ATI Fundamentals Test Exam 14 2024
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? - Place a mask on the client to limit the spread of micro-organisms into the
surgical wound
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? - The flap farthest from the body
A nurse is wearing sterile gloves in preparation for preforming a sterile procedure. Which of
the following objects can the nurse touch without breaching sterile technique? SATA - 1. The
inner wrapping of an item on the sterile field
2. An irrigation syringe on the sterile field
3. One gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of
the following instructions should the nurse include when discussing hand washing? SATA -
1. Wash the hands with soap and water for at least 15 seconds
2. Use a clean paper towel to turn off hand faucets
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? SATA -
1. The nurse moistens a cotton ball with a sterile normal saline and places it on the sterile
field
2. The procedure is delayed 1 hr because the provider receives an emergency call
3. The nurse turns to speak to someone who enters through the door behind the nurse
A nurse is caring for a client who has terminal lung cancer. The nurse observes the clients
family assisting with all ADL. Which of the following rationales for self care should the
nurse communicate to the family? - 1. The clients sense of loss can be lessened through
retaining control in some areas of life
A nurse is caring for a client who has stage IV lung cancer is 3 days postop. following a
wedge resection. The client states "I told myself that I would go through with the surgery and
quit smoking, if I could just live long enough to attend my childs wedding". Based on the
Kubler-Ross model, which stage of grief is the client experiencing? - Bargaining
A nurse is consoling the partner
of a client who just expired after a
long battle with liver cancer. The
partner is displaying grief and
states, "I hate him for leaving
me." Which of the following
statements by the nurse successfully
facilitate mourning for the grieving
partner? (Select all that apply.) - 1. Would you like me to contact the chaplain to come speak
with you?
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? - Place a mask on the client to limit the spread of micro-organisms into the
surgical wound
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? - The flap farthest from the body
A nurse is wearing sterile gloves in preparation for preforming a sterile procedure. Which of
the following objects can the nurse touch without breaching sterile technique? SATA - 1. The
inner wrapping of an item on the sterile field
2. An irrigation syringe on the sterile field
3. One gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of
the following instructions should the nurse include when discussing hand washing? SATA -
1. Wash the hands with soap and water for at least 15 seconds
2. Use a clean paper towel to turn off hand faucets
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? SATA -
1. The nurse moistens a cotton ball with a sterile normal saline and places it on the sterile
field
2. The procedure is delayed 1 hr because the provider receives an emergency call
3. The nurse turns to speak to someone who enters through the door behind the nurse
A nurse is caring for a client who has terminal lung cancer. The nurse observes the clients
family assisting with all ADL. Which of the following rationales for self care should the
nurse communicate to the family? - 1. The clients sense of loss can be lessened through
retaining control in some areas of life
A nurse is caring for a client who has stage IV lung cancer is 3 days postop. following a
wedge resection. The client states "I told myself that I would go through with the surgery and
quit smoking, if I could just live long enough to attend my childs wedding". Based on the
Kubler-Ross model, which stage of grief is the client experiencing? - Bargaining
A nurse is consoling the partner
of a client who just expired after a
long battle with liver cancer. The
partner is displaying grief and
states, "I hate him for leaving
me." Which of the following
statements by the nurse successfully
facilitate mourning for the grieving
partner? (Select all that apply.) - 1. Would you like me to contact the chaplain to come speak
with you?
