ATI CMS FUNDAMENTAL EXAM Guaranteed to Boost
Your Grades Certified for Academic Excellence
From Leading Educators Around the World
Complete Solutions for Each Question
CH12.)a nurse is caring for a client who has a history of falls which of the following actions
is the nurses priority?
a. Complete a fall risk assessment
b. educate the client and family about fall risks
c. eliminate safety hazards from the clients environment
d. make sure the client uses assistive aids in their possession - CORRECT ANSWER- -A
CH12.)a nurse observes smoke coming from under the door of the staff lounge. Which of
the following actions is the nurses priority?
a. Extinguish the fire
b. activate the fire alarm
c. move clients who are nearby
d. close all open doors on the unit - CORRECT ANSWER- -C
CH12.)A nurse manager is reviewing with nurses on the unit in the care of a client who has
had a seizure. Which of the following statements by a nurse requires further instruction?
a. I will place the client on their side
b. I will go to the nurses station for assistance
c. I will note the time that the seizure begins
,d. I will prepare to insert an airway - CORRECT ANSWER- -B
Ch. 41) A nurse is monitoring a client for adverse effects following the administration of an
opioid. Which of the following effects should the nurse identify as an adverse effect of
opioids? (SATA)
A. Urinary Incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - CORRECT ANSWER- -C, D, E
Rationale: adverse effects of opioids are Bradypnea, orthostatic hypotension, nausea AND
urinary RETENTION and constipation
Ch 41. A nurse is caring for a client who is receiving morphine via a patient-controlled
analgesia (PCA) infusion device after abdominal surgery. Which of the following statements
indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "i'll be careful about pushing the button too much so I don't overdose."
C. "I should tell the nurse if the pain doesn't stop while I am using this device."
D. "I will ask my adult child to push the dose button when I am sleeping." - CORRECT
ANSWER- -C
Rationale: PCA allows the client to self-administer pain medication on an as-needed basis.
The provider can modify the PCA setting if needed to ensure the client achieves adequate
pain relief
Ch. 42) A nurse is caring for a client scheduled for abdominal surgery. The client reports
being worried. Which of the following actions should the nurse take?
, A. Offer information on a relaxation technique and ask the client if they are interested in
trying it
B. Request a social worker see the client to discuss meditation
C. Attempt to use biofeedback techniques with the client
D. Tell the client many people feel the same way before surgery and to think of something
else - CORRECT ANSWER- -A. Rationale: It is appropriate for the nurse to recommend a
noninvasive technique to facilitate coping, and to allow the client to make an informed
decision about participating
Ch. 42) A nurse is assessing a client as part of an admission history. The client reports
drinking n herbal tea every afternoon at work to relieve stress. Tea includes which of the
following ingredients?
A. Chamomile
B. Ginseng
C. Ginger
D. Echinacea - CORRECT ANSWER- -A
Rationale: tea can contain chamomile, which can produce a calming effect, or valerian,
which reduces anxiety. Attempt to gain further information to confirm the ingredients of any
herbal or natural products the client can use
Ch. 42) A nurse is reviewing complementary and alternative therapies with a group of newly
licensed nurses. Which of the following interventions are mind-body therapies (SATA) -
CORRECT ANSWER- -A, C, E
Rationale:
A. art therapy is a mind-body therapy because it allows the client to express unconscious
emotions or concerns about their health
C. Yoga is mind-body therapy because it focuses on achieving well-being through exercises
E. Biofeedback is a mind-body therapy because it increases mental awareness of the body
responses to stress
Your Grades Certified for Academic Excellence
From Leading Educators Around the World
Complete Solutions for Each Question
CH12.)a nurse is caring for a client who has a history of falls which of the following actions
is the nurses priority?
a. Complete a fall risk assessment
b. educate the client and family about fall risks
c. eliminate safety hazards from the clients environment
d. make sure the client uses assistive aids in their possession - CORRECT ANSWER- -A
CH12.)a nurse observes smoke coming from under the door of the staff lounge. Which of
the following actions is the nurses priority?
a. Extinguish the fire
b. activate the fire alarm
c. move clients who are nearby
d. close all open doors on the unit - CORRECT ANSWER- -C
CH12.)A nurse manager is reviewing with nurses on the unit in the care of a client who has
had a seizure. Which of the following statements by a nurse requires further instruction?
a. I will place the client on their side
b. I will go to the nurses station for assistance
c. I will note the time that the seizure begins
,d. I will prepare to insert an airway - CORRECT ANSWER- -B
Ch. 41) A nurse is monitoring a client for adverse effects following the administration of an
opioid. Which of the following effects should the nurse identify as an adverse effect of
opioids? (SATA)
A. Urinary Incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - CORRECT ANSWER- -C, D, E
Rationale: adverse effects of opioids are Bradypnea, orthostatic hypotension, nausea AND
urinary RETENTION and constipation
Ch 41. A nurse is caring for a client who is receiving morphine via a patient-controlled
analgesia (PCA) infusion device after abdominal surgery. Which of the following statements
indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "i'll be careful about pushing the button too much so I don't overdose."
C. "I should tell the nurse if the pain doesn't stop while I am using this device."
D. "I will ask my adult child to push the dose button when I am sleeping." - CORRECT
ANSWER- -C
Rationale: PCA allows the client to self-administer pain medication on an as-needed basis.
The provider can modify the PCA setting if needed to ensure the client achieves adequate
pain relief
Ch. 42) A nurse is caring for a client scheduled for abdominal surgery. The client reports
being worried. Which of the following actions should the nurse take?
, A. Offer information on a relaxation technique and ask the client if they are interested in
trying it
B. Request a social worker see the client to discuss meditation
C. Attempt to use biofeedback techniques with the client
D. Tell the client many people feel the same way before surgery and to think of something
else - CORRECT ANSWER- -A. Rationale: It is appropriate for the nurse to recommend a
noninvasive technique to facilitate coping, and to allow the client to make an informed
decision about participating
Ch. 42) A nurse is assessing a client as part of an admission history. The client reports
drinking n herbal tea every afternoon at work to relieve stress. Tea includes which of the
following ingredients?
A. Chamomile
B. Ginseng
C. Ginger
D. Echinacea - CORRECT ANSWER- -A
Rationale: tea can contain chamomile, which can produce a calming effect, or valerian,
which reduces anxiety. Attempt to gain further information to confirm the ingredients of any
herbal or natural products the client can use
Ch. 42) A nurse is reviewing complementary and alternative therapies with a group of newly
licensed nurses. Which of the following interventions are mind-body therapies (SATA) -
CORRECT ANSWER- -A, C, E
Rationale:
A. art therapy is a mind-body therapy because it allows the client to express unconscious
emotions or concerns about their health
C. Yoga is mind-body therapy because it focuses on achieving well-being through exercises
E. Biofeedback is a mind-body therapy because it increases mental awareness of the body
responses to stress
