FUNDAMENTALS CMS MIDTERM 2023/2026 EXAM QUESTIONS WITH CORRECT ANSWERS

FUNDAMENTALS CMS MIDTERM 2023/2026 EXAM QUESTIONS WITH CORRECT ANSWERS A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients just the nurse assigned to the room closest to the nurses station? A. A middle adult who is postoperative following a laparoscopic cholecystectomy B. A middle adult who requires telemetry for a possible myocardial infarction C. Young adult who is postoperative following an open reduction internal fixation of the ankle D. An older adult who is postoperative following a below the knee amputation - ANSWER-D .A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse include as a developmental task for a young adult? A. Becoming actively involved in providing guidance to the next generation B. Adjusting to major changes in roles and relationships due to losses C. Devoting a great deal of time to establishing an occupation D. Finding oneself "sandwiched" between and being responsible for two generations - ANSWER-C .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. - ANSWER-B) Obtaining cotton balls for the tracheostomy .A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply) A. Respiratory rate is 22/min with even, unlabored respirations. B. The clients partner states, "he said he hurts after walking about 10 minutes." C. Pain rating is three on a scale of 0 to 10 D. Skin is pink, warm, and dry E. The AP reports the client walked with a limp - ANSWER-A D E .A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a providers prescription. Which of the following interventions should the charge nurse include? (Select all that apply) A. Writing a prescription for morphine sulfate as needed for pain B. Inserting a nasogastric (NG tube) to relieve gastric distention C. Showing a client how to use progressive muscle relaxation D. Performing a daily bath after the evening meal E. Re-positioning a client every two hours to reduce pressure ulcer risk. - ANSWER-C D E .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. - ANSWER-C) Confirm unresponsiveness .A client who has had a CVA (cerebrovascular accident) has persistent problems with dysphasia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional team? A. Social worker B. Certified nursing assistant C. Occupational therapist D. Speech-language pathologist - ANSWER-D .A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medications affects? (Select all that apply) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist - ANSWER-A C D .A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention. A. Holding a community clinic to adminster influenza immunizations. B. Screening groups of older adults in nursing care facilites for early influenza manifestations. C. Educating parents of young children about dangers of influenza. D. Finding rehabilitation programs for older adults who have complications from influenza. - ANSWER-B) Screening groups of older adults and nursing care facilities for early influencer manifestations .A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist - ANSWER-D .A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include in her counseling? A. Carbon monoxide has a distinct odor B. Water heaters should be inspected every five years C. The lungs are damaged from carbon monoxide inhalation D. Carbon monoxide binds with hemoglobin in the body - ANSWER-D .A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include in her counseling? (Select all that apply) A. Most food poisoning is caused by a virus B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high-risk should eat or drink only pasteurized dairy foods D. Healthy individuals usually recover from the illness in a few weeks E. Handling raw and fresh food separately can prevent food poisoning - ANSWER-B C E .A mother tells the nurse that her two-year-old toddler has temper tantrum's and says "no" every time the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting which of the following stages of development? A. Trying to increase her independence B. Developing a sense of trust C. Establishing a new identity D. Attempting to master a skill - ANSWER-A .A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "the client said his leg pain was back, so I checked his medical record, and he last received his pain medication six hours ago. The prescription reads every four hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process? - ANSWER-A .A nurse at a providers office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? A. So I don't need the colon cancer procedure for another 2 to 3 years B. For now I should continue to have a mammogram each year C. Because the doctor just did a Pap smear, I'll come back next year for another one D. I had my blood glucose test last year, so I won't need it again till next year. - ANSWER-B .A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethescope to auscultate the aortic valve? A. Fifth intercostal space just medical to the midclavicular line B. Second intercostal space to the left of the sternum C. Fifth intercostal space to the left of the sternum D. Second intercostal space to the right of the sternum. - ANSWER-D) Second intercostal space to the right of the sternum .A nurse educator is conducting a parenting class for new parents of infants. Which of the following statements made by a participant indicates understanding of the instructions?