FUNDAMENTALS CMS FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS 2025\2026 EXAM GRADED
A+
A nurse is assessing the heart sounds of a client who has developed chest
pain that becomes worse with inspiration. The nurse auscultates a high-
pitched scratching sound during both systole and diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which
of the following heart sounds should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub - ANSWER- D
A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following action should the nurse take?
A. Auscultate for the blood presure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
, D. Place the bladder of the cuff over the posterior aspect of the thigh. -
ANSWER- D
A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to
a group of newly licensed nurses. Which of the following actions should
the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ANSWER- C
A nurse is caring for a client who requires a chest x-ray. Prior to the
client being transported for the procedure, which of the following
actions should the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - ANSWER- D
A nurse is caring for a child who is postoperative following a
tonsillectomy. Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from
anesthesia.
B. Place a heating pad at the child's neck for comfort.
QUESTIONS AND CORRECT
ANSWERS 2025\2026 EXAM GRADED
A+
A nurse is assessing the heart sounds of a client who has developed chest
pain that becomes worse with inspiration. The nurse auscultates a high-
pitched scratching sound during both systole and diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which
of the following heart sounds should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub - ANSWER- D
A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following action should the nurse take?
A. Auscultate for the blood presure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
, D. Place the bladder of the cuff over the posterior aspect of the thigh. -
ANSWER- D
A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to
a group of newly licensed nurses. Which of the following actions should
the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ANSWER- C
A nurse is caring for a client who requires a chest x-ray. Prior to the
client being transported for the procedure, which of the following
actions should the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - ANSWER- D
A nurse is caring for a child who is postoperative following a
tonsillectomy. Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from
anesthesia.
B. Place a heating pad at the child's neck for comfort.
