NURS 3280 Advanced Fundamentals Exam 1 with ATI ||
100% Certified.
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
answers 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
B. The right side flap
C. The left side flap
D. The flap farthest from the body correct answers 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 answers 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 answers B, D
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 answers 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 answers A, B, C, E
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 answers 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 answers 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
E. Increase in pulse and respiratory rate correct answers A, B, E
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
correct answers B, C, E
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 correct answers C, D, E
100% Certified.
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
answers 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
B. The right side flap
C. The left side flap
D. The flap farthest from the body correct answers 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 answers 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 answers B, D
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 answers 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 answers A, B, C, E
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 answers 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 answers 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
E. Increase in pulse and respiratory rate correct answers A, B, E
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
correct answers B, C, E
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 correct answers C, D, E
