FUNDAMENTALS CMS MIDTERM 2 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ A nurse is caring for an older adult client who is violent and
attempting to disconnect her IV lines. The provider prescribes soft
wrist restraints.
Which of the following actions should the nurse take while the client
is in restraints?
A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hrs.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints.
Answer: C) Remove the restraints one at a time
◉ A nurse is planning care for a client who reports abdominal pain.
An assessment by the nurse reveals the client has a temperature of
39.2 (102.6 F), heart rate of 105/min, a soft nontender abdomen,
and menses overdue by 2 days.
Which of the following findings should be the nurse's priority.
A. Heart rate 105/min
B. soft, nontender abdomen
,C. temperature
D. overdue menses.
Answer: C) Temperature
◉ A nurse is inserting an IV catheter for a client that results in a
blood spill on her gloved hand.
The client has no documented bloodstream infection.
Which of the following actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report to document the event.
C. Carfefully remove the gloves and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine the risk of
infection..
Answer: C) Carefully remove the gloves and follow with hand
hygiene
◉ A nurse is caring for a client who is postoperative and has parlytic
ileus.
Which of the following abdominal assessments should the nurse
expect?
A. Frequent bowel sounds with flatus.
B. Absent bowel sounds with distention
C. Hyperactive bowel sounds with diarrhea.
,D. Normal bowel sounds with increased peristalsis..
Answer: B) Absent Val sounds with distention
◉ A nurse is caring for a client who has type 1 diabetes mellitus and
is resistant to learning self-injection of insulin.
Which of the following statements should the nurse make?
A. "Tell me what I can do to help you overcome your fear of giving
yourself injections."
B. "I am sure your provider will not be pleased that you refuse to
give yourself insulin injections."
C. "It's okay. I am sure your partner will be able to learn how to give
you the insulin injections."
D. "You won't be able to go home unless you learn to give yourself
insulin injections.".
Answer: A) Tell me what I can do to help you overcome your fear of
giving yourself injections
◉ A nurse is recieving a client from the PACU who is postoperative
following abdominal surgery.
Which of the following actions should the nurse make to transfer the
client from the stretcher to the bed?
A. Lock the wheels on the bed and stretcher.
B. Instruct the client to raise his arms above his head.
C. Elevate the stretcher 2.5cm (1in) above the height of the bed.
, D. Log roll the client..
Answer: A) lock the wheels on the bed and stretcher
◉ A nurse is caring for a client who is in the terminal stage of cancer.
Which of the following actions should the nurse take when she
observes the client crying?
A. Contact the family and ask them to stay with the client.
B. Offer to call client's minister.
C. Sit and hold the client's hand.
D. Leave the room and allow the client to cry privately..
Answer: C) Sit and hold the clients hand
◉ A nurse in an emergency department is assessing a client who
reports diarrhea and decreased urination for 4 days.
Which of the following actions should the nurse take to assess the
client's skin turgor?
A. Push on a fingernail bed until it blanches, release it, and observe
how long it takes the skin to become pink.
B. Grasp a skinfold on chest under clavicle, release, and note
whether is springs back.
C. Press the skin in above the ankle for 5 seconds, release it, and note
the depth of the impression.
D. Measure the skin fold thickness at the upper arm using a pair of
calbrated skinfold calipers..
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ A nurse is caring for an older adult client who is violent and
attempting to disconnect her IV lines. The provider prescribes soft
wrist restraints.
Which of the following actions should the nurse take while the client
is in restraints?
A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hrs.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints.
Answer: C) Remove the restraints one at a time
◉ A nurse is planning care for a client who reports abdominal pain.
An assessment by the nurse reveals the client has a temperature of
39.2 (102.6 F), heart rate of 105/min, a soft nontender abdomen,
and menses overdue by 2 days.
Which of the following findings should be the nurse's priority.
A. Heart rate 105/min
B. soft, nontender abdomen
,C. temperature
D. overdue menses.
Answer: C) Temperature
◉ A nurse is inserting an IV catheter for a client that results in a
blood spill on her gloved hand.
The client has no documented bloodstream infection.
Which of the following actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report to document the event.
C. Carfefully remove the gloves and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine the risk of
infection..
Answer: C) Carefully remove the gloves and follow with hand
hygiene
◉ A nurse is caring for a client who is postoperative and has parlytic
ileus.
Which of the following abdominal assessments should the nurse
expect?
A. Frequent bowel sounds with flatus.
B. Absent bowel sounds with distention
C. Hyperactive bowel sounds with diarrhea.
,D. Normal bowel sounds with increased peristalsis..
Answer: B) Absent Val sounds with distention
◉ A nurse is caring for a client who has type 1 diabetes mellitus and
is resistant to learning self-injection of insulin.
Which of the following statements should the nurse make?
A. "Tell me what I can do to help you overcome your fear of giving
yourself injections."
B. "I am sure your provider will not be pleased that you refuse to
give yourself insulin injections."
C. "It's okay. I am sure your partner will be able to learn how to give
you the insulin injections."
D. "You won't be able to go home unless you learn to give yourself
insulin injections.".
Answer: A) Tell me what I can do to help you overcome your fear of
giving yourself injections
◉ A nurse is recieving a client from the PACU who is postoperative
following abdominal surgery.
Which of the following actions should the nurse make to transfer the
client from the stretcher to the bed?
A. Lock the wheels on the bed and stretcher.
B. Instruct the client to raise his arms above his head.
C. Elevate the stretcher 2.5cm (1in) above the height of the bed.
, D. Log roll the client..
Answer: A) lock the wheels on the bed and stretcher
◉ A nurse is caring for a client who is in the terminal stage of cancer.
Which of the following actions should the nurse take when she
observes the client crying?
A. Contact the family and ask them to stay with the client.
B. Offer to call client's minister.
C. Sit and hold the client's hand.
D. Leave the room and allow the client to cry privately..
Answer: C) Sit and hold the clients hand
◉ A nurse in an emergency department is assessing a client who
reports diarrhea and decreased urination for 4 days.
Which of the following actions should the nurse take to assess the
client's skin turgor?
A. Push on a fingernail bed until it blanches, release it, and observe
how long it takes the skin to become pink.
B. Grasp a skinfold on chest under clavicle, release, and note
whether is springs back.
C. Press the skin in above the ankle for 5 seconds, release it, and note
the depth of the impression.
D. Measure the skin fold thickness at the upper arm using a pair of
calbrated skinfold calipers..
