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? 2. You know it is quite normal to feel anger toward your loved one at this time 3. Tell me more about how you are feeling A nurse is caring for a client who has a terminal illness, death is expected within 24 hr. The clients family is at bedside and asks the nurse what to expect at this time. Which of the following findings should the nurse include? - Decreased muscle tone A nurse is about to preform postmortem care of a client. The family wishes to view the body. Which of the following actions should the nurse take? SATA - 1. Apply fresh linens and place a clean gown on the body 2. Remove all equipment from the bedside 3. Dim the lights in the room A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? SATA - 1. Decrease or