HFMA CRCR BUNDLED EXAMS 2026 COMPLETE
QUESTIONS AND ANSWERS
▶ Which action does the nurse teach a client to reduce the risk for
dehydration?
A) Avoiding the use of glycerin suppositories to manage constipation
B) Maintaining a daily oral intake approximately equal to daily fluid loss
C) Restricting sodium intake to no greater than 4 g/day
D) Maintaining an oral intake of at least 1500 mL/day. Answer: B
Although a fixed oral intake of 1500 mL daily is good, the key to prevention
of dehydration is to match all fluid losses with the same volume for fluid
intake. This is especially true in warm or dry environments, or when
conditions result in greater than usual fluid loss through perspiration or
ventilation.
▶ A client is taking furosemide (Lasix) and becomes confused. Which
potassium level does the nurse correlate with this condition?
A) 2.9 mEq/L
B) 5.0 mEq/L
C) 6.0 mEq/L
D) 3.8 mEq/L. Answer: A
Hypokalemia decreases cerebral function and is manifested by lethargy,
confusion, inability to perform problem-solving tasks, disorientation, and
coma. Normal potassium levels are 3.5 to 5.0 mEq/L. At 2.9 mEq/L,
potassium is too low, and this could lead to neurologic manifestations.
▶ The most appropriate measure for a nurse to use in assessing core body
temperature when there are suspected problems with thermoregulation is
a(n)
A) rectal thermometer.
B) tympanic membrane sensor.
C) temporal thermometer scan.
D) oral thermometer.. Answer: A
,The most reliable means available for assessing core temperature is a
rectal temperature, which is considered the standard of practice. An oral
temperature is a common measure but not the most reliable. A temporal
thermometer scan has some limitations and is not the standard. The
tympanic membrane sensor could be used as a second source for
temperature assessment.
▶ A client presents to the emergency department after prolonged exposure
to the cold. The client is shivering, has slurred speech, and is slow to
respond to questions. Which intervention will the nurse prepare for this
client FIRST?
A) Continuous arteriovenous rewarming
B) Dry clothing and warm blankets
C) Peritoneal lavage with warmed normal saline
D) Administration of warmed IV fluids. Answer: B
Mild hypothermia is manifested by shivering, slurred speech, poor muscular
coordination, and impaired cognitive abilities. Mild hypothermia may be
treated with dry clothing and warm blankets. Rewarming should occur
slowly by removing wet clothing and providing dry warm blankets first.
Other treatments are secondary and should be used to treat moderate to
severe hypothermia.
▶ The Joint Commission focuses on safety in health care. Which action by
the nurse reflects The Joint Commission's main objective?
A) Performing range-of-motion exercises on the client three times each day
B) Assessing the client's respirations when administering opioids
C) Delegating to the nursing assistant to give the client a complete bath
daily
D) Ensuring that the client is eating 100% of the meals served to him or
her. Answer: B
It is important for the nurse to assess respirations of the client when
administering opioids because of the possibility of respiratory depression.
The other interventions may or may not be necessary in the care of the
client and do not focus on safety.
,▶ What is a priority nursing intervention to prevent falls for an older adult
client with multiple chronic diseases?
A) Requesting that a family member remain with the client to assist in
ambulation
B) Keeping all four siderails up while the client is in bed
C) Placing the client in restraints to prevent movement without assistance
D) Providing assistance to the client in getting out of the bed or chair.
Answer: D
Advanced age and multiple illnesses, particularly those that result in
alterations in sensation, such as diabetes, predispose this client to falls.
The nurse should provide assistance to the client with transfer and
ambulation to prevent falls. The client should not be restrained or
maintained on bedrest without adequate indication. Although family
members are encouraged to visit, their presence around the clock is not
necessary at this point.
▶ The nurse is caring for four clients. Which client assessment is the most
indicative of having pain?
A) Client stating that he is "anxious"
B) Heart rate of 105 beats/min and restlessness
C) Blood pressure 150/70 mm Hg and sleeping
D) Postoperative client with a neck incision. Answer: B
At times clients are unable to verbalize that they are in pain but there are
indicators that the client may have acute pain such as increased heart rate,
increased blood pressure, increased respirations, sweating, restlessness,
and overall distress. All the other distractors could indicate clients who
have the potential for being in pain, but restlessness with tachycardia is the
most indicative.
▶ The Institute for Healthcare Improvement (IHI) identified interventions to
save client lives. Which actions are within the scope of nursing practice to
improve quality of care?
A) Prescribe aspirin for a client who presents with an acute myocardial
infarction
B) Insert a central line to give intravenous fluid to a dehydrated client.
, C) Use sterile technique when changing dressings on a new surgical site.
D) Intubate a client whose oxygen saturation is 92%.. Answer: C
The only intervention identified within the scope of nursing practice is to
use sterile technique. Central line insertion, intubation, and prescription are
functions of the physician.
▶ Which is most indicative of pain in an older client who is confused?
(Select all that apply).
A) Screaming
B) Decreased blood pressure
C) Crying
D) Decreased respirations
E) Facial grimace
F) Restlessness. Answer: A,C,E,F
No one scale has been found to be the best tool to use in pain assessment
for adults with cognitive impairment. Facial expression, motor behavior,
mood, socialization, and vocalization are common indicators of pain in
cognitively impaired adults. In acute pain, nonverbal indicators of pain
could include increased blood pressure and respirations.
▶ The nursery nurse identifies a newborn at significant risk for hypothermic
alteration in thermoregulation because the patient is:
A) large for gestational age.
B) well nourished.
C) born at term.
D) low birth weight.. Answer: D
Low birth weight and poorly nourished infants (particularly premature
infants) and children are at greatest risk for hypothermia. A large for
gestational age infant would not be malnourished. An infant born at term is
not considered at significant risk. A well nourished infant is not at significant
risk.
▶ The nurse is assessing a patient's functional ability. Which activities
most closely match the definition of functional ability?
QUESTIONS AND ANSWERS
▶ Which action does the nurse teach a client to reduce the risk for
dehydration?
A) Avoiding the use of glycerin suppositories to manage constipation
B) Maintaining a daily oral intake approximately equal to daily fluid loss
C) Restricting sodium intake to no greater than 4 g/day
D) Maintaining an oral intake of at least 1500 mL/day. Answer: B
Although a fixed oral intake of 1500 mL daily is good, the key to prevention
of dehydration is to match all fluid losses with the same volume for fluid
intake. This is especially true in warm or dry environments, or when
conditions result in greater than usual fluid loss through perspiration or
ventilation.
▶ A client is taking furosemide (Lasix) and becomes confused. Which
potassium level does the nurse correlate with this condition?
A) 2.9 mEq/L
B) 5.0 mEq/L
C) 6.0 mEq/L
D) 3.8 mEq/L. Answer: A
Hypokalemia decreases cerebral function and is manifested by lethargy,
confusion, inability to perform problem-solving tasks, disorientation, and
coma. Normal potassium levels are 3.5 to 5.0 mEq/L. At 2.9 mEq/L,
potassium is too low, and this could lead to neurologic manifestations.
▶ The most appropriate measure for a nurse to use in assessing core body
temperature when there are suspected problems with thermoregulation is
a(n)
A) rectal thermometer.
B) tympanic membrane sensor.
C) temporal thermometer scan.
D) oral thermometer.. Answer: A
,The most reliable means available for assessing core temperature is a
rectal temperature, which is considered the standard of practice. An oral
temperature is a common measure but not the most reliable. A temporal
thermometer scan has some limitations and is not the standard. The
tympanic membrane sensor could be used as a second source for
temperature assessment.
▶ A client presents to the emergency department after prolonged exposure
to the cold. The client is shivering, has slurred speech, and is slow to
respond to questions. Which intervention will the nurse prepare for this
client FIRST?
A) Continuous arteriovenous rewarming
B) Dry clothing and warm blankets
C) Peritoneal lavage with warmed normal saline
D) Administration of warmed IV fluids. Answer: B
Mild hypothermia is manifested by shivering, slurred speech, poor muscular
coordination, and impaired cognitive abilities. Mild hypothermia may be
treated with dry clothing and warm blankets. Rewarming should occur
slowly by removing wet clothing and providing dry warm blankets first.
Other treatments are secondary and should be used to treat moderate to
severe hypothermia.
▶ The Joint Commission focuses on safety in health care. Which action by
the nurse reflects The Joint Commission's main objective?
A) Performing range-of-motion exercises on the client three times each day
B) Assessing the client's respirations when administering opioids
C) Delegating to the nursing assistant to give the client a complete bath
daily
D) Ensuring that the client is eating 100% of the meals served to him or
her. Answer: B
It is important for the nurse to assess respirations of the client when
administering opioids because of the possibility of respiratory depression.
The other interventions may or may not be necessary in the care of the
client and do not focus on safety.
,▶ What is a priority nursing intervention to prevent falls for an older adult
client with multiple chronic diseases?
A) Requesting that a family member remain with the client to assist in
ambulation
B) Keeping all four siderails up while the client is in bed
C) Placing the client in restraints to prevent movement without assistance
D) Providing assistance to the client in getting out of the bed or chair.
Answer: D
Advanced age and multiple illnesses, particularly those that result in
alterations in sensation, such as diabetes, predispose this client to falls.
The nurse should provide assistance to the client with transfer and
ambulation to prevent falls. The client should not be restrained or
maintained on bedrest without adequate indication. Although family
members are encouraged to visit, their presence around the clock is not
necessary at this point.
▶ The nurse is caring for four clients. Which client assessment is the most
indicative of having pain?
A) Client stating that he is "anxious"
B) Heart rate of 105 beats/min and restlessness
C) Blood pressure 150/70 mm Hg and sleeping
D) Postoperative client with a neck incision. Answer: B
At times clients are unable to verbalize that they are in pain but there are
indicators that the client may have acute pain such as increased heart rate,
increased blood pressure, increased respirations, sweating, restlessness,
and overall distress. All the other distractors could indicate clients who
have the potential for being in pain, but restlessness with tachycardia is the
most indicative.
▶ The Institute for Healthcare Improvement (IHI) identified interventions to
save client lives. Which actions are within the scope of nursing practice to
improve quality of care?
A) Prescribe aspirin for a client who presents with an acute myocardial
infarction
B) Insert a central line to give intravenous fluid to a dehydrated client.
, C) Use sterile technique when changing dressings on a new surgical site.
D) Intubate a client whose oxygen saturation is 92%.. Answer: C
The only intervention identified within the scope of nursing practice is to
use sterile technique. Central line insertion, intubation, and prescription are
functions of the physician.
▶ Which is most indicative of pain in an older client who is confused?
(Select all that apply).
A) Screaming
B) Decreased blood pressure
C) Crying
D) Decreased respirations
E) Facial grimace
F) Restlessness. Answer: A,C,E,F
No one scale has been found to be the best tool to use in pain assessment
for adults with cognitive impairment. Facial expression, motor behavior,
mood, socialization, and vocalization are common indicators of pain in
cognitively impaired adults. In acute pain, nonverbal indicators of pain
could include increased blood pressure and respirations.
▶ The nursery nurse identifies a newborn at significant risk for hypothermic
alteration in thermoregulation because the patient is:
A) large for gestational age.
B) well nourished.
C) born at term.
D) low birth weight.. Answer: D
Low birth weight and poorly nourished infants (particularly premature
infants) and children are at greatest risk for hypothermia. A large for
gestational age infant would not be malnourished. An infant born at term is
not considered at significant risk. A well nourished infant is not at significant
risk.
▶ The nurse is assessing a patient's functional ability. Which activities
most closely match the definition of functional ability?
