ATI Fundamentals Proctored Exam 2023-2024 with NGN -Nurselytic

Correct Answer: B,C,D

Rationale: The correct answers are B, C, and D.

B: Moistening a cotton ball with sterile NS and placing it on the sterile field introduces moisture and potentially non-sterile material, contaminating the field.
C: Delaying the procedure for an hour increases the risk of airborne contaminants settling on the sterile field.
D: Turning to speak to someone who enters behind the nurse can lead to inadvertent contact with non-sterile areas, contaminating the field.

Incorrect choices:
A: While dropping a sterile instrument close to the field is not ideal, it may not necessarily contaminate the field unless it actually touches it.
E: Client's hand brushing against the outer edge of the field is a potential contamination point, but it does not directly contaminate the sterile field.

Correct Answer: A,B,C,E

Rationale: The correct answer is A, B, C, and E. Reporting communicable diseases like SARS is essential for planning and evaluating control and prevention strategies. It helps determine public health priorities by identifying areas of concern. Reporting ensures proper medical treatment for affected individuals and helps in monitoring for common-source outbreaks to prevent further spread.

Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable diseases. Identifying endemic diseases may be a part of reporting, but it is not the primary reason.

Correct Answer: B,C,E

Rationale: The correct answer includes wearing a mask when providing care within 3 feet of the client to prevent the spread of pertussis through respiratory droplets. Placing a mask on the client during unavoidable transportation helps reduce exposure to others. Wearing a gown when performing care that may result in contamination from secretions is essential to prevent transmission through contact.
Choice A is incorrect because negative air pressure is not necessary for pertussis isolation.
Choice D is unnecessary as pertussis is not transmitted through contact with soiled linens.

Correct Answer: D

Rationale: The correct answer is D: Herpes zoster. The description of linear clusters of fluid-containing vesicles with some crusting is characteristic of herpes zoster, also known as shingles. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution along a dermatome is a key feature of herpes zoster. Allergic reaction (
A) typically presents with generalized rash and itching, not linear clusters of vesicles. Ringworm (
B) presents as circular, scaly lesions, not linear clusters of vesicles. Systemic lupus erythematosus (
C) is an autoimmune disease that presents with a variety of symptoms, but not linear clusters of vesicles.

Correct Answer: D

Rationale: The correct answer is D: Incubation. The client reporting a severe sore throat indicates that the infection is already present in the body but has not yet manifested with symptoms. During the incubation stage, the pathogen is actively multiplying but the client does not exhibit symptoms yet.

Choices A, B, and C (pain with swallowing, swollen lymph nodes, and prodromal stage) all indicate that the infection has progressed beyond the incubation stage and symptoms are present.
Choice E (Convalescence) refers to the period of recovery after the infection has been resolved, which is not the case here.
Therefore, D is the correct answer as it corresponds to the stage where the client is experiencing symptoms without them being fully manifested yet.