CMS Fundamentals 2 Questions And Answers Verified
100% Correct
A nurse is applying antiembolitic stockings for a client who has a history of
DVT. Which of the following actions should the nurse take when applying
the stockings? - ANSWER Turn the stockings inside out up to the heel
before applying
A nurse is assisting a client who is eating at mealtime. The client
grabs her neck with both hands and appears frightened. Which of
the following actions should the nurse take first? - ANSWER
Determine whether the client is able to breathe
A nurse is preparing to assist with ambulation of an older adult
client who was on bed rest for 3 days. Which of the following
actions should the nurse take to decrease the risk of a fall? -
ANSWER Use a gait belt during ambulation
A nurse is caring for a client who has a history of dysrhythmias. Upon
entering the room, the nurse discovers the client is unresponsive to verbal
or painful stimuli, has no respirations, and is pulseless. Which of the
following actions should the nurse take first? - ANSWER Start chest
compressions
A nurse is planning to collect a stool specimen for ova and parasites from
a client who has diarrhea. Which of the following actions should the nurse
take when collecting the specimen? -
ANSWER Place the stool specimen collection container in a
biohazard bag.
A nurse is performing suctioning for a client who has a tracheostomy.
Which of the following actions should the nurse take? - ANSWER Pull
suction catheter back 1 cm (0.5 in) if the client starts coughing
, A nurse is teaching a client who is recovering from gallbladder surgery how
to use an incentive spirometer. Which of the following information should
the nurse include in the teaching? - ANSWER Hold breath for 5 seconds
after goal volume is reached
A nurse is changing the bed linens for a client who is on bed rest.
Which of the following actions should the nurse plan to take? -
ANSWER Hold the linens away from the body and clothing
A nurse is preparing to remove an NG tube for a client who had a partial
colectomy. Which of the following actions should the nurse take? -
ANSWER Pinch the NG tube while removing the tube (to decrease the risk
of aspiration of any gastric contents)
A nurse is caring for a client who is postoperative following a
vaginal hysterectomy and asks for a drink. Her postoperative diet
prescription reads: clear liquids; advance diet as tolerated. Which of the
following responses should the nurse make? - ANSWER "I am going to
listen to your abdomen"
A nurse is planning care for a client who has a would infection following
abdominal surgery. To promote healing and fight infection, which of the
following vitamins and minerals should the nurse plan to increase in the
client's diet? - ANSWER Vitamin C and Zinc (Multivitamin, mineral
supplement of both, in addition to vitamin E to aid in skin and wound
healing)
A nurse is preparing to insert an NG tube for a client who has a bowel
obstruction. Which of the following actions should the nurse take first? -
ANSWER Explain the procedure to the client (least invasive)
A nurse is preparing to anchor with tape the catheter tube for a
male client who has a newly inserted indwelling urinary catheter. At which
of the following locations should the nurse tape the catheter? - ANSWER
Lower abdomen (or upper aspect of the thigh to eliminate the penoscrotal
angle and prevent tissue injury)
100% Correct
A nurse is applying antiembolitic stockings for a client who has a history of
DVT. Which of the following actions should the nurse take when applying
the stockings? - ANSWER Turn the stockings inside out up to the heel
before applying
A nurse is assisting a client who is eating at mealtime. The client
grabs her neck with both hands and appears frightened. Which of
the following actions should the nurse take first? - ANSWER
Determine whether the client is able to breathe
A nurse is preparing to assist with ambulation of an older adult
client who was on bed rest for 3 days. Which of the following
actions should the nurse take to decrease the risk of a fall? -
ANSWER Use a gait belt during ambulation
A nurse is caring for a client who has a history of dysrhythmias. Upon
entering the room, the nurse discovers the client is unresponsive to verbal
or painful stimuli, has no respirations, and is pulseless. Which of the
following actions should the nurse take first? - ANSWER Start chest
compressions
A nurse is planning to collect a stool specimen for ova and parasites from
a client who has diarrhea. Which of the following actions should the nurse
take when collecting the specimen? -
ANSWER Place the stool specimen collection container in a
biohazard bag.
A nurse is performing suctioning for a client who has a tracheostomy.
Which of the following actions should the nurse take? - ANSWER Pull
suction catheter back 1 cm (0.5 in) if the client starts coughing
, A nurse is teaching a client who is recovering from gallbladder surgery how
to use an incentive spirometer. Which of the following information should
the nurse include in the teaching? - ANSWER Hold breath for 5 seconds
after goal volume is reached
A nurse is changing the bed linens for a client who is on bed rest.
Which of the following actions should the nurse plan to take? -
ANSWER Hold the linens away from the body and clothing
A nurse is preparing to remove an NG tube for a client who had a partial
colectomy. Which of the following actions should the nurse take? -
ANSWER Pinch the NG tube while removing the tube (to decrease the risk
of aspiration of any gastric contents)
A nurse is caring for a client who is postoperative following a
vaginal hysterectomy and asks for a drink. Her postoperative diet
prescription reads: clear liquids; advance diet as tolerated. Which of the
following responses should the nurse make? - ANSWER "I am going to
listen to your abdomen"
A nurse is planning care for a client who has a would infection following
abdominal surgery. To promote healing and fight infection, which of the
following vitamins and minerals should the nurse plan to increase in the
client's diet? - ANSWER Vitamin C and Zinc (Multivitamin, mineral
supplement of both, in addition to vitamin E to aid in skin and wound
healing)
A nurse is preparing to insert an NG tube for a client who has a bowel
obstruction. Which of the following actions should the nurse take first? -
ANSWER Explain the procedure to the client (least invasive)
A nurse is preparing to anchor with tape the catheter tube for a
male client who has a newly inserted indwelling urinary catheter. At which
of the following locations should the nurse tape the catheter? - ANSWER
Lower abdomen (or upper aspect of the thigh to eliminate the penoscrotal
angle and prevent tissue injury)
