CMS Fundamentals Practice A8
A nurse is reinforcing teaching about health promotion with a group of young adult clients.
Which of the following information should the nurse include? - ANSWERS-Young adults should
receive a dental assessment every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells
the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the
pill into smaller pieces. The nurse is demonstrating which of the following ethical principles? -
ANSWERS-Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to encourage
therapeutic communications? - ANSWERS-Let the client know that, as their nurse, they are
available and willing to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team.
Which of the following actions by the Ap should the nurse identify as correct? - ANSWERS-
Donning a mask to measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The
nurse should identify which of the following findings as indication that the client has fluid
volume deficit? (Select all that apply? - ANSWERS-- cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of
the following actions should the nurse take to dispose of the paper? - ANSWERS-Shred the
paper in a secure container
, A nurse is reinforcing teaching with a client about the use of crutches. Which of the following
actions by the client indicates an understanding of the teaching? - ANSWERS-The client
advances the unaffected leg first while climbing stairs
A nurse is providing wound care for a group of clients. Which of the following wounds should
the nurse identify as healing by secondary intention? - ANSWERS-A stage 3 pressure injury on
the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following
actions should the nurse take? - ANSWERS-Compare the label of the medication container with
the medication administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep
breathe. Which of the following statements by the client indicates an understanding of the
teaching? - ANSWERS-"This can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is
dying. Which of the following statements by a member of the client's family indicates an
understanding of the teaching? - ANSWERS-"We will keep her room cool to help her breathe
better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound.
Which of the following actions should the nurse plan to take? - ANSWERS-Administer an
analgesic 30 min before starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of
the following interventions should the nurse include? (Select all that apply) - ANSWERS-- ensure
that the client is wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
A nurse is reinforcing teaching about health promotion with a group of young adult clients.
Which of the following information should the nurse include? - ANSWERS-Young adults should
receive a dental assessment every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells
the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the
pill into smaller pieces. The nurse is demonstrating which of the following ethical principles? -
ANSWERS-Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to encourage
therapeutic communications? - ANSWERS-Let the client know that, as their nurse, they are
available and willing to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team.
Which of the following actions by the Ap should the nurse identify as correct? - ANSWERS-
Donning a mask to measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The
nurse should identify which of the following findings as indication that the client has fluid
volume deficit? (Select all that apply? - ANSWERS-- cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of
the following actions should the nurse take to dispose of the paper? - ANSWERS-Shred the
paper in a secure container
, A nurse is reinforcing teaching with a client about the use of crutches. Which of the following
actions by the client indicates an understanding of the teaching? - ANSWERS-The client
advances the unaffected leg first while climbing stairs
A nurse is providing wound care for a group of clients. Which of the following wounds should
the nurse identify as healing by secondary intention? - ANSWERS-A stage 3 pressure injury on
the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following
actions should the nurse take? - ANSWERS-Compare the label of the medication container with
the medication administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep
breathe. Which of the following statements by the client indicates an understanding of the
teaching? - ANSWERS-"This can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is
dying. Which of the following statements by a member of the client's family indicates an
understanding of the teaching? - ANSWERS-"We will keep her room cool to help her breathe
better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound.
Which of the following actions should the nurse plan to take? - ANSWERS-Administer an
analgesic 30 min before starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of
the following interventions should the nurse include? (Select all that apply) - ANSWERS-- ensure
that the client is wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
