Fundamental CMS
A nurse prepares an injection of morphine to administer to a client who reports pain. Prior to
administering the medication, the nurse assists another client onto a bedpan. She ask a second
nurse to give the injection, which of the following actions should the second nurse take?
A. Offer to assist the client who needs the bedpan
B. Administer the injection the other nurse prepared
C. Prepare another syringe and administer the injection
D. Tell the client who needs the bedpan she will have to wait - ANSA. Offered to assist the client
who needs a bed pan
A nurse is preparing to administer a 0900 medication to a client. Which of the following are
acceptable administration times for this medication (select all that apply)
A. 0905
B. 0825
C. 1000
D. 0840
E. 0935 - ANSA. 0905
D. 0840
**time must be within 30min of scheduled dose
A nurse is working with a newly licensed nurse who is administering medications to clients.
Which of the following actions should the nurse identify as an indication that the newly hired
nurse understands medication error prevention?
A. Taking all medications out of the unit dose wrappers before entering the clients room
B. Checking with the provider when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dose range
D. Relying on another nurse to clarify the medication prescription - ANSB. Checking with the
provider when a single dose requires administration of multiple tablets
*This is an indication that prescription or transcription errors may have occurred
A nurse educator is teaching a module about safe medication administration to newly licensed
nurses. Which of the following statements should the nurse identify as an indication that one of
the groups understands how to implement medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
,C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ANSA. " I will observe for side
effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
*other options are outside of your scope of practice
A nurse is preparing to administer digoxin to a client who states " I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse
make?
A. " your physician prescribed it for you, so you really should take it."
B. " well, let's get it over with quickly then"
C. " OK I will just give you your other medications"
D. " tell me about your concerns with taking this medication" - ANSD. Tell me your concerns with
taking this medication
A nurse is caring for a client diagnosed with severe respiratory syndrome. The nurse is aware
that healthcare professionals are required to report communicable and infectious diseases.
Which of the following illustrates the rationale for reporting? (Select all that apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common source outbreaks - ANSA. Planning and evaluating control and
prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
E. Monitoring for common source outbreaks
A nurse is caring for a client who presents with linear clusters of fluid containing vesicles with
some crustings. The nurse should identify the client has manifestations of what following
condition?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - ANSD. Herpes zoster
A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and
swollen lymph nodes. The client is experiencing which of the following stages of infection?
, A. Prodromal
B. Incubation
C. Convalescence
D. Illness - ANSD. Illness
A nurse educator is reviewing with a newly hired nurse the difference in manifestation of a
localized versus a systemic infection. The nurse indicates understanding when she states which
of the following are manifestations of a systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increased pulse and resp rate - ANSA. Fever
B. Malaise
E. Increased pulse and resp rate
A nurse is contributing to the plan of care for a patient who is admitted to a facility with
suspected diagnosis of pertussis. Which of the following intervention should the nurse include in
the care plan? (Select all that apply)
A. Place the client in a room that has negative air pressure of at least six exchanges per hour
B. Wear a mask when providing care within 3 feet of the client
C. Place a surgical mask on the client if transporting from another department is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care that may result in contamination from secretions - ANSB.
Wear a mask when providing care within 3 feet of the client
C. Place a surgical mask on the client if transporting from another department is unavoidable
E. Wear a gown when performing care that may result in contamination from secretions
A nurse is caring for a client who fell at a nursing home. The client is orientated to person,
place, time and can follow directions. Which of the following actions should the nurse take to
decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when he is sitting on the bedside commode
B. Keep the bed in lowest position with side rails up
C. Make sure that the client call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment - ANSC. Make sure that the client call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment
A nurse prepares an injection of morphine to administer to a client who reports pain. Prior to
administering the medication, the nurse assists another client onto a bedpan. She ask a second
nurse to give the injection, which of the following actions should the second nurse take?
A. Offer to assist the client who needs the bedpan
B. Administer the injection the other nurse prepared
C. Prepare another syringe and administer the injection
D. Tell the client who needs the bedpan she will have to wait - ANSA. Offered to assist the client
who needs a bed pan
A nurse is preparing to administer a 0900 medication to a client. Which of the following are
acceptable administration times for this medication (select all that apply)
A. 0905
B. 0825
C. 1000
D. 0840
E. 0935 - ANSA. 0905
D. 0840
**time must be within 30min of scheduled dose
A nurse is working with a newly licensed nurse who is administering medications to clients.
Which of the following actions should the nurse identify as an indication that the newly hired
nurse understands medication error prevention?
A. Taking all medications out of the unit dose wrappers before entering the clients room
B. Checking with the provider when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dose range
D. Relying on another nurse to clarify the medication prescription - ANSB. Checking with the
provider when a single dose requires administration of multiple tablets
*This is an indication that prescription or transcription errors may have occurred
A nurse educator is teaching a module about safe medication administration to newly licensed
nurses. Which of the following statements should the nurse identify as an indication that one of
the groups understands how to implement medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
,C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ANSA. " I will observe for side
effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
*other options are outside of your scope of practice
A nurse is preparing to administer digoxin to a client who states " I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse
make?
A. " your physician prescribed it for you, so you really should take it."
B. " well, let's get it over with quickly then"
C. " OK I will just give you your other medications"
D. " tell me about your concerns with taking this medication" - ANSD. Tell me your concerns with
taking this medication
A nurse is caring for a client diagnosed with severe respiratory syndrome. The nurse is aware
that healthcare professionals are required to report communicable and infectious diseases.
Which of the following illustrates the rationale for reporting? (Select all that apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common source outbreaks - ANSA. Planning and evaluating control and
prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
E. Monitoring for common source outbreaks
A nurse is caring for a client who presents with linear clusters of fluid containing vesicles with
some crustings. The nurse should identify the client has manifestations of what following
condition?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - ANSD. Herpes zoster
A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and
swollen lymph nodes. The client is experiencing which of the following stages of infection?
, A. Prodromal
B. Incubation
C. Convalescence
D. Illness - ANSD. Illness
A nurse educator is reviewing with a newly hired nurse the difference in manifestation of a
localized versus a systemic infection. The nurse indicates understanding when she states which
of the following are manifestations of a systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increased pulse and resp rate - ANSA. Fever
B. Malaise
E. Increased pulse and resp rate
A nurse is contributing to the plan of care for a patient who is admitted to a facility with
suspected diagnosis of pertussis. Which of the following intervention should the nurse include in
the care plan? (Select all that apply)
A. Place the client in a room that has negative air pressure of at least six exchanges per hour
B. Wear a mask when providing care within 3 feet of the client
C. Place a surgical mask on the client if transporting from another department is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care that may result in contamination from secretions - ANSB.
Wear a mask when providing care within 3 feet of the client
C. Place a surgical mask on the client if transporting from another department is unavoidable
E. Wear a gown when performing care that may result in contamination from secretions
A nurse is caring for a client who fell at a nursing home. The client is orientated to person,
place, time and can follow directions. Which of the following actions should the nurse take to
decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when he is sitting on the bedside commode
B. Keep the bed in lowest position with side rails up
C. Make sure that the client call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment - ANSC. Make sure that the client call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment
