Fundamental CMS Exam Study Guide Latest 2026 Updated
Questions and Verified 100% Solutions (2026/2027) Grade:
A+|Status: Guaranteed Pass
A nurse is preparing a presentation at a local community center about sleep and hygiene. When
explaining rapid eye movement (REM) sleep, which of the following characteristics should the
nurse include? Select all that apply
A. REM sleep provides cognitive restoration
B. REM sleep last about 90 minutes
C. It is difficult to awaken a person in REM sleep
D. Sleepwalking occurs during REM sleep
E. Vivid dreams are common during REM sleep - Answers -A. REM sleep provides cognitive
restoration
C. It is difficult to awaken a person in REM sleep
E. Vivid dreams are common during REM sleep
A nurse is instructing a client who has newly been diagnosed of narcolepsy about measures that
might help with self management. Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
A. I will add plenty of carbs to my meals
B. I will take a short nap whenever I feel sleepy
C. I will make sure I stay warm when I am at my desk at work
D. It is OK for me to drink alcohol as long as I have one drink per day - Answers -B. I will take a
short nap whenever I feel sleepy
1|Page
,A nurse is caring for a client who is one day post operative following a total knee arthroplasty.
The client states that his pain level is a 10 on a scale from 0 to 10. After reviewing the clients
medical administration record which of the following medications should the nurse prepare to
administer?
A. Meperidine 75mg IM
B. Fentanyl 50mcg/ hr via transdermal patch
C. Morphine 2mg IV
D. Oxycodone 10mg po - Answers -C. Morphine 2mg IV
*IV delivers sudden onset, pain is extreme
A nurse is teaching a client about taking multiple oral medications at home including time
release capsules, liquid medications, enteric coded pills, and opioids. Which of the following
statements should the nurse identify as an indication that the client understands the
instruction?
A. " I can open the capsule with the beads in it and sprinkle them on my oatmeal"
B. " if I am having difficulty swallowing, I will add the liquid medication to a batch of pudding"
C. " I can crush pills with the coating on them"
D. " I will eat two crackers with the pain pills" - Answers -D. I will each two crackers with the pain
pills
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of
the following instructions should the nurse include?
2|Page
,A. " Flush the tube before and after each medication"
B. " mix your medications with your internal feeding"
C. " push tablets through the tube slowly"
D. " mix all crush medications prior to dissolving them in water" - Answers -A. " flush the tube
before and after each medication"
A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of
the following actions should the nurse take?
A. Use a 22 gauge needle
B. Select a site on the clients abdomen
C. Spread of the skin with the thumb and index finger
D. Observe for bleb formation to confirm proper placement - Answers -B. Select a site on the
clients abdomen
A nurse is teaching an adult client how to administer eardrops. Which of the following
statements should the nurse identify as an indication that the client understands the proper
technique?
A. I will straighten my ear canal by pulling my ear down and back
B. I will gently apply pressure with my finger to the front part of my ear after putting in the
drops
C. I will insert the nozzle of the eardrops bottle snug into my ear before squeezing the drops in
D. After the drops are and I will place a cotton ball all the way into my ear canal - Answers -B. I
will gently apply pressure with my finger to the front part of my ear after putting the drops in
3|Page
, A nurse is caring for an 82-year-old client in the emergency department who has a normal body
temperature of 38.3°C or 101°F, pulse rate of 114/min and respiratory rate of 22/min. He is
restless and his skin is warm. Which of the following intervention should the nurse take? Select
all that apply
A. Obtain culture specimens before initiating antimicrobials
B. Restrict the clients oral fluid intake
C. Encourage the client to rest and limit activity
D. Allow the client to shiver to dispel excess heat
E. Assist the client with oral hygiene frequently - Answers -A. Obtain culture specimens before
initiating antimicrobials
C. Encourage the client to rest and limit activity
E. Assist the client with oral hygiene frequently
A nurse is instructing an AP about caring for a client who has a low platelet count as a result of
chemotherapy. Which of the following instructions is a priority for measuring vital signs for this
client?
A. Do not measure the clients temperature rectally
B. Count the clients radial pulse for 30 seconds and multiplied by two
C. Do not let the client know you were counting her respirations
D. Let the client rest for five minutes before you measure blood pressure - Answers -A. Do not
measure the clients temperature rectally
4|Page
Questions and Verified 100% Solutions (2026/2027) Grade:
A+|Status: Guaranteed Pass
A nurse is preparing a presentation at a local community center about sleep and hygiene. When
explaining rapid eye movement (REM) sleep, which of the following characteristics should the
nurse include? Select all that apply
A. REM sleep provides cognitive restoration
B. REM sleep last about 90 minutes
C. It is difficult to awaken a person in REM sleep
D. Sleepwalking occurs during REM sleep
E. Vivid dreams are common during REM sleep - Answers -A. REM sleep provides cognitive
restoration
C. It is difficult to awaken a person in REM sleep
E. Vivid dreams are common during REM sleep
A nurse is instructing a client who has newly been diagnosed of narcolepsy about measures that
might help with self management. Which of the following statements should the nurse identify
as an indication that the client understands the instructions?
A. I will add plenty of carbs to my meals
B. I will take a short nap whenever I feel sleepy
C. I will make sure I stay warm when I am at my desk at work
D. It is OK for me to drink alcohol as long as I have one drink per day - Answers -B. I will take a
short nap whenever I feel sleepy
1|Page
,A nurse is caring for a client who is one day post operative following a total knee arthroplasty.
The client states that his pain level is a 10 on a scale from 0 to 10. After reviewing the clients
medical administration record which of the following medications should the nurse prepare to
administer?
A. Meperidine 75mg IM
B. Fentanyl 50mcg/ hr via transdermal patch
C. Morphine 2mg IV
D. Oxycodone 10mg po - Answers -C. Morphine 2mg IV
*IV delivers sudden onset, pain is extreme
A nurse is teaching a client about taking multiple oral medications at home including time
release capsules, liquid medications, enteric coded pills, and opioids. Which of the following
statements should the nurse identify as an indication that the client understands the
instruction?
A. " I can open the capsule with the beads in it and sprinkle them on my oatmeal"
B. " if I am having difficulty swallowing, I will add the liquid medication to a batch of pudding"
C. " I can crush pills with the coating on them"
D. " I will eat two crackers with the pain pills" - Answers -D. I will each two crackers with the pain
pills
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of
the following instructions should the nurse include?
2|Page
,A. " Flush the tube before and after each medication"
B. " mix your medications with your internal feeding"
C. " push tablets through the tube slowly"
D. " mix all crush medications prior to dissolving them in water" - Answers -A. " flush the tube
before and after each medication"
A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of
the following actions should the nurse take?
A. Use a 22 gauge needle
B. Select a site on the clients abdomen
C. Spread of the skin with the thumb and index finger
D. Observe for bleb formation to confirm proper placement - Answers -B. Select a site on the
clients abdomen
A nurse is teaching an adult client how to administer eardrops. Which of the following
statements should the nurse identify as an indication that the client understands the proper
technique?
A. I will straighten my ear canal by pulling my ear down and back
B. I will gently apply pressure with my finger to the front part of my ear after putting in the
drops
C. I will insert the nozzle of the eardrops bottle snug into my ear before squeezing the drops in
D. After the drops are and I will place a cotton ball all the way into my ear canal - Answers -B. I
will gently apply pressure with my finger to the front part of my ear after putting the drops in
3|Page
, A nurse is caring for an 82-year-old client in the emergency department who has a normal body
temperature of 38.3°C or 101°F, pulse rate of 114/min and respiratory rate of 22/min. He is
restless and his skin is warm. Which of the following intervention should the nurse take? Select
all that apply
A. Obtain culture specimens before initiating antimicrobials
B. Restrict the clients oral fluid intake
C. Encourage the client to rest and limit activity
D. Allow the client to shiver to dispel excess heat
E. Assist the client with oral hygiene frequently - Answers -A. Obtain culture specimens before
initiating antimicrobials
C. Encourage the client to rest and limit activity
E. Assist the client with oral hygiene frequently
A nurse is instructing an AP about caring for a client who has a low platelet count as a result of
chemotherapy. Which of the following instructions is a priority for measuring vital signs for this
client?
A. Do not measure the clients temperature rectally
B. Count the clients radial pulse for 30 seconds and multiplied by two
C. Do not let the client know you were counting her respirations
D. Let the client rest for five minutes before you measure blood pressure - Answers -A. Do not
measure the clients temperature rectally
4|Page
