xxx
NURS 3280 ADVANCED
FUNDAMENTALS EXAM 1,
QUESTIONS & ANSWERS
1. 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. - ANSWER: C
2. 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
B. The right side flap
C. The left side flap
D. The flap farthest from the body - ANSWER: D
3. 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 - ANSWER: C, D, E
4. 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
, xxx
D. Use a clean paper towel to turn off hand faucets
E. Allow the hands to air dry after washing - ANSWER: B, D
5. 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 - ANSWER: B, C,
D
6. 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 - ANSWER: A, B, C, E
7. 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 - ANSWER: D
8. 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
, xxx
D. Illness - ANSWER: D
9. 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
E. Increase in pulse and respiratory rate - ANSWER: A, B, E
10. A nurse is contributing to the plan of care for a client who is being admitted
to the facility with a suspected diagnosis of pertussis. Which of the following
interventions should the nurse include in the plan of care? (Select all that
apply.)
A. Place the client in a room that has negative air pressure of a least six exchanges
per hour
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another department is
unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care that might result in contamination from
secretions - ANSWER: B, C, E
11. A nurse is caring for a client who fell at a nursing home. The client is oriented
to person, place, and time and can follow directions. Which of the following
actions should the nurse take to decrease the risk of another fall? (Select all
that apply.)
A. Place a belt restraint on the client when he is sitting on the bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure the clients call light is within reach
D. Provide nonskid footwear
E. Complete a fall-risk assessment - ANSWER: C, D, E
12. A nurse manager is reviewing with nurses on the unit that care of a client
who has had a seizure. Which of the following statements by a nurse requires
further instruction?
A. "I will place the client on his side."
B. "I will go to the nurses' station for assistance."
NURS 3280 ADVANCED
FUNDAMENTALS EXAM 1,
QUESTIONS & ANSWERS
1. 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. - ANSWER: C
2. 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
B. The right side flap
C. The left side flap
D. The flap farthest from the body - ANSWER: D
3. 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 - ANSWER: C, D, E
4. 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
, xxx
D. Use a clean paper towel to turn off hand faucets
E. Allow the hands to air dry after washing - ANSWER: B, D
5. 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 - ANSWER: B, C,
D
6. 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 - ANSWER: A, B, C, E
7. 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 - ANSWER: D
8. 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
, xxx
D. Illness - ANSWER: D
9. 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
E. Increase in pulse and respiratory rate - ANSWER: A, B, E
10. A nurse is contributing to the plan of care for a client who is being admitted
to the facility with a suspected diagnosis of pertussis. Which of the following
interventions should the nurse include in the plan of care? (Select all that
apply.)
A. Place the client in a room that has negative air pressure of a least six exchanges
per hour
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another department is
unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care that might result in contamination from
secretions - ANSWER: B, C, E
11. A nurse is caring for a client who fell at a nursing home. The client is oriented
to person, place, and time and can follow directions. Which of the following
actions should the nurse take to decrease the risk of another fall? (Select all
that apply.)
A. Place a belt restraint on the client when he is sitting on the bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure the clients call light is within reach
D. Provide nonskid footwear
E. Complete a fall-risk assessment - ANSWER: C, D, E
12. A nurse manager is reviewing with nurses on the unit that care of a client
who has had a seizure. Which of the following statements by a nurse requires
further instruction?
A. "I will place the client on his side."
B. "I will go to the nurses' station for assistance."
