Fundamentals CMS Final
Study online at https://quizlet.com/_4jfa0t
1. A nurse is assessing the heart sounds of a client D
who has developed chest pain that becomes worse
with inspiration. The nurse auscultates a high-pitched
scratching sound during both systole and diastole with
the diaphragm of the stethoscope positioned at the
left sternal border. Which of the following heart sounds
should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub
2. A nurse is obtaining the blood pressure in a client's D
lower extremity. Which of the following action should
the nurse take?
A. Auscultate for the blood presure at the dorsalis
pedis artery.
B. Measure the blood pressure with the client sitting
on the side of the bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
D. Place the bladder of the cuff over the posterior
aspect of the thigh.
3. A charge nurse is teaching adult cardiopulmonary re- C
susciation (CPR) to a group of newly licensed nurses.
Which of the following actions should the charge nurse
teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths.
, Fundamentals CMS Final
Study online at https://quizlet.com/_4jfa0t
4. A nurse is caring for a client who requires a chest x-ray. D
Prior to the client being transported for the procedure,
which of the following actions should the nurse take
first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the trans-
porter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers.
5. A nurse is caring for a child who is postoperative fol- C
lowing a tonsillectomy. Which of the following actions
should the nurse take?
A. Encourage the child to cough frequently to clear
congestion from anesthesia.
B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine
schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is
initiated.
6. A nurse is providing taching to a client who has heart A
failure about how to reduce his daily intake of sodium.
Which of the following factors is the most important
in determining the client's ability to learn new dietary
habits?
A. The involvement of the client in planning the
change.
B. The emphasis the provider places on the dietary
changes.
C. The learning theory the nurse uses to teach the
dietary changes.
Study online at https://quizlet.com/_4jfa0t
1. A nurse is assessing the heart sounds of a client D
who has developed chest pain that becomes worse
with inspiration. The nurse auscultates a high-pitched
scratching sound during both systole and diastole with
the diaphragm of the stethoscope positioned at the
left sternal border. Which of the following heart sounds
should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub
2. A nurse is obtaining the blood pressure in a client's D
lower extremity. Which of the following action should
the nurse take?
A. Auscultate for the blood presure at the dorsalis
pedis artery.
B. Measure the blood pressure with the client sitting
on the side of the bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
D. Place the bladder of the cuff over the posterior
aspect of the thigh.
3. A charge nurse is teaching adult cardiopulmonary re- C
susciation (CPR) to a group of newly licensed nurses.
Which of the following actions should the charge nurse
teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths.
, Fundamentals CMS Final
Study online at https://quizlet.com/_4jfa0t
4. A nurse is caring for a client who requires a chest x-ray. D
Prior to the client being transported for the procedure,
which of the following actions should the nurse take
first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the trans-
porter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers.
5. A nurse is caring for a child who is postoperative fol- C
lowing a tonsillectomy. Which of the following actions
should the nurse take?
A. Encourage the child to cough frequently to clear
congestion from anesthesia.
B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine
schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is
initiated.
6. A nurse is providing taching to a client who has heart A
failure about how to reduce his daily intake of sodium.
Which of the following factors is the most important
in determining the client's ability to learn new dietary
habits?
A. The involvement of the client in planning the
change.
B. The emphasis the provider places on the dietary
changes.
C. The learning theory the nurse uses to teach the
dietary changes.
