ATI FUNDS EXAM 1 QUESTIONS AND ANSWERS
When entering a clients room to change a surgical dressing, the nurse sees the client is
coughing. What should the nurse do when preparing sterile field? - Answers- place a
mask on the client to prevent contamination of the wound
Which flap to unfold first in a sterile bowl? - Answers- flap farthest from the body
Which objects can the nurse touch while wearing sterile gloves - Answers- 1. Inner
wrapping of an item on sterile field
2. Irrigation syringe on field
3. One hand with the other hand
Which instructions should the nurse include when discussing hand washing? -
Answers- 1. Wash hands with soap + water for at least 15 seconds
2. Use paper towel to turn off hand faucets
Which events in a chest tube insertion is considered contaminating sterile field? -
Answers- 1. Nurse moistens cotton ball with saline and places it on sterile field.
2. Procedure is delayed one hour
3. Nurse turns to speak to someone who has entered behind her
List rationale for reporting communicable diseases. - Answers- 1. Planning and
evaluating control and prevention strategies
2. Determining public health priorities
3. Ensuring proper medical treatment
4. Monitoring for common source outbreaks
A client presents linear clusters of fluid containing vesicles with some crustations. These
indicate which condition? - Answers- herpes zoster
A nurse is caring for a client who reports sore throat, pain when swallowing, and swollen
lymph nodes. Which stage of infection is this? - Answers- illness
List manifestations of systemic infection. - Answers- Fever, malaise, increase in pulse +
respirations
What should be included in the plan of care with a patient who has pertussis? -
Answers- 1. Wear a mask when providing care within 3 ft
2. Place surgical mask on client when transporting
3. Wear a gown when performing care
A person fell in a nursing home but is oriented x 4. Which actions should be taken to
decrease risk of another fall? - Answers- 1. Call light within reach
2. Nonskid footwear
3. Fall-risk assessment
, A patient is having a seizure. What not to do in that situation? - Answers- Do not leave
the patient and go to the nurses station. Instead use a call light.
There is smoke coming from under the door of a staff lounge. What is the first priority? -
Answers- move clients who are nearby
A client has a history of falls. What is the nurses first priority? - Answers- complete a
fall-risk assessment
To prevent falls, which type of client should be assigned to the room nearest to the
nurses station? - Answers- older adult who is post-op following a below knee
amputation
What info should be included about home oxygen safety? - Answers- 1. No nail polish
around patient receiving O2
2. "No Smoking" should be placed on door
3. Fire extinguisher should be available in the home
A client who has had a heat stroke will display what? - Answers- hypotension
Which statement made by a parent indicates understanding of parenting class
instructions? - Answers- once my infant starts to push up, i will remove the mobile from
over the crib
What info should a nurse include in carbon monoxide poisoning teaching? - Answers-
carbon monoxide binds with hemoglobin in the body
What info should be included in food poisoning teaching? - Answers- 1.
Immunocompromised are at risk for complications from food poisoning
2. High risk clients should eat/drink only pasteurized dairy products
3. Handling raw and fresh food separately can prevent food poisoning
Which bed position should a client be in if he is receiving enteral tube feedings for
dysphagia? - Answers- semi-fowlers
A client is sitting in a chair and asks to go back to bed. What action is priority of the
nurse? - Answers- determine clients ability to help with transfer
A client with COPD should do what if she has difficulty breathing at night? - Answers-
sit on the side of the bed and rest her arms over pillows on top of her bedside table
Which instructions should a nurse manager include when reviewing guidelines for
preventing injury? - Answers- 1. Request assistance when repositioning a client
2. Avoid twisting spine/bending at the waist
3. Use smooth movements when lifting/moving
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