ATI: CMS FUNDAMENTAL EXAM
A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can
incorporate into their practice without the need for specialized licensing or certification. Which of the following
should the nurse encourage them to use? (SATA)
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch - Answer: A, C, D
Rationale:
A. Nurses can use guided imagery with clients once they understand the general principles of this therapy
C. Nurses can use meditation with clients once they understand the general principles of this therapy
D. Nurses can uses music therapy with clients once they understand the general principles
Ch 10: A nurse is performing an admission assessment for an older adult client. After gathering the assessment data
and performing the review of systems, which of the following actions is a priority for the nurse?
A. Orient the client to their room.
B. Conduct a client care conference.
C. Review medical prescriptions.
D. Develop a plan of care. - Answer: A
Ch 31) A nurse in a provider's office is preparing to assess a young adult client's musculoskeletal system as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? (SATA)
A. Concave thoracic spine posteriorly
B. Exaggerated lumbar curvature
C. Concave lumbar spine posteriorly
D. Exaggerated thoracic curvature
E. Muscles slightly larger on the dominant side - Answer: C, E
,Ch 31) A nurse is caring for a client who reports pain with internal rotation of the right shoulder. This discomfort can
affect the clients ability to perform which of the following activities?
A. Exercising the deltoid muscle when using hand weights
B. Brushing their hair on the back of the head
C. Fascinating or zipping closures on the back while dressing
D. Reaching into a cabinet above the sink - Answer: C
Ch 31) A nurse is performing an neurologic examination for client. Which of the following assessments should the
nurse perform to test the client's balance? (SATA)
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test - Answer: A, B
Ch 31) A nurse who is assessing a client's neurologic system, should ask the client to close their eyes and identify
which of the following items?
A. A word the nurse whispers 30 cm from the ear
B. A number the nurse traces on the palm of the hand
C. The vibration of a tuning fork the nurse places on the foot
D. A familiar object the nurse places in the hand - Answer: D
Ch 31) The nurse is collecting data from an older adult client as part of neurologic examination. Which of the following
findings should the nurse expect as changes associated with aging? (SATA)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
,E. Decreased risk of depression - Answer: A, B, C, D
Ch 32) A nurse is caring for a client who is concerned about being discharged home with the new colostomy because
of being an avid swimmer. Which of the following statements should the nurse make? (SATA)
A. You will do great you just have to get used to it!
B. Why are you worried about going home?
C. Your daily routines will be different when you get home.
D. Tell me about the support system you'll have after you leave the hospital.
E. It sounds like you're not sure how having a colostomy will affect swimming. - Answer: C, D, E
Ch 32) A nurses caring for a client who states, "I have to check with my partner and see if they think I am ready to go
home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using
to enhance communication with the client?
A. pacing
B. reflecting
C. paraphrasing
D. restating - Answer: B; Reflecting directs the focus of the conversation back to the client so that they can further
explore their own feelings
Ch 32) A nurses caring for a school-age child is sitting in a chair. To facilitate effective communication, which of the
following actions should the nurse take?
A. Touch the child's arm
B. Sit at eye level with the child
C. Stand facing the child
D. Stand with a relaxed posture - Answer: B; Be at the same eye level as the child to facilitate communication
Ch 32) Which of the following actions should the nurse take when demonstrating an empathetic presence to a client?
(SATA)
A. Use an open posture
B. Write down what the client says to avoid forgetting details
, C. Establish and maintain eye contact
D. Nod in agreement with the client throughout the conversation
E. Sit facing the client - Answer: A, C, E
Ch 32) Which of the following strategies should the nurse use to establish a healthy relationship with the client?
A. Make sure the communication is equally distributed between the nurse's and client's desires
B. Encourage the client to communicate their thoughts and feelings
C. Give the nurse-client communication no time limits
D. Allow communication to occur spontaneously throughout the nurse-client relationship - Answer: B; Therapeutic
communication facilitates a helping relationship that maximizes the clients ability to express their thoughts and
feelings openly
Ch 33) A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client
works as a carpenter and is now experiencing situational role change based on physical limitations. The client is the
primary wage earner in the family. Which of the following describes the client's role problem?
A. role conflict
B. role overlad
C. role abiguity
D. role strain - Answer: A; The client is experiencing role conflicts because their career is extremely physical and they
can no longer perform the job duties
ch 33) A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse
use when working with the family using an open structure for coping with crisis?
A. Prescribing tasks unilaterally
B. Delegating care to one member
C. Speaking to the primary client privately
D. Convening a family meeting - Answer: D; An open structure is loose and convening a family meeting with give all
family members input an opportunity to express their feelings
Ch 33) Nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the
transfer team arrives, the nurses take the client's vital signs and notes an elevation in blood pressure and heart rate.
The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?
A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can
incorporate into their practice without the need for specialized licensing or certification. Which of the following
should the nurse encourage them to use? (SATA)
A. Guided imagery
B. Massage therapy
C. Meditation
D. Music therapy
E. Therapeutic touch - Answer: A, C, D
Rationale:
A. Nurses can use guided imagery with clients once they understand the general principles of this therapy
C. Nurses can use meditation with clients once they understand the general principles of this therapy
D. Nurses can uses music therapy with clients once they understand the general principles
Ch 10: A nurse is performing an admission assessment for an older adult client. After gathering the assessment data
and performing the review of systems, which of the following actions is a priority for the nurse?
A. Orient the client to their room.
B. Conduct a client care conference.
C. Review medical prescriptions.
D. Develop a plan of care. - Answer: A
Ch 31) A nurse in a provider's office is preparing to assess a young adult client's musculoskeletal system as part of a
comprehensive physical examination. Which of the following findings should the nurse expect? (SATA)
A. Concave thoracic spine posteriorly
B. Exaggerated lumbar curvature
C. Concave lumbar spine posteriorly
D. Exaggerated thoracic curvature
E. Muscles slightly larger on the dominant side - Answer: C, E
,Ch 31) A nurse is caring for a client who reports pain with internal rotation of the right shoulder. This discomfort can
affect the clients ability to perform which of the following activities?
A. Exercising the deltoid muscle when using hand weights
B. Brushing their hair on the back of the head
C. Fascinating or zipping closures on the back while dressing
D. Reaching into a cabinet above the sink - Answer: C
Ch 31) A nurse is performing an neurologic examination for client. Which of the following assessments should the
nurse perform to test the client's balance? (SATA)
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test - Answer: A, B
Ch 31) A nurse who is assessing a client's neurologic system, should ask the client to close their eyes and identify
which of the following items?
A. A word the nurse whispers 30 cm from the ear
B. A number the nurse traces on the palm of the hand
C. The vibration of a tuning fork the nurse places on the foot
D. A familiar object the nurse places in the hand - Answer: D
Ch 31) The nurse is collecting data from an older adult client as part of neurologic examination. Which of the following
findings should the nurse expect as changes associated with aging? (SATA)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
,E. Decreased risk of depression - Answer: A, B, C, D
Ch 32) A nurse is caring for a client who is concerned about being discharged home with the new colostomy because
of being an avid swimmer. Which of the following statements should the nurse make? (SATA)
A. You will do great you just have to get used to it!
B. Why are you worried about going home?
C. Your daily routines will be different when you get home.
D. Tell me about the support system you'll have after you leave the hospital.
E. It sounds like you're not sure how having a colostomy will affect swimming. - Answer: C, D, E
Ch 32) A nurses caring for a client who states, "I have to check with my partner and see if they think I am ready to go
home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using
to enhance communication with the client?
A. pacing
B. reflecting
C. paraphrasing
D. restating - Answer: B; Reflecting directs the focus of the conversation back to the client so that they can further
explore their own feelings
Ch 32) A nurses caring for a school-age child is sitting in a chair. To facilitate effective communication, which of the
following actions should the nurse take?
A. Touch the child's arm
B. Sit at eye level with the child
C. Stand facing the child
D. Stand with a relaxed posture - Answer: B; Be at the same eye level as the child to facilitate communication
Ch 32) Which of the following actions should the nurse take when demonstrating an empathetic presence to a client?
(SATA)
A. Use an open posture
B. Write down what the client says to avoid forgetting details
, C. Establish and maintain eye contact
D. Nod in agreement with the client throughout the conversation
E. Sit facing the client - Answer: A, C, E
Ch 32) Which of the following strategies should the nurse use to establish a healthy relationship with the client?
A. Make sure the communication is equally distributed between the nurse's and client's desires
B. Encourage the client to communicate their thoughts and feelings
C. Give the nurse-client communication no time limits
D. Allow communication to occur spontaneously throughout the nurse-client relationship - Answer: B; Therapeutic
communication facilitates a helping relationship that maximizes the clients ability to express their thoughts and
feelings openly
Ch 33) A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client
works as a carpenter and is now experiencing situational role change based on physical limitations. The client is the
primary wage earner in the family. Which of the following describes the client's role problem?
A. role conflict
B. role overlad
C. role abiguity
D. role strain - Answer: A; The client is experiencing role conflicts because their career is extremely physical and they
can no longer perform the job duties
ch 33) A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse
use when working with the family using an open structure for coping with crisis?
A. Prescribing tasks unilaterally
B. Delegating care to one member
C. Speaking to the primary client privately
D. Convening a family meeting - Answer: D; An open structure is loose and convening a family meeting with give all
family members input an opportunity to express their feelings
Ch 33) Nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the
transfer team arrives, the nurses take the client's vital signs and notes an elevation in blood pressure and heart rate.
The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?
