CDM EXAM| WITH COMPLETE
QUESTIONS AND 100% CORRECT
SOLUTIONS| VERIFIED BY EXPERT|
2025 UPDATE.
The nurse is assessing a 48-year-old client with a history of smoking during a routine
clinic visit. The client, who exercises regularly, reports having pain in the calf during
exercise that disappears at rest. Which finding requires further evaluation?
A) heart rate 57 bpm
B) SpO2 of 94% on room air
C) blood pressure 134/82 mm Hg
D) ankle brachial index of 0.65 - ANSWER ✔✔ D) ankle brachial index of 0.65
An ankle-brachial index of 0.65 suggests moderate arterial vascular disease in a client
who is experiencing intermittent claudication. A Doppler ultrasound is indicated for
further evaluation. The bradycardic heart rate is acceptable in an athletic client with a
normal blood pressure. The SpO2 is acceptable; the client has a smoking history.
A 4-year-old child is brought to the emergency department in cardiac arrest. The staff
performs cardiopulmonary resuscitation (CPR). Identify the area where the child's pulse
would be checked. - ANSWER ✔✔ Carotid artery for a child; brachial for an infant
A client is admitted to the hospital with a diagnosis of cholecystitis from cholelithiasis.
The client has severe abdominal pain, nausea, and has vomited 120 mL. Based on
these data, which nursing action would have the highest priority at this time?
Manage anxiety. Restore fluid loss. Manage the pain. Replace nutritional loss. -
ANSWER ✔✔ Manage the pain;
The priority for nursing care at this time is to decrease the client's severe abdominal
pain. The pain, which is frequently accompanied by nausea and vomiting, is caused by
biliary spasm. Opioid analgesics are given to relieve the severe pain and spasm of
cholecystitis. Relief of pain may decrease nausea and vomiting and thereby decrease
the client's likelihood of developing further complications, such as severe fluid loss and
inadequate nutrition. There are no data to suggest that the client is anxious.
QUESTIONS AND 100% CORRECT
SOLUTIONS| VERIFIED BY EXPERT|
2025 UPDATE.
The nurse is assessing a 48-year-old client with a history of smoking during a routine
clinic visit. The client, who exercises regularly, reports having pain in the calf during
exercise that disappears at rest. Which finding requires further evaluation?
A) heart rate 57 bpm
B) SpO2 of 94% on room air
C) blood pressure 134/82 mm Hg
D) ankle brachial index of 0.65 - ANSWER ✔✔ D) ankle brachial index of 0.65
An ankle-brachial index of 0.65 suggests moderate arterial vascular disease in a client
who is experiencing intermittent claudication. A Doppler ultrasound is indicated for
further evaluation. The bradycardic heart rate is acceptable in an athletic client with a
normal blood pressure. The SpO2 is acceptable; the client has a smoking history.
A 4-year-old child is brought to the emergency department in cardiac arrest. The staff
performs cardiopulmonary resuscitation (CPR). Identify the area where the child's pulse
would be checked. - ANSWER ✔✔ Carotid artery for a child; brachial for an infant
A client is admitted to the hospital with a diagnosis of cholecystitis from cholelithiasis.
The client has severe abdominal pain, nausea, and has vomited 120 mL. Based on
these data, which nursing action would have the highest priority at this time?
Manage anxiety. Restore fluid loss. Manage the pain. Replace nutritional loss. -
ANSWER ✔✔ Manage the pain;
The priority for nursing care at this time is to decrease the client's severe abdominal
pain. The pain, which is frequently accompanied by nausea and vomiting, is caused by
biliary spasm. Opioid analgesics are given to relieve the severe pain and spasm of
cholecystitis. Relief of pain may decrease nausea and vomiting and thereby decrease
the client's likelihood of developing further complications, such as severe fluid loss and
inadequate nutrition. There are no data to suggest that the client is anxious.
