CMS Fundamentals Practice A
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include? - VERIFIED ANS Young adults should receive a dental
assessment every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the
nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into
smaller pieces. The nurse is demonstrating which of the following ethical principles? - VERIFIED ANS
Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about
the illness. Which of the following actions should the nurse take to encourage therapeutic
communications? - VERIFIED ANS Let the client know that, as their nurse, they are available and willing
to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which
of the following actions by the Ap should the nurse identify as correct? - VERIFIED ANS Donning a mask
to measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse
should identify which of the following findings as indication that the client has fluid volume deficit?
(Select all that apply? - VERIFIED ANS - cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - VERIFIED ANS Shred the paper in a
secure container
, A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by
the client indicates an understanding of the teaching? - VERIFIED ANS The client advances the
unaffected leg first while climbing stairs
A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse
identify as healing by secondary intention? - VERIFIED ANS A stage 3 pressure injury on the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following actions should
the nurse take? - VERIFIED ANS Compare the label of the medication container with the medication
administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe.
Which of the following statements by the client indicates an understanding of the teaching? - VERIFIED
ANS "This can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying.
Which of the following statements by a member of the client's family indicates an understanding of the
teaching? - VERIFIED ANS "We will keep her room cool to help her breathe better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take? - VERIFIED ANS Administer an analgesic 30 min
before starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of the
following interventions should the nurse include? (Select all that apply) - VERIFIED ANS - ensure that
the client is wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include? - VERIFIED ANS Young adults should receive a dental
assessment every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the
nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into
smaller pieces. The nurse is demonstrating which of the following ethical principles? - VERIFIED ANS
Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about
the illness. Which of the following actions should the nurse take to encourage therapeutic
communications? - VERIFIED ANS Let the client know that, as their nurse, they are available and willing
to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which
of the following actions by the Ap should the nurse identify as correct? - VERIFIED ANS Donning a mask
to measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse
should identify which of the following findings as indication that the client has fluid volume deficit?
(Select all that apply? - VERIFIED ANS - cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - VERIFIED ANS Shred the paper in a
secure container
, A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by
the client indicates an understanding of the teaching? - VERIFIED ANS The client advances the
unaffected leg first while climbing stairs
A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse
identify as healing by secondary intention? - VERIFIED ANS A stage 3 pressure injury on the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following actions should
the nurse take? - VERIFIED ANS Compare the label of the medication container with the medication
administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe.
Which of the following statements by the client indicates an understanding of the teaching? - VERIFIED
ANS "This can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying.
Which of the following statements by a member of the client's family indicates an understanding of the
teaching? - VERIFIED ANS "We will keep her room cool to help her breathe better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take? - VERIFIED ANS Administer an analgesic 30 min
before starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of the
following interventions should the nurse include? (Select all that apply) - VERIFIED ANS - ensure that
the client is wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
