ATI CMS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A nurse is preparing an in-service for an annual skills fair at a community medical
| | | | | | | | | | | | | |
facility about fire safety. Place the steps in the order in which they should be
| | | | | | | | | | | | | | |
performed in the case of a fire emergency. (Move the steps into the box on the
| | | | | | | | | | | | | | | |
right, placing them in the selected order of performance. Use all the steps.)
| | | | | | | | | | | | |
A. Pull the fire alarm.
| | | |
B. Confine the fire.
| | |
C. Extinguish the fire.
| | |
D. Rescue the clients.
| | |
D. Rescue the clients.
| | |
A. Pull the fire alarm.
| | | |
B. Confine the fire.
| | |
C. Extinguish the fire.
| | |
A nurse is caring for a client who is dying of metastatic breast cancer. She has a
| | | | | | | | | | | | | | | |
prescription for an opioid pain medication PRN. The nurse is concerned that
| | | | | | | | | | | |
administering a dose of pain medication might hasten the client's death. Which
| | | | | | | | | | | |
of the following ethical principles should the nurse use to support the decision
| | | | | | | | | | | | |
not to administer the medication?
| | | | |
A. Utilitarianism
|
B. Nonmaleficence
|
C. Fidelity
|
D. Veracity
|
B. Nonmaleficence
|
A charge nurse is reviewing the list of tasks that have been delegated to the
| | | | | | | | | | | | | |
assistive personnel (AP) by the staff nurse. Which of the following tasks should
| | | | | | | | | | | | |
the charge nurse reassign to a licensed nurse?
| | | | | | | |
,A. Transporting a client who experienced a stroke 72 hr ago to the radiology
| | | | | | | | | | | | |
department
|
B. Providing a back rub to a client who has right-sided paralysis
| | | | | | | | | | |
C. Removing and cleaning the cannula of a client who has a new tracheostomy
| | | | | | | | | | | | |
D. Performing oral hygiene for a client who is 1 day postoperative following an
| | | | | | | | | | | | |
amputation of the right arm
| | | | |
C. Removing and cleaning the cannula of a client who has a new tracheostomy
| | | | | | | | | | | | |
A nurse working in an emergency department is caring for a client who has been
| | | | | | | | | | | | | |
exposed to sarin gas following a bioterrorism attack. Which of the following
| | | | | | | | | | | |
interventions should the nurse plan to take?
| | | | | | |
A. Vigorously rub the skin following a decontamination shower.
| | | | | | | |
B. Initiate seizure precautions.
| | |
C. Provide respiratory support with a plastic oral airway.
| | | | | | | |
D. Prepare to administer amyl nitrate.
| | | | |
B. Initiate seizure precautions.
| | |
.A nurse in the emergency department is triaging clients following a mass casualty
| | | | | | | | | | | |
|event. The nurse should identify which of the following clients as emergent?
| | | | | | | | | | |
A. A client who has a punctured femoral artery
| | | | | | | |
B. A client who has multiple fractures
| | | | | |
C. A client who has a red rash over his abdomen
| | | | | | | | | |
D. A client who reports severe flank pain radiating to the groin
| | | | | | | | | | |
A. A client who has a punctured femoral artery
| | | | | | | |
A nurse manager received a client request not to have a specific staff nurse care
| | | | | | | | | | | | | |
for her while at the acute care facility. Which of the following is the appropriate
| | | | | | | | | | | | | | |
action by the nurse manager?
| | | | |
A. Ask other staff nurses about the level of care the specific staff nurse provides.
| | | | | | | | | | | | | |
B. Address the concern with the specific staff nurse.
| | | | | | | |
C. Recommend the specific staff nurse be transferred to another unit.
| | | | | | | | | |
D. Notify the human resources department about the request.
| | | | | | | |
B. Address the concern with the specific staff nurse.
| | | | | | | |
,A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix).
| | | | | | | | | | | | | |
Which of the following should the nurse include in the incident/variance report?
| | | | | | | | | | | |
(Select all that apply.)
| | | |
A. The date of the incident
| | | | |
B. The name of the provider who prescribed the medication
| | | | | | | | |
C. The potential adverse effects of the medication
| | | | | | |
D. The time the client was to receive the medication
| | | | | | | | |
E. The client's vital signs
| | | |
A. The date of the incident
| | | | |
D. The time the client was to receive the medication
| | | | | | | | |
E. The client's vital signs
| | | |
A nurse is caring for a client who has a history of dementia. The client is alert and
| | | | | | | | | | | | | | | | |
oriented to person, place, and time, and has advance directives. The client is
| | | | | | | | | | | | |
scheduled for a procedure that requires informed consent. Which of the
| | | | | | | | | | |
following persons should sign the informed consent?
| | | | | | |
A. The client's partner
| | |
B. The client
| |
C. The client's daughter, who is the primary caregiver
| | | | | | | |
D. The client's son, who has a durable power of attorney
| | | | | | | | | |
B. The client
| |
A nurse manager is observing the care provided by a nurse who is in orientation
| | | | | | | | | | | | | |
to the unit. Which of the following actions by the nurse indicates the nurse
| | | | | | | | | | | | | |
manager should intervene?
| | |
A. The nurse uses clean gloves when discontinuing a client's intravenous infusion.
| | | | | | | | | | |
B. The nurse empties a client's drainable colostomy pouch when it is one-third
| | | | | | | | | | | |
full.
|
C. The nurse uses the client's telephone number as one form of identification
| | | | | | | | | | | |
when administering medications to a client.
| | | | | |
D. The nurse opens the top flap of a sterile tray toward the body when assisting
| | | | | | | | | | | | | | |
the provider with a thoracentesis.
| | | | |
, D. The nurse opens the top flap of a sterile tray toward the body when assisting
| | | | | | | | | | | | | | |
the provider with a thoracentesis.
| | | | |
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At
| | | | | | | | | | | | | | |
1200 the nurse assesses the clients. Which of the following clients is the nurse's
| | | | | | | | | | | | | |
priority?
|
A. A client who has a prescription for insulin and his pre-meal capillary blood
| | | | | | | | | | | | |
glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160
| | | | | | | | | | | | |
mg/dL
|
B. A client whose wound drainage at 0800 was sanguineous and now it is
| | | | | | | | | | | | |
serosanguineous
|
C. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as
| | | | | | | | | | | | | | | | | | | |
6
|
D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is
| | | | | | | | | | | | | | |
106/60 mm Hg
| | |
D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is
| | | | | | | | | | | | | | |
106/60 mm Hg
| | |
A nurse is caring for an older adult client who is disoriented and has a history of
| | | | | | | | | | | | | | | |
falls. Which of the following actions should the nurse take? (Select all that apply.)
| | | | | | | | | | | | | |
A. Raise all side rails on the client's bed.
| | | | | | | |
B. Obtain a prescription to restrain the client PRN.
| | | | | | | |
C. Check on the client hourly.
| | | | |
D. Instruct the client in the use of the call light.
| | | | | | | | | |
E. Apply an ambulation alarm to the client's leg.
| | | | | | | |
C. Check on the client hourly.
| | | | |
D. Instruct the client in the use of the call light.
| | | | | | | | | |
E. Apply an ambulation alarm to the client's leg.
| | | | | | | |
A nurse has received morning report on the following four clients. Which of the
| | | | | | | | | | | | |
following clients should the nurse assess first?
| | | | | | |
A. A client who was administered adalimumab for Crohn's disease, has a serum
| | | | | | | | | | | |
calcium level of 10 mg/dL, and reports a headache
| | | | | | | | |
COMPLETE SOLUTIONS
A nurse is preparing an in-service for an annual skills fair at a community medical
| | | | | | | | | | | | | |
facility about fire safety. Place the steps in the order in which they should be
| | | | | | | | | | | | | | |
performed in the case of a fire emergency. (Move the steps into the box on the
| | | | | | | | | | | | | | | |
right, placing them in the selected order of performance. Use all the steps.)
| | | | | | | | | | | | |
A. Pull the fire alarm.
| | | |
B. Confine the fire.
| | |
C. Extinguish the fire.
| | |
D. Rescue the clients.
| | |
D. Rescue the clients.
| | |
A. Pull the fire alarm.
| | | |
B. Confine the fire.
| | |
C. Extinguish the fire.
| | |
A nurse is caring for a client who is dying of metastatic breast cancer. She has a
| | | | | | | | | | | | | | | |
prescription for an opioid pain medication PRN. The nurse is concerned that
| | | | | | | | | | | |
administering a dose of pain medication might hasten the client's death. Which
| | | | | | | | | | | |
of the following ethical principles should the nurse use to support the decision
| | | | | | | | | | | | |
not to administer the medication?
| | | | |
A. Utilitarianism
|
B. Nonmaleficence
|
C. Fidelity
|
D. Veracity
|
B. Nonmaleficence
|
A charge nurse is reviewing the list of tasks that have been delegated to the
| | | | | | | | | | | | | |
assistive personnel (AP) by the staff nurse. Which of the following tasks should
| | | | | | | | | | | | |
the charge nurse reassign to a licensed nurse?
| | | | | | | |
,A. Transporting a client who experienced a stroke 72 hr ago to the radiology
| | | | | | | | | | | | |
department
|
B. Providing a back rub to a client who has right-sided paralysis
| | | | | | | | | | |
C. Removing and cleaning the cannula of a client who has a new tracheostomy
| | | | | | | | | | | | |
D. Performing oral hygiene for a client who is 1 day postoperative following an
| | | | | | | | | | | | |
amputation of the right arm
| | | | |
C. Removing and cleaning the cannula of a client who has a new tracheostomy
| | | | | | | | | | | | |
A nurse working in an emergency department is caring for a client who has been
| | | | | | | | | | | | | |
exposed to sarin gas following a bioterrorism attack. Which of the following
| | | | | | | | | | | |
interventions should the nurse plan to take?
| | | | | | |
A. Vigorously rub the skin following a decontamination shower.
| | | | | | | |
B. Initiate seizure precautions.
| | |
C. Provide respiratory support with a plastic oral airway.
| | | | | | | |
D. Prepare to administer amyl nitrate.
| | | | |
B. Initiate seizure precautions.
| | |
.A nurse in the emergency department is triaging clients following a mass casualty
| | | | | | | | | | | |
|event. The nurse should identify which of the following clients as emergent?
| | | | | | | | | | |
A. A client who has a punctured femoral artery
| | | | | | | |
B. A client who has multiple fractures
| | | | | |
C. A client who has a red rash over his abdomen
| | | | | | | | | |
D. A client who reports severe flank pain radiating to the groin
| | | | | | | | | | |
A. A client who has a punctured femoral artery
| | | | | | | |
A nurse manager received a client request not to have a specific staff nurse care
| | | | | | | | | | | | | |
for her while at the acute care facility. Which of the following is the appropriate
| | | | | | | | | | | | | | |
action by the nurse manager?
| | | | |
A. Ask other staff nurses about the level of care the specific staff nurse provides.
| | | | | | | | | | | | | |
B. Address the concern with the specific staff nurse.
| | | | | | | |
C. Recommend the specific staff nurse be transferred to another unit.
| | | | | | | | | |
D. Notify the human resources department about the request.
| | | | | | | |
B. Address the concern with the specific staff nurse.
| | | | | | | |
,A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix).
| | | | | | | | | | | | | |
Which of the following should the nurse include in the incident/variance report?
| | | | | | | | | | | |
(Select all that apply.)
| | | |
A. The date of the incident
| | | | |
B. The name of the provider who prescribed the medication
| | | | | | | | |
C. The potential adverse effects of the medication
| | | | | | |
D. The time the client was to receive the medication
| | | | | | | | |
E. The client's vital signs
| | | |
A. The date of the incident
| | | | |
D. The time the client was to receive the medication
| | | | | | | | |
E. The client's vital signs
| | | |
A nurse is caring for a client who has a history of dementia. The client is alert and
| | | | | | | | | | | | | | | | |
oriented to person, place, and time, and has advance directives. The client is
| | | | | | | | | | | | |
scheduled for a procedure that requires informed consent. Which of the
| | | | | | | | | | |
following persons should sign the informed consent?
| | | | | | |
A. The client's partner
| | |
B. The client
| |
C. The client's daughter, who is the primary caregiver
| | | | | | | |
D. The client's son, who has a durable power of attorney
| | | | | | | | | |
B. The client
| |
A nurse manager is observing the care provided by a nurse who is in orientation
| | | | | | | | | | | | | |
to the unit. Which of the following actions by the nurse indicates the nurse
| | | | | | | | | | | | | |
manager should intervene?
| | |
A. The nurse uses clean gloves when discontinuing a client's intravenous infusion.
| | | | | | | | | | |
B. The nurse empties a client's drainable colostomy pouch when it is one-third
| | | | | | | | | | | |
full.
|
C. The nurse uses the client's telephone number as one form of identification
| | | | | | | | | | | |
when administering medications to a client.
| | | | | |
D. The nurse opens the top flap of a sterile tray toward the body when assisting
| | | | | | | | | | | | | | |
the provider with a thoracentesis.
| | | | |
, D. The nurse opens the top flap of a sterile tray toward the body when assisting
| | | | | | | | | | | | | | |
the provider with a thoracentesis.
| | | | |
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At
| | | | | | | | | | | | | | |
1200 the nurse assesses the clients. Which of the following clients is the nurse's
| | | | | | | | | | | | | |
priority?
|
A. A client who has a prescription for insulin and his pre-meal capillary blood
| | | | | | | | | | | | |
glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160
| | | | | | | | | | | | |
mg/dL
|
B. A client whose wound drainage at 0800 was sanguineous and now it is
| | | | | | | | | | | | |
serosanguineous
|
C. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as
| | | | | | | | | | | | | | | | | | | |
6
|
D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is
| | | | | | | | | | | | | | |
106/60 mm Hg
| | |
D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is
| | | | | | | | | | | | | | |
106/60 mm Hg
| | |
A nurse is caring for an older adult client who is disoriented and has a history of
| | | | | | | | | | | | | | | |
falls. Which of the following actions should the nurse take? (Select all that apply.)
| | | | | | | | | | | | | |
A. Raise all side rails on the client's bed.
| | | | | | | |
B. Obtain a prescription to restrain the client PRN.
| | | | | | | |
C. Check on the client hourly.
| | | | |
D. Instruct the client in the use of the call light.
| | | | | | | | | |
E. Apply an ambulation alarm to the client's leg.
| | | | | | | |
C. Check on the client hourly.
| | | | |
D. Instruct the client in the use of the call light.
| | | | | | | | | |
E. Apply an ambulation alarm to the client's leg.
| | | | | | | |
A nurse has received morning report on the following four clients. Which of the
| | | | | | | | | | | | |
following clients should the nurse assess first?
| | | | | | |
A. A client who was administered adalimumab for Crohn's disease, has a serum
| | | | | | | | | | | |
calcium level of 10 mg/dL, and reports a headache
| | | | | | | | |
