CMS FUNDAMENTALS FINAL EXAM 2026
CERTIFICATION EVALUATION QUESTIONS
SOLUTIONS
◉ A nurse is caring for a client who has a prescription for a potassium
supplement. The client tells the nurse that the pill is too large to swallow
and refuses to take it. The nurse offers to break the pill into smaller
pieces. The nurse is demonstrating which of the following ethical
principles? Answer: Beneficence
◉ A client who has advanced cancer tells the nurse that they have a
difficult time talking to anyone about the illness. Which of the following
actions should the nurse take to encourage therapeutic communications?
Answer: Let the client know that, as their nurse, they are available and
willing to listen
◉ A nurse has delegated various client care tasks to the assistive
personnel (AP) on the care team. Which of the following actions by the
Ap should the nurse identify as correct? Answer: Donning a mask to
measure the vital signs of a client who has pertussis
◉ A nurse is caring for a client who is postoperative and is experiencing
nausea and vomiting. The nurse should identify which of the following
findings as indication that the client has fluid volume deficit? (Select all
that apply? Answer: - cool extremities
- orthostatic hypotension
, - flat neck veins
◉ A nurse is taking notes of client information on a piece of paper while
receiving report. Which of the following actions should the nurse take to
dispose of the paper? Answer: Shred the paper in a secure container
◉ A nurse is reinforcing teaching with a client about the use of crutches.
Which of the following actions by the client indicates an understanding
of the teaching? Answer: The client advances the unaffected leg first
while climbing stairs
◉ A nurse is providing wound care for a group of clients. Which of the
following wounds should the nurse identify as healing by secondary
intention? Answer: A stage 3 pressure injury on the coccyx
◉ A nurse is preparing to administer a topical medication to a client.
Which of the following actions should the nurse take? Answer: Compare
the label of the medication container with the medication administration
record three times
◉ A nurse is reinforcing preoperative teaching with a client about how
to turn, cough, and deep breathe. Which of the following statements by
the client indicates an understanding of the teaching? Answer: "This can
help prevent pneumonia"
CERTIFICATION EVALUATION QUESTIONS
SOLUTIONS
◉ A nurse is caring for a client who has a prescription for a potassium
supplement. The client tells the nurse that the pill is too large to swallow
and refuses to take it. The nurse offers to break the pill into smaller
pieces. The nurse is demonstrating which of the following ethical
principles? Answer: Beneficence
◉ A client who has advanced cancer tells the nurse that they have a
difficult time talking to anyone about the illness. Which of the following
actions should the nurse take to encourage therapeutic communications?
Answer: Let the client know that, as their nurse, they are available and
willing to listen
◉ A nurse has delegated various client care tasks to the assistive
personnel (AP) on the care team. Which of the following actions by the
Ap should the nurse identify as correct? Answer: Donning a mask to
measure the vital signs of a client who has pertussis
◉ A nurse is caring for a client who is postoperative and is experiencing
nausea and vomiting. The nurse should identify which of the following
findings as indication that the client has fluid volume deficit? (Select all
that apply? Answer: - cool extremities
- orthostatic hypotension
, - flat neck veins
◉ A nurse is taking notes of client information on a piece of paper while
receiving report. Which of the following actions should the nurse take to
dispose of the paper? Answer: Shred the paper in a secure container
◉ A nurse is reinforcing teaching with a client about the use of crutches.
Which of the following actions by the client indicates an understanding
of the teaching? Answer: The client advances the unaffected leg first
while climbing stairs
◉ A nurse is providing wound care for a group of clients. Which of the
following wounds should the nurse identify as healing by secondary
intention? Answer: A stage 3 pressure injury on the coccyx
◉ A nurse is preparing to administer a topical medication to a client.
Which of the following actions should the nurse take? Answer: Compare
the label of the medication container with the medication administration
record three times
◉ A nurse is reinforcing preoperative teaching with a client about how
to turn, cough, and deep breathe. Which of the following statements by
the client indicates an understanding of the teaching? Answer: "This can
help prevent pneumonia"
