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?
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
Gloves - gown - goggles and mask - Everything
Blue - Blue - green - GREEN means negative
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


2. Contact Precautions
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
Gown and gloves and disinfectant all the equipments
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Dry cough


3. What are the major ATB associated w/ c diff
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
-- 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
Pencillins - Cephalosporins - Clindamycin
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


4. How can you prevent Salmonella
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
A
BLOOD - All BODY FLUIDS - NON INTACT SKIN - MUCOUS MEMBRANES
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs


5. Droplet precautions
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
Wrist ankles Palms - soles Forearm
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Mask will 3 feet


6. Who needs Standard and Contact precautions (SC)
Wash their hands before and after handling pets
Small pox
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


7. GENERAL RuleS FOR VACCINES
You should get tested for HIV HEP B - C @ 6 weeks - 3months - and 6 months
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
Rocky mountain fever and Lymes disease
Mask will 3 feet


8. 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
Pencillins - Cephalosporins - Clindamycin
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Fecal/oral


9. What are the S/S for Botulism
N - V - D and Abd pain
NSAIDS/ASA - HEPARIN - COUMADIN GARLIC - GINKGO BILOBA - GINSENG And VITAMIN K
Oral Flagyl and and Vancomycin
Examples: Airborne - droplet - contact or standard


10. What is the most dangerous type of Hep?
People w/ egg allergies - pregnant - illness or fever
Gloves
A
Wash their hands before and after handling pets


11. What should you do if the c diff is linked to an ATB
A diet high in calories and low fat
Mask will 3 feet
DISCONTINUE The ATB
-- 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


12. BLEEDING PRECAUTION Patient. These Patients Who Are On...
An order for and Anti Diarrhea med like Imodium
Nausea - diarrhea and fatigue for up to 28 days
Coumadin/ Heparin - DIC - Hemophila - Chemo - Problem w/ bone marrow - Cancer - Liver disease - On aspirin or NSAIDS
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. Where would you see a rash w/ Rocky mountain spotted fever?
Kopliks spots
Rest - warm - humid air
Contact which are gloves and gown - Toes - wet - warm - spots
Wrist ankles Palms - soles Forearm


14. Which Patient NEED To ISOLATE
COPD + Negative pressure room = Keep together
Contaminated food and water
A diet high in calories and low fat
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


15. What are char of Pertussis( whooping cough)
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
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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
Dry cough


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

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17. Who shouldn't get the Chicken pox vaccine

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18. How is Hep A spread
PRIVATE - NEGATIVE PRESSURE ROOM
N - V - D and Abd pain
Fecal/oral
COPD + Negative pressure room = Keep together


19. What Is The Rule: NEVER SEND A Patient To SURGERY ANTICOAGULANT
Those with liver problems and pregnant women
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
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)


20. How is Salmonella transmitted
DISCONTINUE The ATB
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
Oral Flagyl and and Vancomycin
Contaminated food and water


21. What kind of room would an Airborne precaution pt need
PRIVATE - NEGATIVE PRESSURE ROOM
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
N - V - D and Abd pain
Bleach


22. Rule: Transferring PEDS Patient To MS (MED SURGE)
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
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)
People w/ egg allergies - pregnant - illness or fever


23. Rabies pt's would need

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24. What should you wear if blood is spurting?
Pencillins - Cephalosporins - Clindamycin
Gloves - gown - goggles and mask - Everything
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
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


25. Rule: MED ERROR - PT INJURY OR ATTEMPT SUICIDE
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1St provide care 2nd notify MD ( medical doctor
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
EBOLI - MARBAR - CRIMEAN CONGO


26. What patients need Droplet precautions?

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27. What is warn when suctioning?
Swelling and tenderness of one or more salivary glands
Typhus - Psittacosis - Meliodosis - Shigellosis - Brucellosis
Gloves - Goggles and a face shield
1St provide care 2nd notify MD ( medical doctor


28. Rule: DISCHARGE DURING AN EMERGENCY
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
Private room with negative pressure
- Low platelets -- High PT/ PTT -- Coumadin/ Heparin ---- TURP --- PT 20 ( report to the doctor)


29. What are the characteristics of Mumps
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
Blue - Blue - green - GREEN means negative
Maculopapular rash and vesicular scabs
Swelling and tenderness of one or more salivary glands


30. What precaution are needed for Scabies pt
Contact which are gloves and gown - Toes - wet - warm - spots
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
Rest - warm - humid air
EBOLI - MARBAR - CRIMEAN CONGO


31. What pt's would be ok for a pregnant nurse to care for
HIV - HEP B - C - Cytmegalovirus
Wash their hands before and after handling pets
A consent form to be signed for Hep B - C and HIV
Glanders - Lassa


32. What is a GUAIAC test?
1.Gloves 2.Goggles 3.Gown 4.Mask
Chef
1.Select patient with chronic stable conditions (EX: Pressure ulcer = Stable chronic condition) 2. Do not discharge acute surgical patients
A test to decect fecal occult blood assess for hidden blood in stool


33. Who needs Standard - Airbourne and Contact precautions
Small pox
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers
Oral Flagyl and and Vancomycin
Within in 1 hour of exposure - but is still effective if given as late as 24 hours after exposure


34. Where can you find Salmonella
A test to decect fecal occult blood assess for hidden blood in stool
Blue - Blue - green - GREEN means negative
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.
Feces of infected people or animals


35. What are the characteristics of Chicken pox Varicella?
Nothing unless the pt is in isolation
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
Maculopapular rash and vesicular scabs
Small pox


36. Infected Air - borne precaution
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
1.Recieve ward must be familar w/ the disease/ treatment 2. Be alert for gender specific wards
An order for and Anti Diarrhea med like Imodium
Private room with negative pressure


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


38. What would you question with a c diff pt
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
An order for and Anti Diarrhea med like Imodium
Pink red maculopapules
Chef


39. What are the char. of German measles( Rubella)
Glanders - Lassa
A test to decect fecal occult blood assess for hidden blood in stool
Kopliks spots
Pink red maculopapules


40. What are characteristics of Measles (Rubeola)
Kopliks spots
Feces of infected people or animals
Dry cough
Bleach


41. What kind of diet is needed for a PT with hepatitis A
1. Patient which are UNSTABLE 2. Unknown diagnosis 3. Patient whose condition is made worse by stress
A diet high in calories and low fat
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
Fecal/oral


42. 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
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.
PRIVATE - NEGATIVE PRESSURE ROOM
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact


43. Who needs Standard Contact and Droplet precautions
Dry cough
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.
Contact you touch it you get it the nurse would touch something contaimanated then transfer it by direct pt to pt contact
Glanders - Lassa


44. What is the two diseased caused by ticks
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
Rocky mountain fever and Lymes disease
5 shots - Immunoglobulins are given - but if there showing symtoms it's too late
1.Gloves 2.Goggles 3.Gown 4.Mask


45. When dealing w/ a Droplet percautions pt they require
Contact which are gloves and gown - Toes - wet - warm - spots
Examples: Airborne - droplet - contact or standard
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
Gown and gloves and disinfectant all the equipments


46. How can you stop the spread of c diff

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47. What other ATB might be prescribed to treat c diff
Oral Flagyl and and Vancomycin
Wash their hands before and after handling pets
Bleach
1. Unvaccinated children 12months and older 2.Susceptible non pregnant women 3. Susceptible persons living in a dorm or jail 4. International travelers


48. Who is not able to start PPE
Wash hands before eating - after handling pets wash fruit and through cook meat and eggs
MY CHICKEN HEZ TB - Measles(RUBEOLA) - Chicken pox (VARICELLA) - Herpes zoster(SHINGLES) IMMUNOCOMPROMISIED And DISSEMINATED - TB
Those with liver problems and pregnant women
Wash their hands before and after handling pets


49. Which Patient CAN KEEP In The SAME ROOM
Examples: Airborne - droplet - contact or standard
COPD + Negative pressure room = Keep together
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


50. What should the nurse immediately do if she stuck by a used needle?
1. Oldest child 1st 2. No communicable diseases 3. Not immunocompromised 4. No teaching needed]
1.Properly dispose of the needle - remove gloves 2.Wash your hands 3.Alert your manager or report to the health dept
An order for and Anti Diarrhea med like Imodium
Newborns - pregnant women - Immuncompromised pts for - 1 MONTH