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CDM EXAM 2025 ACTUAL EXAM 370 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION, EXAMS OF NUTRITION
The nurse is developing a plan of care for a client who uses a wheelchair and requires toileting
assistance. The nurse recognizes that there is a Self-Care Deficit: Toileting related to which of
the following?
Impaired transfer ability
Environmental factors
Fatigue
Decreased motivation - ANSWER-Impaired transfer ability- A client using a wheelchair most
likely has a Self Care Deficit in toileting related to his/her ability to transfer safety from the
wheelchair to commode or toilet. Environmental factors may be implicated if the wheelchair
does not fit in the bathroom; in this case the nurse should obtain a commode. There is no
indication that the client suffers from fatigue or decreased motivation.
The nurse is planning care for a client who experienced a traumatic amputation of the right arm.
Which of the following outcomes would be most applicable for this client's nursing diagnosis of
Self-Care Deficit: Toileting?
Client will toilet safely.
Client will state satisfaction with ability to use adaptive devices for toileting.
Client will toilet with assistance of caregiver.
Client will wear adult incontinence briefs for safety. - ANSWER-Client will state satisfaction with
ability to use adaptive devices for toileting- Adaptive devices for toileting can promote
independence. While the ability to toilet safely is a good long term goal, this client most likely
needs adaptive devices in order to do so. Satisfaction with adaptive devices will lead to
compliance and consistency in their use. The client should be encouraged to be as independent
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as possible, so toileting with a caregiver's assistance is not the most optimal outcome. There
should be no need for this client to wear incontinence briefs.
The nurse is planning to place a client with a fractured hip on a bed pan. Which one of the
following interventions has research shown would be most effective in reducing the client's
anxiety about its use?
Placing waterproof pads on bed.
Provide analgesics 30 minutes after bed pan use.
Warm bedpan with hot water.
Discuss use of bed pan with client prior to its use. - ANSWER-Discuss use of bed pan with client
prior to its use.- Studies show that some clients may have less anxiety about using a bedpan
when the nurse discusses its use beforehand. Waterproof pads, analgesics, and warming the
bedpan will not help decrease anxiety.
A nurse is caring for a hospitalized client with urinary frequency. What action by the nurse best
promotes patient safety?
Assess the client's fall risk with a standardized tool.
Obtain a prescription for an indwelling catheter.
Provide a bedside commode for the client to use.
Remind the client to get assistance with toileting. - ANSWER-Assess the client's fall risk with a
standardized tool.- A recent study showed that over 45% of falls were related to toileting. One
predictor for falling was being identified as a fall risk. Nurses should assess their clients' fall risk
using a standardized tool before planning specific interventions based on the outcome.
Reminding the client not to get up is important, but with urgency, the client may not be able to
wait. A bedside commode might be helpful with the frequency but will not prevent falls when
getting up to use it. Indwelling catheters are associated with increased risk of bladder infections.
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A nurse is caring for a client with the diagnosis of Readiness for Enhanced Comfort. Which of
the following Nursing Outcomes Classification (NOC) outcomes would be inconsistent with the
nurse's knowledge of this diagnosis?
Symptom control
Comfort status
Spiritual Health
Secondary health promotion - ANSWER-Secondary Health Promotion- Symptom control,
comfort status, and spiritual health are all NOC outcomes for this diagnosis. Secondary health
promotion is not.
The mother of an infant is distressed because the baby needs to have blood drawn. What
instruction by the nurse would decrease both the mother's and the baby's discomfort?
Encourage the mother to hold the baby in a skin-to-skin embrace.
Assure the mother that the baby cannot feel any real pain.
Take the baby from the mother during the blood draw procedure.
Swaddle the baby snugly except for the area of the venipuncture - ANSWER-Encourage the
mother to hold the baby in a skin-to-skin embrace.- Skin-to-skin contact is a very comforting
intervention. Research specifically demonstrates that newborns showed a decreased response
to pain during venipuncture while being held skin-to-skin. If the baby has less discomfort, the
mother will also be less distressed. Babies can feel pain. Taking the baby away will increase
anxiety in both baby and mother and anxiety can increase perceived pain. Swaddling the baby
may provide comfort but has not been shown to be correlated with less pain during
venipuncture
The nurse is caring for a client with dementia who appears to be in discomfort. Which
intervention should the nurse attempt with this client?
Guided imagery
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Healing touch
Simple massage
Distraction techniques - ANSWER-Simple Massage- A recent study showed that elders with
dementia and agitation responded positively to simple massage. A person with dementia most
likely could not participate in guided imagery or use distraction techniques. Healing touch can
be helpful for clients who cannot tolerate more simulating interventions, but requires training
and would not be tried before the more simple massage techniques.
The nurse is caring for a post-operative client from an unfamiliar culture. The nurse is frustrated
because the client will not take pain medication, but refuses to get out of bed. What action by
the nurse is best?
Teach the client how pain control helps with increasing activity.
Give the client pain medications without explaining what they are.
Ask the client what pain and illness represent in his/her culture.
Have the provider discuss pain medication with the client. - ANSWER-Ask the client what pain
and illness represent in his/her culture.- The nurse realizes that culture influences health beliefs,
communication, values, and health-care practices. The nurse should assess how this client's
culture is affecting the decisions the client is making. Then the nurse and client can plan a pain
management strategy together. Teaching the client is always good, but without being able to
provide culturally competent care, the client is not likely to change behaviors. "Sneaking"
medications to an uninformed client is unethical. Having the provider give the client information
is also unlikely to elicit any changes.
A client is admitted with end-stage cancer and has several medications ordered for pain control,
including long-acting narcotics, non-narcotic pain medications, and medications for
breakthrough pain. The client complains loudly of pain of 2 on a 1-10 scale and is angry that the
pain cannot be controlled. Which intervention by the nurse is best?
Administer the medication for breakthrough pain.
Ask the client to explain more about the pain.
CDM EXAM 2025 ACTUAL EXAM 370 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||NEWEST VERSION, EXAMS OF NUTRITION
The nurse is developing a plan of care for a client who uses a wheelchair and requires toileting
assistance. The nurse recognizes that there is a Self-Care Deficit: Toileting related to which of
the following?
Impaired transfer ability
Environmental factors
Fatigue
Decreased motivation - ANSWER-Impaired transfer ability- A client using a wheelchair most
likely has a Self Care Deficit in toileting related to his/her ability to transfer safety from the
wheelchair to commode or toilet. Environmental factors may be implicated if the wheelchair
does not fit in the bathroom; in this case the nurse should obtain a commode. There is no
indication that the client suffers from fatigue or decreased motivation.
The nurse is planning care for a client who experienced a traumatic amputation of the right arm.
Which of the following outcomes would be most applicable for this client's nursing diagnosis of
Self-Care Deficit: Toileting?
Client will toilet safely.
Client will state satisfaction with ability to use adaptive devices for toileting.
Client will toilet with assistance of caregiver.
Client will wear adult incontinence briefs for safety. - ANSWER-Client will state satisfaction with
ability to use adaptive devices for toileting- Adaptive devices for toileting can promote
independence. While the ability to toilet safely is a good long term goal, this client most likely
needs adaptive devices in order to do so. Satisfaction with adaptive devices will lead to
compliance and consistency in their use. The client should be encouraged to be as independent
,2|Page
as possible, so toileting with a caregiver's assistance is not the most optimal outcome. There
should be no need for this client to wear incontinence briefs.
The nurse is planning to place a client with a fractured hip on a bed pan. Which one of the
following interventions has research shown would be most effective in reducing the client's
anxiety about its use?
Placing waterproof pads on bed.
Provide analgesics 30 minutes after bed pan use.
Warm bedpan with hot water.
Discuss use of bed pan with client prior to its use. - ANSWER-Discuss use of bed pan with client
prior to its use.- Studies show that some clients may have less anxiety about using a bedpan
when the nurse discusses its use beforehand. Waterproof pads, analgesics, and warming the
bedpan will not help decrease anxiety.
A nurse is caring for a hospitalized client with urinary frequency. What action by the nurse best
promotes patient safety?
Assess the client's fall risk with a standardized tool.
Obtain a prescription for an indwelling catheter.
Provide a bedside commode for the client to use.
Remind the client to get assistance with toileting. - ANSWER-Assess the client's fall risk with a
standardized tool.- A recent study showed that over 45% of falls were related to toileting. One
predictor for falling was being identified as a fall risk. Nurses should assess their clients' fall risk
using a standardized tool before planning specific interventions based on the outcome.
Reminding the client not to get up is important, but with urgency, the client may not be able to
wait. A bedside commode might be helpful with the frequency but will not prevent falls when
getting up to use it. Indwelling catheters are associated with increased risk of bladder infections.
,3|Page
A nurse is caring for a client with the diagnosis of Readiness for Enhanced Comfort. Which of
the following Nursing Outcomes Classification (NOC) outcomes would be inconsistent with the
nurse's knowledge of this diagnosis?
Symptom control
Comfort status
Spiritual Health
Secondary health promotion - ANSWER-Secondary Health Promotion- Symptom control,
comfort status, and spiritual health are all NOC outcomes for this diagnosis. Secondary health
promotion is not.
The mother of an infant is distressed because the baby needs to have blood drawn. What
instruction by the nurse would decrease both the mother's and the baby's discomfort?
Encourage the mother to hold the baby in a skin-to-skin embrace.
Assure the mother that the baby cannot feel any real pain.
Take the baby from the mother during the blood draw procedure.
Swaddle the baby snugly except for the area of the venipuncture - ANSWER-Encourage the
mother to hold the baby in a skin-to-skin embrace.- Skin-to-skin contact is a very comforting
intervention. Research specifically demonstrates that newborns showed a decreased response
to pain during venipuncture while being held skin-to-skin. If the baby has less discomfort, the
mother will also be less distressed. Babies can feel pain. Taking the baby away will increase
anxiety in both baby and mother and anxiety can increase perceived pain. Swaddling the baby
may provide comfort but has not been shown to be correlated with less pain during
venipuncture
The nurse is caring for a client with dementia who appears to be in discomfort. Which
intervention should the nurse attempt with this client?
Guided imagery
, 4|Page
Healing touch
Simple massage
Distraction techniques - ANSWER-Simple Massage- A recent study showed that elders with
dementia and agitation responded positively to simple massage. A person with dementia most
likely could not participate in guided imagery or use distraction techniques. Healing touch can
be helpful for clients who cannot tolerate more simulating interventions, but requires training
and would not be tried before the more simple massage techniques.
The nurse is caring for a post-operative client from an unfamiliar culture. The nurse is frustrated
because the client will not take pain medication, but refuses to get out of bed. What action by
the nurse is best?
Teach the client how pain control helps with increasing activity.
Give the client pain medications without explaining what they are.
Ask the client what pain and illness represent in his/her culture.
Have the provider discuss pain medication with the client. - ANSWER-Ask the client what pain
and illness represent in his/her culture.- The nurse realizes that culture influences health beliefs,
communication, values, and health-care practices. The nurse should assess how this client's
culture is affecting the decisions the client is making. Then the nurse and client can plan a pain
management strategy together. Teaching the client is always good, but without being able to
provide culturally competent care, the client is not likely to change behaviors. "Sneaking"
medications to an uninformed client is unethical. Having the provider give the client information
is also unlikely to elicit any changes.
A client is admitted with end-stage cancer and has several medications ordered for pain control,
including long-acting narcotics, non-narcotic pain medications, and medications for
breakthrough pain. The client complains loudly of pain of 2 on a 1-10 scale and is angry that the
pain cannot be controlled. Which intervention by the nurse is best?
Administer the medication for breakthrough pain.
Ask the client to explain more about the pain.
