FUNDAMENTAL CMS FINAL EXAM UNITEK COLLEGE NEWEST
COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS
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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?
A. Collaborating with providers to perform obesity screenings during routine office
visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients
who have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity D.
Educating acute care nurses about postoperative complications related to obesity
- ANSWER-A
Rationale: identify obesity screenings at office visit as an example of primary
healthcare. primary healthcare emphasizes health promotion and disease control,
is often delivered during office visit, and includes screenings.
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?
A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
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C. Setting quality standards for accreditation of health care facilities
D. Determining whether medications are safe for administration to clients -
ANSWER-B
Rationale: identify that state licensing boards are responsible for ensuring that
healthcare providers and agencies comply with state regulations.
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? (Select all that apply)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care - ANSWER-A, B, C
Rationale: tertiary healthcare involves the provision of specialized and highly
technical care (icu, oncology treatment center, and burn centers)
A nurse is discussing restorative health care with a newly licensed nurse. Which of
the following examples should the nurse include in the teaching? (Select all that
apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
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D. Skilled nursing facilities
E. Oncology centers - ANSWER-A, B, D
Rationale: A. Restorative health care involves immediate follow up care for
restoring health and prolonged self-care home healthcare is a type of restorative
healthcare
B. Rehabilitation facilities are a type of restorative health care
D. Skilled nursing facilities are a type of restorative healthcare
A nurse is explaining the various types of health clients might have to a group care
coverage of nurses. Which of the following health care financing mechanisms
should the nurse include as federally funded? (Select all that apply.)
A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization (EPO) E. Medicaid - ANSWER-B, E
Rationale: Medicare and Medicaid are federally funded.
PPOs, Long-term care insurance and EPOs are privately funded
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?
(Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
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C. A client states, "I would like to have my child baptized before surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer." - ANSWER-A, B, D
Rationale:
A. initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a patient
B. Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients
D. Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge
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?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - ANSWER-D
Rationale: an occupational therapist can assist clients who have physical
challenges to use adaptive devices and strategies to help with self-care activities
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication prescribed for pain management. Which of the
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