FUNDAMENTALS CMS MIDTERM 2 CONCEPT
REVIEW GUIDE 2026 COMMUNICATION
DOCUMENTATION AND PROFESSIONAL
PRACTICE
◉ Ch. 2) A nurse is acquainting a group of newly licensed nurses
with the roles of the various members of the health care team they
will encounter on a medical-surgical unit. When providing examples
of the types of tasks certified nursing assistants (CNAS) can perform,
which of the following client activities should the nurse include?
(Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs.
Answer: A, B, C, E
Rationale: it is within the range of function for a CNA to provide
basic care to patients (bathing, assisting with ambulation, assisting
with toileting, measuring and recording vital signs)
,◉ Ch. 4) A nurse observes an assistive personnel (AP) reprimanding
a client for not using the urinal properly. The AP tells the client that
diapers will be used next time the urinal is used improperly. Which
of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy.
Answer: A
Rationale: by threatening the client, the AP is committing a salt. The
AP's threats could make the client become fearful and apprehensive.
◉ Ch. 4) A nurse is caring for a competent adult client who tells the
nurse, "I am leaving the hospital this morning whether the doctor
discharges me or not." The nurse believes that this is not in the
client's best interest, and prepares to administer a PRN sedative
medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the
nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
,D. Breach of confidentiality.
Answer: B
Rationale: administering a medication as a chemical restraint to
keep the client from leaving the facility against medical advice is
false imprisonment, because the client neither requested nor
consented to receiving the sedative.
◉ Ch. 4) A nurse in a surgeon's office is providing preoperative
teaching for a client who is scheduled for surgery the following
week. The client tells the nurse that "I plan to prepare my advance
directives before I come to the hospital." Which of the following
statements made by the client should indicate to the nurse an
understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it
has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare
these forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in
at the hospital.".
Answer: C
, Rationale: The patient has the right to decide and specify which
medical procedures he wants when a life-threatening situation
arises.
◉ Ch. 4) A nurse is caring for a client who is about to undergo an
elective surgical procedure. The nurse should take which of the
following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery..
Answer: A, B
Rationale: it is the nurses responsibility to verify that The surgeon
obtained the clients consent and that the client understands the
information the surgeon gave them AND witness the client signing of
the consent form, and to verify that they are consenting voluntarily
and appear to be competent to do so. The nurse should also verify
that the client understands the information the surgeon has
provided.
◉ Ch. 4) A nurse has noticed several occasions in the past week
when another nurse on the unit seemed drowsy and unable to focus
on the issue at hand. Today, the nurse was found asleep in a chair in
REVIEW GUIDE 2026 COMMUNICATION
DOCUMENTATION AND PROFESSIONAL
PRACTICE
◉ Ch. 2) A nurse is acquainting a group of newly licensed nurses
with the roles of the various members of the health care team they
will encounter on a medical-surgical unit. When providing examples
of the types of tasks certified nursing assistants (CNAS) can perform,
which of the following client activities should the nurse include?
(Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs.
Answer: A, B, C, E
Rationale: it is within the range of function for a CNA to provide
basic care to patients (bathing, assisting with ambulation, assisting
with toileting, measuring and recording vital signs)
,◉ Ch. 4) A nurse observes an assistive personnel (AP) reprimanding
a client for not using the urinal properly. The AP tells the client that
diapers will be used next time the urinal is used improperly. Which
of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy.
Answer: A
Rationale: by threatening the client, the AP is committing a salt. The
AP's threats could make the client become fearful and apprehensive.
◉ Ch. 4) A nurse is caring for a competent adult client who tells the
nurse, "I am leaving the hospital this morning whether the doctor
discharges me or not." The nurse believes that this is not in the
client's best interest, and prepares to administer a PRN sedative
medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the
nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
,D. Breach of confidentiality.
Answer: B
Rationale: administering a medication as a chemical restraint to
keep the client from leaving the facility against medical advice is
false imprisonment, because the client neither requested nor
consented to receiving the sedative.
◉ Ch. 4) A nurse in a surgeon's office is providing preoperative
teaching for a client who is scheduled for surgery the following
week. The client tells the nurse that "I plan to prepare my advance
directives before I come to the hospital." Which of the following
statements made by the client should indicate to the nurse an
understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it
has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare
these forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in
at the hospital.".
Answer: C
, Rationale: The patient has the right to decide and specify which
medical procedures he wants when a life-threatening situation
arises.
◉ Ch. 4) A nurse is caring for a client who is about to undergo an
elective surgical procedure. The nurse should take which of the
following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery..
Answer: A, B
Rationale: it is the nurses responsibility to verify that The surgeon
obtained the clients consent and that the client understands the
information the surgeon gave them AND witness the client signing of
the consent form, and to verify that they are consenting voluntarily
and appear to be competent to do so. The nurse should also verify
that the client understands the information the surgeon has
provided.
◉ Ch. 4) A nurse has noticed several occasions in the past week
when another nurse on the unit seemed drowsy and unable to focus
on the issue at hand. Today, the nurse was found asleep in a chair in
