CMS FUNDAMENTALS FINAL TEST EXAM QUESTIONS WITH ACCURATE SOLUTIONS –
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
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.
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.
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.
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.
C. Administer analgesics to the child on a routine schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is initiated.
C
A nurse is providing taching to a client who has heart failure about how to reduce his daily
intake of sodium. Which of the following factors is the most important in determining the
client's ability to learn new dietary habits?
A. The involvement of the client in planning the change.
,B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client.
A
A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client.
Which of the following actions by the newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care.
B
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.
C
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.
B
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."
A
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.
A
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
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.
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.
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.
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.
C. Administer analgesics to the child on a routine schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is initiated.
C
A nurse is providing taching to a client who has heart failure about how to reduce his daily
intake of sodium. Which of the following factors is the most important in determining the
client's ability to learn new dietary habits?
A. The involvement of the client in planning the change.
,B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client.
A
A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client.
Which of the following actions by the newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care.
B
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.
C
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.
B
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."
A
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.
A
