CMS NURSING FUNDAMENTALS CHAPTER 1
TO 14 EXAM QUESTIONS & CORRECT
ANSWERS
Chapter 1 – Health Care Delivery Systems
- A nurse is discussing the purpose of regulatory agencies during a
staff meeting. Which of the following tasks should the nurse identify
as the responsibility of state licensing boards?
Ensuring that health care providers comply with regulations.
State licensing boards are responsible for ensuring that health care providers and
agencies comply with state regulations.
- A nurse is explaining the various types of health care coverage
clients might have to a group of nurses. Which of the following
health care financing mechanisms should the nurse include as
federally funded? (SATA)
Medicaid –
Medicare
Medicare and Medicaid are federally funded health insurance programs.
- A nurse manager is developing strategies to care for the increasing
number of clients who have obesity. Which of the following actions
should the nurse include as a primary health care strategy?
Collaborating with providers to perform obesity screenings during routine
office visits
Obesity screenings at office visits is an example of primary health care. Primary
health care emphasizes health promotion and disease control, is often delivered
during office visits, and includes screenings.
- A nurse is explaining the various levels of health care services to a
group of newly licensed nurses. Which of the following examples of
care or care settings should the nurse classify as tertiary care?
(SATA)
Intensive care unit –
Oncology treatment center –
Burn center
Tertiary health care involves the provision of specialized and highly technical care,
such as the care nurses deliver in intensive care units, an oncology treatment
center, and a burn center.
, - A nurse is discussing restorative health care with a newly licensed
nurse. Which of the following examples should the nurse include in
the teaching? (SATA)
Home health care –
Rehabilitation facilities –
Skilled Nursing facilities
Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Home health care, rehabilitation facilities, and skilled
nursing facilities are types of restorative health care.
Chapter 2 – The Interprofessional Team
- 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?
Occupational therapist
The nurse should identify that an occupational therapist can assist clients who have
physical challenges to use adaptive devices and strategies to help with self-care
activities. A certified nursing assistant can help the client with feeding but does not
typically procure adaptive devices for the client.
- A nurse is caring for a group of clients on a medical-surgical unit. For
which of the following client care needs should the nurse initiate a
referral for a social worker? (SATA)
A client who has terminal cancer requests hospice care in the home.
A client asks about community resources available for older adults.
A client requests an electric wheelchair for use after discharge.
The nurse should initiate a referral for a social worker to provide information and
assistance in coordinating hospice care for a client.
- A client who is postoperative following knee arthroplasty is
concerned about the adverse effects of the medication prescribed
for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding
the medication’s effects? (SATA)
Provider
The provider must be knowledgeable about any medication prescribed for the
client, including its actions, effects, and interactions.
, Pharmacist
A pharmacist must be knowledgeable about any medication dispensed for the
client, including its actions, effects, and interactions.
Registered nurse
A registered nurse must be knowledgeable about any medication administered,
including its actions, effects, and interactions.
- A client who had a cerebrovascular accident has persistent problems
with dysphagia. The nurse caring for the client should initiate a
referral with which of the following members of the interprofessional
care team? (SATA)
Occupational therapist –
Speech-language pathologist
The nurse should identify that a speech-language pathologist and an occupational
therapist can initiate specific therapy for clients who have difficulty with feeding due
to swallowing difficulties.
- A nurse is acquainting a group of newly licensed nurses with the
roles of the various members of the health care team they will
encounter on a medical-surgical unit. When providing examples of
the types of tasks certified nursing assistants (CNAs) can perform,
which of the following client activities should the nurse include?
(SATA)
Bathing –
Toileting –
Measuring vital signs –
Ambulating
The nurse should identify that it is within the range of function for a CNA to provide
basic care to clients, such as bathing, assisting with ambulation, assisting with
toileting, and measuring and recording vital signs.
Chapter 3 – Ethical Responsibilities
- A nurse is caring for a client who decides not to have surgery
despite significant blockages of the coronary arteries. The nurse
understands that this client’s choice is an example of which of the
following ethical principles?
Autonomy
The nurse identifies that in this situation, the client is exercising their right to make
their own personal decision about surgery, regardless of others’ opinions of what is
“best” for them. This is an example of autonomy.
TO 14 EXAM QUESTIONS & CORRECT
ANSWERS
Chapter 1 – Health Care Delivery Systems
- A nurse is discussing the purpose of regulatory agencies during a
staff meeting. Which of the following tasks should the nurse identify
as the responsibility of state licensing boards?
Ensuring that health care providers comply with regulations.
State licensing boards are responsible for ensuring that health care providers and
agencies comply with state regulations.
- A nurse is explaining the various types of health care coverage
clients might have to a group of nurses. Which of the following
health care financing mechanisms should the nurse include as
federally funded? (SATA)
Medicaid –
Medicare
Medicare and Medicaid are federally funded health insurance programs.
- A nurse manager is developing strategies to care for the increasing
number of clients who have obesity. Which of the following actions
should the nurse include as a primary health care strategy?
Collaborating with providers to perform obesity screenings during routine
office visits
Obesity screenings at office visits is an example of primary health care. Primary
health care emphasizes health promotion and disease control, is often delivered
during office visits, and includes screenings.
- A nurse is explaining the various levels of health care services to a
group of newly licensed nurses. Which of the following examples of
care or care settings should the nurse classify as tertiary care?
(SATA)
Intensive care unit –
Oncology treatment center –
Burn center
Tertiary health care involves the provision of specialized and highly technical care,
such as the care nurses deliver in intensive care units, an oncology treatment
center, and a burn center.
, - A nurse is discussing restorative health care with a newly licensed
nurse. Which of the following examples should the nurse include in
the teaching? (SATA)
Home health care –
Rehabilitation facilities –
Skilled Nursing facilities
Restorative health care involves intermediate follow-up care for restoring health
and promoting self-care. Home health care, rehabilitation facilities, and skilled
nursing facilities are types of restorative health care.
Chapter 2 – The Interprofessional Team
- 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?
Occupational therapist
The nurse should identify that an occupational therapist can assist clients who have
physical challenges to use adaptive devices and strategies to help with self-care
activities. A certified nursing assistant can help the client with feeding but does not
typically procure adaptive devices for the client.
- A nurse is caring for a group of clients on a medical-surgical unit. For
which of the following client care needs should the nurse initiate a
referral for a social worker? (SATA)
A client who has terminal cancer requests hospice care in the home.
A client asks about community resources available for older adults.
A client requests an electric wheelchair for use after discharge.
The nurse should initiate a referral for a social worker to provide information and
assistance in coordinating hospice care for a client.
- A client who is postoperative following knee arthroplasty is
concerned about the adverse effects of the medication prescribed
for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding
the medication’s effects? (SATA)
Provider
The provider must be knowledgeable about any medication prescribed for the
client, including its actions, effects, and interactions.
, Pharmacist
A pharmacist must be knowledgeable about any medication dispensed for the
client, including its actions, effects, and interactions.
Registered nurse
A registered nurse must be knowledgeable about any medication administered,
including its actions, effects, and interactions.
- A client who had a cerebrovascular accident has persistent problems
with dysphagia. The nurse caring for the client should initiate a
referral with which of the following members of the interprofessional
care team? (SATA)
Occupational therapist –
Speech-language pathologist
The nurse should identify that a speech-language pathologist and an occupational
therapist can initiate specific therapy for clients who have difficulty with feeding due
to swallowing difficulties.
- A nurse is acquainting a group of newly licensed nurses with the
roles of the various members of the health care team they will
encounter on a medical-surgical unit. When providing examples of
the types of tasks certified nursing assistants (CNAs) can perform,
which of the following client activities should the nurse include?
(SATA)
Bathing –
Toileting –
Measuring vital signs –
Ambulating
The nurse should identify that it is within the range of function for a CNA to provide
basic care to clients, such as bathing, assisting with ambulation, assisting with
toileting, and measuring and recording vital signs.
Chapter 3 – Ethical Responsibilities
- A nurse is caring for a client who decides not to have surgery
despite significant blockages of the coronary arteries. The nurse
understands that this client’s choice is an example of which of the
following ethical principles?
Autonomy
The nurse identifies that in this situation, the client is exercising their right to make
their own personal decision about surgery, regardless of others’ opinions of what is
“best” for them. This is an example of autonomy.
