ATI CMS FUNDAMENTALS – QUESTIONS AND ANSWERS 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 t

ATI CMS FUNDAMENTALS – QUESTIONS AND ANSWERS 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 the client's minister C. Sit and hold the client's hand D. Leave the room and allow the client to cry privately Correct Ans - C. Sit and hold the client's hand A nurse is caring for a client who requires wrist restraints. Which of the following actions should the nurse take? A. Tie a secure knot with the restraint straps B. Attach the restraints' straps to the bed's side rails C. Make sure 3 fingers fit beneath the restraints D. Remove the restraints at least every 2 hrs Correct Ans - D. Remove the restraints at least every 2 hrs After collecting data on a client's radial pulses, the nurse documents "radial pulses 4+ bilaterally." This finding indicates which of the following pulse qualities? A. Bounding B. Full C. Variable D. Weak Correct Ans - A. Bounding A nurse is reinforcing teaching with a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? A. Eggs B. Soybeans C. Lentils D. Yogurt Correct Ans - C. Lentils A nurse is planning weight loss strategies for a group of clients who are obese. Which of the following actions by the nurse will improve the clients' commitment to a long-term goal of weight loss? A. Attempting to increase the clients' self-motivation B. Keeping detailed records of each client's progress C. Testing client learning after each teaching session D. Avoiding discussing topics that might cause client anxiety Correct Ans - A. Attempting to increase the clients' self-motivation A nurse is reinforcing teaching with a client who is using a patient-controlled analgesia (PA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? C A. "l'Il limit pushing the button so I don't get an overdose." B. "If I push the button and still have pain after 2 minutes, I'll push it again." C. "I'll ask my niece to push the button when I am sleeping." D. "I can still use my TENS