FUNDAMENTALS EXAM #1 ATI
Questions With Verified Answers -
Updated
Organizing medications in daily pill holders promotes medication adherence Providing a
form of medication that is easier for the client to swallow
promotes medication adherence
Including the client's support system promotes medication adherence
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which id the following actions should the nurse take
when preparing the sterile field?
A. Keep the sterile field at least 6 feet away from 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-organism into the surgical
wound.
D. Keep a box of facial tissues nearby for the client to use during the dressing change.
- CORRECT ANSWER- C. Place a mask on the client to limit the spread of micro-
organism into the surgical wound.A nurse educator is revieing with a newly hired nurse
the diferencies 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 systmeic infection? (Slect all that apply.)
A. fever
B. malaise
C. edema
D. pain or tenderness
E. increase in pulse and repiratory rate - CORRECT ANSWER- A. fever
B. malaise
E. increase in pulse and respiratory rate
,A nurse educator is teaching a module on pharmacokinetics to a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
an understanding of the first-pass effect?
A. "Some medications block normal receptor activity regulated by endogenous
compounds or receptor activity caused by other medications."
B. "Some medications may have to be administered by a nonenteral route to avoid
inactivation as they travel through the liver."
C. "Some medications leave the body more slowly and therefore have a greater risk for
medication accumulation and toxicity."
D. "Some medications have a wide safety margin, so there is no need for routine serum
medication level monitoring." - CORRECT ANSWER- B. CORRECT: Some
medications are inactivated on their first pass through the liver and must be given by a
nonenteral route to prevent this inactivation. These medications are usually given by
routes such as sublingual or IV.
A. INCORRECT: This statement describes an antagonist medication, not the first pass-
effect.
C. INCORRECT: This statement describes a long half life, not the first-pass effect.
D. INCORRECT: This statement describes a high therapeutic index, not the first-pass
effect.
A nurse educator is teaching newly licensed nurses about safe medication
administration. Which of the following statements indicates understanding? (Select all
that apply.)
-"I will observe for adverse effects."
-"I will monitor for therapeutic effects"
-"I will prescribe the appropriate dose"
-"I will change the dose if adverse effects occur."
-"I will refuse to give a medication if I believe it is unsafe" - CORRECT ANSWER- -"I
will observe for adverse effects"
-"I will monitor for therapeutic effects"
-I will refuse to give a medication if I believe it is unsafe"
, A nurse has prepared a sterile field for assisting a provider with a chest tube injection.
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 hour 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 against the outer edge of the sterile field. - CORRECT
ANSWER- B. The nurse moistens a cotton ball with sterile normal saline and places it
on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack form 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 closet to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body - CORRECT ANSWER- D. The flap farthest from
the body
A nurse in a provider's office is documenting findings following an examination
performed for a client new to the practice. Which of the following parameters should the
nurse include as part of the general survey? (select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - CORRECT ANSWER- A, B, C
Questions With Verified Answers -
Updated
Organizing medications in daily pill holders promotes medication adherence Providing a
form of medication that is easier for the client to swallow
promotes medication adherence
Including the client's support system promotes medication adherence
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which id the following actions should the nurse take
when preparing the sterile field?
A. Keep the sterile field at least 6 feet away from 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-organism into the surgical
wound.
D. Keep a box of facial tissues nearby for the client to use during the dressing change.
- CORRECT ANSWER- C. Place a mask on the client to limit the spread of micro-
organism into the surgical wound.A nurse educator is revieing with a newly hired nurse
the diferencies 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 systmeic infection? (Slect all that apply.)
A. fever
B. malaise
C. edema
D. pain or tenderness
E. increase in pulse and repiratory rate - CORRECT ANSWER- A. fever
B. malaise
E. increase in pulse and respiratory rate
,A nurse educator is teaching a module on pharmacokinetics to a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
an understanding of the first-pass effect?
A. "Some medications block normal receptor activity regulated by endogenous
compounds or receptor activity caused by other medications."
B. "Some medications may have to be administered by a nonenteral route to avoid
inactivation as they travel through the liver."
C. "Some medications leave the body more slowly and therefore have a greater risk for
medication accumulation and toxicity."
D. "Some medications have a wide safety margin, so there is no need for routine serum
medication level monitoring." - CORRECT ANSWER- B. CORRECT: Some
medications are inactivated on their first pass through the liver and must be given by a
nonenteral route to prevent this inactivation. These medications are usually given by
routes such as sublingual or IV.
A. INCORRECT: This statement describes an antagonist medication, not the first pass-
effect.
C. INCORRECT: This statement describes a long half life, not the first-pass effect.
D. INCORRECT: This statement describes a high therapeutic index, not the first-pass
effect.
A nurse educator is teaching newly licensed nurses about safe medication
administration. Which of the following statements indicates understanding? (Select all
that apply.)
-"I will observe for adverse effects."
-"I will monitor for therapeutic effects"
-"I will prescribe the appropriate dose"
-"I will change the dose if adverse effects occur."
-"I will refuse to give a medication if I believe it is unsafe" - CORRECT ANSWER- -"I
will observe for adverse effects"
-"I will monitor for therapeutic effects"
-I will refuse to give a medication if I believe it is unsafe"
, A nurse has prepared a sterile field for assisting a provider with a chest tube injection.
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 hour 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 against the outer edge of the sterile field. - CORRECT
ANSWER- B. The nurse moistens a cotton ball with sterile normal saline and places it
on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack form 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 closet to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body - CORRECT ANSWER- D. The flap farthest from
the body
A nurse in a provider's office is documenting findings following an examination
performed for a client new to the practice. Which of the following parameters should the
nurse include as part of the general survey? (select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - CORRECT ANSWER- A, B, C
