Exam Guide

Setting Up a Sterile Field: Steps in Order

Safety & Infection Control · Question from the ATI PN Fundamentals 2023 Proctored Exam study set

Question: Identify the sequence of steps to set up a sterile field:

Correct sequence:

  1. Prepare a dry work surface above waist level
  2. Open the outside cover and remove the dust cover
  3. Grasp the outermost flap and open away from the body
  4. Open each side flap individually while pulling to the side
  5. Open the innermost/lower flap standing away from the field

Why this is the answer

This sequence preserves sterility by opening the flap farthest from the nurse first and the flap closest to the nurse last, so the nurse never reaches over the exposed sterile field.

The bigger concept

Ordering items on sterile technique test one idea: never reach over the field. That is why the flap farthest from you opens first and the flap nearest you opens last — each move keeps your arm outside the sterile area. Work above waist level on a dry surface, touch only the outer 1-inch border, add supplies by dropping them from 6 inches above, and consider the field contaminated if it gets wet or is left unattended.

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