CMS Fundamentals Practice A 2024 LATEST VERSION WITH
ANS
A nurse is reinforcing teaching about health promotion with a group of young adult
clients. Which of the following information should the nurse include? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - - 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? - Answer -
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? - Answer -
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? - Answer - 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? - Answer - 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? - Answer - "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? - Answer - "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? - Answer -
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) -
Answer - - 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 caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections? - Answer -
Drain urine from the tubing before ambulation
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagnesemia? - Answer - Positive
Chvostek's sign
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a
client. Which of the following activities should the nurse recommend as the priority for
this client? - Answer - Attend an exercise program
A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse
listens to the client's bowel sounds. Which of the following actions should the nurse
take? (Click on the audio button to listen to the clip) - Answer - Decrease the rate of the
feeding
A nurse is reinforcing teaching about the use of crutches with a client who has a
fractured right tibia and fibula. Which of the following statements by the client indicates
an understanding of the teaching. - Answer - "I will be sure to keep the crutch tips dry"
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The
client asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the client's spiritual needs? - Answer - "Tell
me what the after life means to you"
ANS
A nurse is reinforcing teaching about health promotion with a group of young adult
clients. Which of the following information should the nurse include? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - - 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? - Answer -
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? - Answer -
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? - Answer - 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? - Answer - 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? - Answer - "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? - Answer - "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? - Answer -
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) -
Answer - - 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 caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections? - Answer -
Drain urine from the tubing before ambulation
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagnesemia? - Answer - Positive
Chvostek's sign
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a
client. Which of the following activities should the nurse recommend as the priority for
this client? - Answer - Attend an exercise program
A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse
listens to the client's bowel sounds. Which of the following actions should the nurse
take? (Click on the audio button to listen to the clip) - Answer - Decrease the rate of the
feeding
A nurse is reinforcing teaching about the use of crutches with a client who has a
fractured right tibia and fibula. Which of the following statements by the client indicates
an understanding of the teaching. - Answer - "I will be sure to keep the crutch tips dry"
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The
client asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the client's spiritual needs? - Answer - "Tell
me what the after life means to you"
