ATI CMS EXAM QUESTIONS AND
ANSWERS
1. A nurse is preparing an in-service for an annual skills fair at a
community medical facility about fire safety. Place the steps in
the order in which they should be performed in the case of a fire
emergency. (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
D. Rescue the clients.
Answer D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
2. A nurse is caring for a client who is dying of metastatic breast
cancer. She has a prescription for an opioid pain medication PRN. The
nurse is concerned that administering a dose of pain medication might
hasten the client's death. Which of the following ethical principles
should the nurse use to support the decision not to administer the
medication?
,A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
Answer B. Nonmaleficence
3. A charge nurse is reviewing the list of tasks that have been
delegated to the assistive personnel (AP) by the staff nurse. Which of
the following tasks should the charge nurse reassign to a licensed
nurse?
A. Transporting a client who experienced a stroke 72 hr ago to the
radiology department
B. Providing a back rub to a client who has right-sided paralysis
C. Removing and cleaning the cannula of a client who has a new
tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative
following an amputation of the right arm
Answer C. Removing and cleaning the cannula of a client who has a new tracheostomy
4. A nurse working in an emergency department is caring for a
client who has been exposed to sarin gas following a bioterrorism
attack. Which of the following interventions should the nurse
plan to take?
A. Vigorously rub the skin following a decontamination shower.
,B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to administer amyl nitrate.
Answer B. Initiate seizure precautions.
5. A nurse in the emergency department is triaging clients
following a mass casualty event. The nurse should identify which
of the following clients as emergent?
A. A client who has a punctured femoral artery
B. A client who has multiple fractures
C. A client who has a red rash over his abdomen
D. A client who reports severe flank pain radiating to the groin
Answer A. A client who has a punctured femoral artery
6. A nurse manager received a client request not to have a specific
staff nurse care for her while at the acute care facility. Which of
the following is the appropriate action by the nurse manager?
A. Ask other staff nurses about the level of care the specific staff
nurse pro- vides.
B. Address the concern with the specific staff nurse.
C. Recommend the specific staff nurse be transferred to another unit.
D. Notify the human resources department about the request.
Answer B. Address the concern with the specific staff nurse.
, 7. A nurse finds that a client did not receive a scheduled dose of
furosemide (Lasix). Which of the following should the nurse include in
the incident/variance report? (Select all that apply.)
A. The date of the incident
B. The name of the provider who prescribed the medication
C. The potential adverse effects of the medication
D. The time the client was to receive the medication
E. The client's vital signs
Answer A. The date of the incident
D. The time the client was to receive the medication
E. The client's vital signs
8. A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has
advance directives. The client is scheduled for a procedure that
requires informed consent. Which of the following persons should
sign the informed consent?
A. The client's partner
B. The client
C. The client's daughter, who is the primary caregiver
D. The client's son, who has a durable power of attorney
Answer B. The client
9. A nurse manager is observing the care provided by a nurse who is in
ANSWERS
1. A nurse is preparing an in-service for an annual skills fair at a
community medical facility about fire safety. Place the steps in
the order in which they should be performed in the case of a fire
emergency. (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
D. Rescue the clients.
Answer D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
2. A nurse is caring for a client who is dying of metastatic breast
cancer. She has a prescription for an opioid pain medication PRN. The
nurse is concerned that administering a dose of pain medication might
hasten the client's death. Which of the following ethical principles
should the nurse use to support the decision not to administer the
medication?
,A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
Answer B. Nonmaleficence
3. A charge nurse is reviewing the list of tasks that have been
delegated to the assistive personnel (AP) by the staff nurse. Which of
the following tasks should the charge nurse reassign to a licensed
nurse?
A. Transporting a client who experienced a stroke 72 hr ago to the
radiology department
B. Providing a back rub to a client who has right-sided paralysis
C. Removing and cleaning the cannula of a client who has a new
tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative
following an amputation of the right arm
Answer C. Removing and cleaning the cannula of a client who has a new tracheostomy
4. A nurse working in an emergency department is caring for a
client who has been exposed to sarin gas following a bioterrorism
attack. Which of the following interventions should the nurse
plan to take?
A. Vigorously rub the skin following a decontamination shower.
,B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to administer amyl nitrate.
Answer B. Initiate seizure precautions.
5. A nurse in the emergency department is triaging clients
following a mass casualty event. The nurse should identify which
of the following clients as emergent?
A. A client who has a punctured femoral artery
B. A client who has multiple fractures
C. A client who has a red rash over his abdomen
D. A client who reports severe flank pain radiating to the groin
Answer A. A client who has a punctured femoral artery
6. A nurse manager received a client request not to have a specific
staff nurse care for her while at the acute care facility. Which of
the following is the appropriate action by the nurse manager?
A. Ask other staff nurses about the level of care the specific staff
nurse pro- vides.
B. Address the concern with the specific staff nurse.
C. Recommend the specific staff nurse be transferred to another unit.
D. Notify the human resources department about the request.
Answer B. Address the concern with the specific staff nurse.
, 7. A nurse finds that a client did not receive a scheduled dose of
furosemide (Lasix). Which of the following should the nurse include in
the incident/variance report? (Select all that apply.)
A. The date of the incident
B. The name of the provider who prescribed the medication
C. The potential adverse effects of the medication
D. The time the client was to receive the medication
E. The client's vital signs
Answer A. The date of the incident
D. The time the client was to receive the medication
E. The client's vital signs
8. A nurse is caring for a client who has a history of dementia.
The client is alert and oriented to person, place, and time, and has
advance directives. The client is scheduled for a procedure that
requires informed consent. Which of the following persons should
sign the informed consent?
A. The client's partner
B. The client
C. The client's daughter, who is the primary caregiver
D. The client's son, who has a durable power of attorney
Answer B. The client
9. A nurse manager is observing the care provided by a nurse who is in
