1
ATI CMS FUNDAMENTALS PRACTICE
EXAM QUESTIONS WITH VERIFIED
SOLUTIONS
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain
assessment, the nurse should record which of the following client statements?
a) "I'm having mild pain."
b) "The pain is like a dull ache in my stomach."
c) "I notice that the pain gets worse after I eat."
d) "The pain makes me feel nauseous." - correct-answer - Correct answer: B.- The
client is describing the quality of the pain, which is how the pain feels in the
client's own words
A nurse is caring for a client whose left leg is in a cast about using crutches. Which
of the following statements should
the nurse identify as an indication that the client understands the teaching?
a) "When descending stairs, I will first shift my weight to my right leg."
b) "I should place my crutches 12 inches in front and to the side of each foot."
c) "As I sit down, I will hold one crutch in each hand."
d) "I will make sure the shoulder rests are snug against my armpits." - correct-
answer - Correct answer: A.- To descend stairs, the client should first shift his
body weight to his right, unaffected leg. The client
should place his crutches 15 cm (6 in) in front and to the side of each foot. Just
before sitting down, the client should
hold both crutches by their hand bars in one hand. To avoid injury to the
underlying nerves, the shoulder rests should be
at least 2.5 to 5 cm (1 to 2 in) below the axillae
, 2
A nurse is caring for a group of clients on a medical-surgical unit. In which of the
following situations does the nurse
demonstrate the ethical principle of veracity?
a) A client who is unaware of her recent cancer diagnosis asks the nurse if she has
cancer, and the nurse
responds affirmatively.
b) A client who has a prescription for a nasogastric tube refuses it, and the nurse
complies with the client's
wishes.
c) A client who has a do-not-resuscitate (DNR) order has a cardiac arrest, and the
nurse does not perform CPR
despite requests from the client's family.
d) A client who is about to undergo a painful procedure receives pain medication
30 min before the procedure
that the nurse previously promised to administer. - correct-answer - Correct
answer: A.- Following the ethical principle of veracity, the nurse must tell the
truth at all times and never deceive
others
41. A nurse is caring for a client who has an indwelling urinary catheter. Which of
the following findings indicates that
the catheter requires irrigation?
a) Urine has an unusual odor.
b) Urine specific gravity is 1.035.
c) Bladder scan shows 525 mL of urine.
d) Urine is positive for ketones. - correct-answer - Correct answer: C.- A client who
has an indwelling urinary catheter should have a continuous urine flow without
an
accumulation of urine in the bladder; therefore, the nurse should irrigate the
catheter to resolve any existing blockage
, 3
The nurse is providing discharge teaching for a client who has a new prescription
for a home oxygen concentrator.
Which of the following instructions should the nurse provide to the client and his
family? select all that apply.
a) Check the cord routinely for frays or tearing.
b) Keep the unit at least 1.2 m (4 feet) away from a gas stove.
c) Consider purchasing a generator for power backup.
d) Observe for signs of hypoxia.
e) Select synthetic clothing and bedding. - correct-answer - Correct answer: A, C,
D.- Check the cord routinely for frays or tearing is correct. Oxygen concentrators
require electrical
power. Safe use of this delivery system includes assessing the electrical function
of the device; therefore, the nurse
should instruct the client to routinely check the condition of the cord. Keep the
unit at least 1.2 m (4 feet) away from a
gas stove is incorrect. Safe use of home oxygen equipment includes keeping the
unit at least 3.05 m (10 feet) away from
open flames, such as from a fireplace or a gas stove, and at least 2.4 m (8 feet)
away from other heat sources. Consider
purchasing a generator for power backup is correct. Loss of electricity prevents
the oxygen concentrator from functioning
and could deprive the client of necessary oxygen. The nurse should also instruct
the family to have the client placed on
their municipality's priority list for restoring power after an outage occurs.
Observe for signs of hypoxia is correct. The
nurse should instruct the family to observe for and report signs of hypoxia, such
as anxiety, worsening fatigue, dizziness,
rapid pulse and respirations, pallor, and cyanosis. Even with supplemental oxygen,
the client's status can worsen,
resulting in the development of hypoxia. Select synthetic clothing and bedding is
incorrect. Safe use of oxygen therapy
includes choosing clothing and bedding made from material that does not
generate static electricity; therefore, the nurse
should instruct the client to select materials made from cotton.
ATI CMS FUNDAMENTALS PRACTICE
EXAM QUESTIONS WITH VERIFIED
SOLUTIONS
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain
assessment, the nurse should record which of the following client statements?
a) "I'm having mild pain."
b) "The pain is like a dull ache in my stomach."
c) "I notice that the pain gets worse after I eat."
d) "The pain makes me feel nauseous." - correct-answer - Correct answer: B.- The
client is describing the quality of the pain, which is how the pain feels in the
client's own words
A nurse is caring for a client whose left leg is in a cast about using crutches. Which
of the following statements should
the nurse identify as an indication that the client understands the teaching?
a) "When descending stairs, I will first shift my weight to my right leg."
b) "I should place my crutches 12 inches in front and to the side of each foot."
c) "As I sit down, I will hold one crutch in each hand."
d) "I will make sure the shoulder rests are snug against my armpits." - correct-
answer - Correct answer: A.- To descend stairs, the client should first shift his
body weight to his right, unaffected leg. The client
should place his crutches 15 cm (6 in) in front and to the side of each foot. Just
before sitting down, the client should
hold both crutches by their hand bars in one hand. To avoid injury to the
underlying nerves, the shoulder rests should be
at least 2.5 to 5 cm (1 to 2 in) below the axillae
, 2
A nurse is caring for a group of clients on a medical-surgical unit. In which of the
following situations does the nurse
demonstrate the ethical principle of veracity?
a) A client who is unaware of her recent cancer diagnosis asks the nurse if she has
cancer, and the nurse
responds affirmatively.
b) A client who has a prescription for a nasogastric tube refuses it, and the nurse
complies with the client's
wishes.
c) A client who has a do-not-resuscitate (DNR) order has a cardiac arrest, and the
nurse does not perform CPR
despite requests from the client's family.
d) A client who is about to undergo a painful procedure receives pain medication
30 min before the procedure
that the nurse previously promised to administer. - correct-answer - Correct
answer: A.- Following the ethical principle of veracity, the nurse must tell the
truth at all times and never deceive
others
41. A nurse is caring for a client who has an indwelling urinary catheter. Which of
the following findings indicates that
the catheter requires irrigation?
a) Urine has an unusual odor.
b) Urine specific gravity is 1.035.
c) Bladder scan shows 525 mL of urine.
d) Urine is positive for ketones. - correct-answer - Correct answer: C.- A client who
has an indwelling urinary catheter should have a continuous urine flow without
an
accumulation of urine in the bladder; therefore, the nurse should irrigate the
catheter to resolve any existing blockage
, 3
The nurse is providing discharge teaching for a client who has a new prescription
for a home oxygen concentrator.
Which of the following instructions should the nurse provide to the client and his
family? select all that apply.
a) Check the cord routinely for frays or tearing.
b) Keep the unit at least 1.2 m (4 feet) away from a gas stove.
c) Consider purchasing a generator for power backup.
d) Observe for signs of hypoxia.
e) Select synthetic clothing and bedding. - correct-answer - Correct answer: A, C,
D.- Check the cord routinely for frays or tearing is correct. Oxygen concentrators
require electrical
power. Safe use of this delivery system includes assessing the electrical function
of the device; therefore, the nurse
should instruct the client to routinely check the condition of the cord. Keep the
unit at least 1.2 m (4 feet) away from a
gas stove is incorrect. Safe use of home oxygen equipment includes keeping the
unit at least 3.05 m (10 feet) away from
open flames, such as from a fireplace or a gas stove, and at least 2.4 m (8 feet)
away from other heat sources. Consider
purchasing a generator for power backup is correct. Loss of electricity prevents
the oxygen concentrator from functioning
and could deprive the client of necessary oxygen. The nurse should also instruct
the family to have the client placed on
their municipality's priority list for restoring power after an outage occurs.
Observe for signs of hypoxia is correct. The
nurse should instruct the family to observe for and report signs of hypoxia, such
as anxiety, worsening fatigue, dizziness,
rapid pulse and respirations, pallor, and cyanosis. Even with supplemental oxygen,
the client's status can worsen,
resulting in the development of hypoxia. Select synthetic clothing and bedding is
incorrect. Safe use of oxygen therapy
includes choosing clothing and bedding made from material that does not
generate static electricity; therefore, the nurse
should instruct the client to select materials made from cotton.
