Fundamentals CMS Final Exam Test Questions and
Answers Graded A+
A nurse is assessing the heart sounds of a client transporter arrives.
who has developed chest pain that becomes C. Ask if the client has any questions.
worse with inspiration. The nurse auscultates a D. Identify the client using two identifiers. -
high-pitched scratching sound during both ANSWERS - D
systole and diastole with the diaphragm of the
stethoscope positioned at the left sternal border.
Which of the following heart sounds should the A nurse is caring for a child who is postoperative
nurse document? following a tonsillectomy. Which of the following
A. Audible Click actions should the nurse take?
B. Murmur A. Encourage the child to cough frequently to
C. Third heart sound clear congestion from anesthesia.
D. Pericardial friction rub - ANSWERS - D B. Place a heating pad at the child's neck for
comfort.
C. Administer analgesics to the child on a routine
A nurse is obtaining the blood pressure in a schedule throughout the day and night.
client's lower extremity. Which of the following D. Provide the child with ice cream when oral
action should the nurse take? intake is initiated. - ANSWERS - C
A. Auscultate for the blood presure at the
dorsalis pedis artery.
B. Measure the blood pressure with the client A nurse is providing taching to a client who has
sitting on the side of the bed. heart failure about how to reduce his daily intake
C. Place the cuff 7.6cm (3in) above the popliteal of sodium. Which of the following factors is the
artery. most important in determining the client's ability
D. Place the bladder of the cuff over the posterior to learn new dietary habits?
aspect of the thigh. - ANSWERS - D A. The involvement of the client in planning the
change.
B. The emphasis the provider places on the
A charge nurse is teaching adult dietary changes.
cardiopulmonary resusciation (CPR) to a group C. The learning theory the nurse uses to teach
of newly licensed nurses. Which of the following the dietary changes.
actions should the charge nurse teach as the first D. The extent of the dietary changes planned for
response in CPR? the client. - ANSWERS - A
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness. A charge nurse is observing a newly licensed
D. Give rescue breaths. - ANSWERS - C nurse perform tracheostomy care for a client.
Which of the following actions by the newly
licensed nurse requires intervention?
A nurse is caring for a client who requires a chest A. Obtaining hydrogen peroxide for the
x-ray. Prior to the client being transported for the trachesotomy care.
procedure, which of the following actions should B. Obtainging cotton balls for the tracheostomy
the nurse take first? care.
A. Explain the x-ray procedure to the client. C. Obtaining sterile gloves for the tracheostomy
B. Help the client into a wheelchair before the care.
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, Fundamentals CMS Final Exam Test Questions and
Answers Graded A+
D. Obtaining a sterile brush for the tracheostomy your airway during surgery.
care. - ANSWERS - B B. You wouldn't want your teeth to be lost or
broken during surgery, would you?
C. The anesthesiologist requires everyone to
A nurse is preparing to perform mouth care for remove their dentures.
an unresponsive client. Which of the following D. What worries you about being without your
actions should the nurse plan to take? teeth? - ANSWERS - D
A. Place the client supine.
B. Keep both side rails up.
C. Raise the level of the bed. A nurse in an oncology clinic is assessing a client
D. Inspect the client's mouth using a finger who is undergoing treatment for ovarian cancer.
sweep. - ANSWERS - C Which of the following statements by the client
indicates she is experiencing psychological
distress?
A nurse is witnessing a client sign an informed A. My parents are retired, and they have come to
consent form for surgery. Which of the following help out with our children.
describes what the nurse is affirming by this B. I am going to ask my husband to go to
action? counseling with me.
A. The client fully understands the provider's C. I keep having nightmares about my upcoming
explannation of the procedure. surgery.
B. The client has been informed about the risks D. My girlfriends bought me a nice wig. -
and benefits of the procedure. ANSWERS - C
C. The nurse witnessed the provider's
explanantion of the procedure.
D. The signature on the preoperative consent A nurse on a medical-surgical unit is caring for a
form is the client's. - ANSWERS - D client. Which of the following actions should the
nurse take first when using the nursing process?
A. Identify goals for client care.
A nurse is preparing to provide tracheostomy B. Obtain client information.
care for a client. Which of the following actions C. Document nursing care needs.
should the nurse take first? D. Evaluate the effectivness of nurse care. -
A. Open all sterile supplies and solutions. ANSWERS - B
B. Stabilize the tracheostomy tube.
C. Don sterile gloves
D. Perform hand hygiene - ANSWERS - D A nurse is caring for an older adult client who is
violent and attempting to disconnect her IV lines.
The provider prescribes soft wrist restraints.
A nurse is caring for an older adult client who Which of the following actions should the nurse
becomes agitated when the nurse requests that take while the client is in restraints?
the client's dentures be removed prior to surgery. A. Tie the restraints to the side rails.
Which of the following responses should the B. Perform range-of-motion exercises to the
nurse .make? wrists every 3 hrs.
A.It's for your safety. Dentures can slip and block C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. -
2/7
Answers Graded A+
A nurse is assessing the heart sounds of a client transporter arrives.
who has developed chest pain that becomes C. Ask if the client has any questions.
worse with inspiration. The nurse auscultates a D. Identify the client using two identifiers. -
high-pitched scratching sound during both ANSWERS - D
systole and diastole with the diaphragm of the
stethoscope positioned at the left sternal border.
Which of the following heart sounds should the A nurse is caring for a child who is postoperative
nurse document? following a tonsillectomy. Which of the following
A. Audible Click actions should the nurse take?
B. Murmur A. Encourage the child to cough frequently to
C. Third heart sound clear congestion from anesthesia.
D. Pericardial friction rub - ANSWERS - D B. Place a heating pad at the child's neck for
comfort.
C. Administer analgesics to the child on a routine
A nurse is obtaining the blood pressure in a schedule throughout the day and night.
client's lower extremity. Which of the following D. Provide the child with ice cream when oral
action should the nurse take? intake is initiated. - ANSWERS - C
A. Auscultate for the blood presure at the
dorsalis pedis artery.
B. Measure the blood pressure with the client A nurse is providing taching to a client who has
sitting on the side of the bed. heart failure about how to reduce his daily intake
C. Place the cuff 7.6cm (3in) above the popliteal of sodium. Which of the following factors is the
artery. most important in determining the client's ability
D. Place the bladder of the cuff over the posterior to learn new dietary habits?
aspect of the thigh. - ANSWERS - D A. The involvement of the client in planning the
change.
B. The emphasis the provider places on the
A charge nurse is teaching adult dietary changes.
cardiopulmonary resusciation (CPR) to a group C. The learning theory the nurse uses to teach
of newly licensed nurses. Which of the following the dietary changes.
actions should the charge nurse teach as the first D. The extent of the dietary changes planned for
response in CPR? the client. - ANSWERS - A
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness. A charge nurse is observing a newly licensed
D. Give rescue breaths. - ANSWERS - C nurse perform tracheostomy care for a client.
Which of the following actions by the newly
licensed nurse requires intervention?
A nurse is caring for a client who requires a chest A. Obtaining hydrogen peroxide for the
x-ray. Prior to the client being transported for the trachesotomy care.
procedure, which of the following actions should B. Obtainging cotton balls for the tracheostomy
the nurse take first? care.
A. Explain the x-ray procedure to the client. C. Obtaining sterile gloves for the tracheostomy
B. Help the client into a wheelchair before the care.
1/7
, Fundamentals CMS Final Exam Test Questions and
Answers Graded A+
D. Obtaining a sterile brush for the tracheostomy your airway during surgery.
care. - ANSWERS - B B. You wouldn't want your teeth to be lost or
broken during surgery, would you?
C. The anesthesiologist requires everyone to
A nurse is preparing to perform mouth care for remove their dentures.
an unresponsive client. Which of the following D. What worries you about being without your
actions should the nurse plan to take? teeth? - ANSWERS - D
A. Place the client supine.
B. Keep both side rails up.
C. Raise the level of the bed. A nurse in an oncology clinic is assessing a client
D. Inspect the client's mouth using a finger who is undergoing treatment for ovarian cancer.
sweep. - ANSWERS - C Which of the following statements by the client
indicates she is experiencing psychological
distress?
A nurse is witnessing a client sign an informed A. My parents are retired, and they have come to
consent form for surgery. Which of the following help out with our children.
describes what the nurse is affirming by this B. I am going to ask my husband to go to
action? counseling with me.
A. The client fully understands the provider's C. I keep having nightmares about my upcoming
explannation of the procedure. surgery.
B. The client has been informed about the risks D. My girlfriends bought me a nice wig. -
and benefits of the procedure. ANSWERS - C
C. The nurse witnessed the provider's
explanantion of the procedure.
D. The signature on the preoperative consent A nurse on a medical-surgical unit is caring for a
form is the client's. - ANSWERS - D client. Which of the following actions should the
nurse take first when using the nursing process?
A. Identify goals for client care.
A nurse is preparing to provide tracheostomy B. Obtain client information.
care for a client. Which of the following actions C. Document nursing care needs.
should the nurse take first? D. Evaluate the effectivness of nurse care. -
A. Open all sterile supplies and solutions. ANSWERS - B
B. Stabilize the tracheostomy tube.
C. Don sterile gloves
D. Perform hand hygiene - ANSWERS - D A nurse is caring for an older adult client who is
violent and attempting to disconnect her IV lines.
The provider prescribes soft wrist restraints.
A nurse is caring for an older adult client who Which of the following actions should the nurse
becomes agitated when the nurse requests that take while the client is in restraints?
the client's dentures be removed prior to surgery. A. Tie the restraints to the side rails.
Which of the following responses should the B. Perform range-of-motion exercises to the
nurse .make? wrists every 3 hrs.
A.It's for your safety. Dentures can slip and block C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. -
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