NURS 3280 ADVANCED FUNDAMENTALS EXAM 1 WITH ATI
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
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. Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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
Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
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. Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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
Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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 Ans✓✓✓ 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
