NURS 3280 ADVANCED FUNDAMENTALS EXAM 1 WITH
ATI QUESTIONS AND ANSWERS
When entering a client's room to change a surgical dressing, a nurse
notes that the client is coughing and sneezing. Which of the following
actions should the nurse take when preparing the sterile field?
A. Keep the sterile field at least 6 ft away from the client's bedside.
B. Instruct the client to refrain from coughing and sneezing during the
dressing change.
C. Place a mask on the client to limit the spread of micro-organisms into
the surgical wound.
D. Keep a box of facial tissues nearby for the client to use during the
dressing change. - correct answer C
A nurse has removed a sterile pack from its outside cover and placed it
on a clean work surface in preparation for an invasive procedure. Which
of the following flaps should the nurse unfold first?
A. The flap closest to the body
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B. The right side flap
C. The left side flap
D. The flap farthest from the body - correct answer D
A nurse is wearing sterile gloves in preparation for performing a sterile
procedure. Which of the following objects can the nurse touch without
breaching sterile technique? (Select all that apply.)
A. A bottle containing sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand - correct answer C, D, E
A nurse is reviewing hand hygiene techniques with a group of assistive
personnel. Which of the following instructions should the nurse include
when discussing handwashing? (Select all that apply.)
A. Apply 3 to 5 mL of liquid soap to dry hands
B. Wash the hands with soap and water for at least 15 seconds
C. Rinse the hands with hot water
D. Use a clean paper towel to turn off hand faucets
E. Allow the hands to air dry after washing - correct answer B, D
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A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse
recognize as contaminating the sterile field? (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the
sterile field
B. The nurse moistens a cotton ball with sterile normal saline and places
it on the sterile field
C. The procedure is delayed 1 hr because the provider receives an
emergency call
D. The nurse turns to speak to someone who enters through the door
behind the nurse
E. The client's hand brushes along the outer edge of the sterile field -
correct answer B, C, D
A nurse is caring for a client diagnosed with severe acute respiratory
syndrome (SARS). The nurse is aware that health care professionals are
required to report communicable and infectious diseases. Which of the
following illustrate the rationale for reporting? (Select all that apply.)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks - correct answer A, B, C, E
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The nurse is caring for a client who presents with linear clusters of fluid-
containing vesicles with some crustings. The nurse should identify the
client has manifestations of which of the following conditions?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - correct answer D
A nurse is caring for a client who reports a severe sore throat, pain
when swallowing, and swollen lymph nodes. The client is experiencing
which of the following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness - correct answer D
A nurse educator is reviewing with a newly hired nurse the difference in
manifestations of a localized versus a systemic infection. The nurse
indicates understanding when she states that which of the following are
manifestations of a systemic infection? (Select all that apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness