Fundamental CMS Exam Study Guide Questions
And Answers Verified 100% Correct
A nurse is collecting data from an older adult client as part of a
Neurosensory examination. Which of the following findings should the
nurse expect as changes associated with aging? (Select all that apply)
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. Slower light touch
sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short term memory decline
A nurse is caring for a client who states "I have to check with my wife and
see if she thinks I'm 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
Which of the following actions should the nurse take when using the
communication technique of active listening? (Select all that apply)
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.
Respond positively when giving feedback - ANSWER A. Use an open
posture
C. Establish and maintain eye contact
E. Respond positively when giving feedback
* writing things down can distract you from hearing the rest of the
conversation, nodding could interpret agreement to what the client is saying
as opposed to just acknowledging what he's saying
A nurse is caring for a client who is concerned about his impending
discharge to home with a new colostomy bag because he is an avid
swimmer. Which of the following statements should the nurse make?
(Select all that apply)
A. " you will do great! You just have to get used to it."
B. " why are you worried about going home?"
C. " your daily routine will be different when you go back home" D. " tell me
about your support system you'll have after you leave the hospital"
E. " let me tell you about a - ANSWER C. " your daily routine will be
different when you go back home"
D. " tell me about your support system you'll have after you leave
the hospital"
E. " let me tell you about a friend of mine with a colostomy who
enjoys swimming"
Which of the following strategies should a nurse used to establish
a helping relationship with a client?
A. Make sure the communication is equally reciprocal between the nurse
and the client
B. Encourage the client to communicate his 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. Encourage the client to communicate
his thoughts and feelings
, A nurse is caring for a school age child who 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. Sit at eye level with the
child
A nurse is caring for a client who has terminal lung cancer. The nurse
observes the clients family assisting with all ADLs. Which of the following
rationales for self-care should the nurse communicate with the family?
A. Allowing the client to function independently will strengthen her
muscles and promote healing
B. The client needs to be given privacy at times for self reflecting and
organizing her life
C. The clients sense of loss can be lessened through retaining control of
certain areas of - ANSWER C. The clients sense of loss can be lessened
through retaining control of certain areas of her life
A nurse is caring for a client who has stage five lung cancer and his three
days postoperative following a wedge resection. The client states, "I told
myself I would go through with the surgery and quit smoking, if I could just
live long enough to attend my daughters wedding." Based on Kubler Ross'
is model which stage of grief is the client experiencing?
A. Anger
B. Denial
C. Bargaining
D. Acceptance - ANSWER C. Bargaining
A nurse is consoling the partner of a client who just expired after a long
battle with liver cancer. The partner is displaying grief and states, "I hate
, him for leaving me here." Which of the following statements by the nurse
successfully facilitates mourning for the grieving partner? (Select all that
apply)
A. "Would you like me to contact the chaplain to come and speak with
you?"
B. "You will feel better soon. You have been expecting this for a while
now."
C. "Let's talk about your children a - ANSWER A. "Would you like me to
contact the chaplain to come and speak with you?" D. "You know, it's quite
normal to feel anger towards your husband at this time."
E. "Tell me more about how you were feeling."
A nurse is caring for a client who has a terminal disease. Death is
expected within 24 hours. The clients family is at bedside and
asks the nurse about anticipated findings at this time. Which of
the following findings should the nurse discuss?
A. Regular breathing patterns
B. Warm extremities
C. Increased urine output
D. Decreased muscle tone - ANSWER D. Decreased muscle tone
A nurse is assisting a newly licensed nurse with postmortem care of a
client. The family wishes to view the body. Which of the following
statements by the newly licensed nurse indicates an understanding of this
procedure? (Select all that apply)
A. "I will remove the dentures from the body"
B. "I will make sure the body is lying completely flat"
C. "I will apply fresh linens and place a clean gown on the body"
D. "I will remove all equipment from the bedside"
E. " I will dim the lights in the r - ANSWER C. "I will apply fresh linens and
place a clean gown on the body" D. "I will remove all equipment from
the bedside"
And Answers Verified 100% Correct
A nurse is collecting data from an older adult client as part of a
Neurosensory examination. Which of the following findings should the
nurse expect as changes associated with aging? (Select all that apply)
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. Slower light touch
sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short term memory decline
A nurse is caring for a client who states "I have to check with my wife and
see if she thinks I'm 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
Which of the following actions should the nurse take when using the
communication technique of active listening? (Select all that apply)
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.
Respond positively when giving feedback - ANSWER A. Use an open
posture
C. Establish and maintain eye contact
E. Respond positively when giving feedback
* writing things down can distract you from hearing the rest of the
conversation, nodding could interpret agreement to what the client is saying
as opposed to just acknowledging what he's saying
A nurse is caring for a client who is concerned about his impending
discharge to home with a new colostomy bag because he is an avid
swimmer. Which of the following statements should the nurse make?
(Select all that apply)
A. " you will do great! You just have to get used to it."
B. " why are you worried about going home?"
C. " your daily routine will be different when you go back home" D. " tell me
about your support system you'll have after you leave the hospital"
E. " let me tell you about a - ANSWER C. " your daily routine will be
different when you go back home"
D. " tell me about your support system you'll have after you leave
the hospital"
E. " let me tell you about a friend of mine with a colostomy who
enjoys swimming"
Which of the following strategies should a nurse used to establish
a helping relationship with a client?
A. Make sure the communication is equally reciprocal between the nurse
and the client
B. Encourage the client to communicate his 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. Encourage the client to communicate
his thoughts and feelings
, A nurse is caring for a school age child who 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. Sit at eye level with the
child
A nurse is caring for a client who has terminal lung cancer. The nurse
observes the clients family assisting with all ADLs. Which of the following
rationales for self-care should the nurse communicate with the family?
A. Allowing the client to function independently will strengthen her
muscles and promote healing
B. The client needs to be given privacy at times for self reflecting and
organizing her life
C. The clients sense of loss can be lessened through retaining control of
certain areas of - ANSWER C. The clients sense of loss can be lessened
through retaining control of certain areas of her life
A nurse is caring for a client who has stage five lung cancer and his three
days postoperative following a wedge resection. The client states, "I told
myself I would go through with the surgery and quit smoking, if I could just
live long enough to attend my daughters wedding." Based on Kubler Ross'
is model which stage of grief is the client experiencing?
A. Anger
B. Denial
C. Bargaining
D. Acceptance - ANSWER C. Bargaining
A nurse is consoling the partner of a client who just expired after a long
battle with liver cancer. The partner is displaying grief and states, "I hate
, him for leaving me here." Which of the following statements by the nurse
successfully facilitates mourning for the grieving partner? (Select all that
apply)
A. "Would you like me to contact the chaplain to come and speak with
you?"
B. "You will feel better soon. You have been expecting this for a while
now."
C. "Let's talk about your children a - ANSWER A. "Would you like me to
contact the chaplain to come and speak with you?" D. "You know, it's quite
normal to feel anger towards your husband at this time."
E. "Tell me more about how you were feeling."
A nurse is caring for a client who has a terminal disease. Death is
expected within 24 hours. The clients family is at bedside and
asks the nurse about anticipated findings at this time. Which of
the following findings should the nurse discuss?
A. Regular breathing patterns
B. Warm extremities
C. Increased urine output
D. Decreased muscle tone - ANSWER D. Decreased muscle tone
A nurse is assisting a newly licensed nurse with postmortem care of a
client. The family wishes to view the body. Which of the following
statements by the newly licensed nurse indicates an understanding of this
procedure? (Select all that apply)
A. "I will remove the dentures from the body"
B. "I will make sure the body is lying completely flat"
C. "I will apply fresh linens and place a clean gown on the body"
D. "I will remove all equipment from the bedside"
E. " I will dim the lights in the r - ANSWER C. "I will apply fresh linens and
place a clean gown on the body" D. "I will remove all equipment from
the bedside"
