avoid
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH
Fecal/oral
Chef
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


39. Who needs Standard - Airbourne and Contact precautions
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
People w/ egg allergies - pregnant - illness or fever
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
Small pox


40. What is the most common cause of ATB associated diarrhea
C Diff( Clostridium difficle)
Contaminated food and water
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
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


41. What pt's need to use Standard - Airbourne - Contaction and Droplet Precautions (SAC D)
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
Dry cough
EBOLI - MARBAR - CRIMEAN CONGO


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


43. What are the S/S for Botulism
Gown and gloves and disinfectant all the equipments
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
N - V - D and Abd pain
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]


44. Contact Precautions
Disposable dinnerware - GLOVES/GOWN ALWAYS - need dedicated equipment and disinfect room
N - V - D and Abd pain
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Gown and gloves and disinfectant all the equipments


45. When is a pt w/measles most contagious?
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.
Before the rash appears
Lindane - Crotmiton - Permethrine
HIV - HEP B - C - Cytmegalovirus


46. What other ATB might be prescribed to treat c diff
Glanders - Lassa
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
Oral Flagyl and and Vancomycin
Rest - warm - humid air


47. How can you stop the spread of c diff

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48. What is the order for putting on personal protective gear?
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
- REMEMBER PUT YOUR GOWN On MOM SO WE CAN GO GET YOUR GLOVES 1. Gown 2. Mask 3. Goggles 4. Gloves
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


49. What colors indicate blood in the stool when doing GUAIAC test
Rest - warm - humid air
Blue - Blue - green - GREEN means negative
Pencillins - Cephalosporins - Clindamycin
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards


50. Where would you see a rash w/ Rocky mountain spotted fever?
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. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
Bleach
Wrist ankles Palms - soles Forearm