CMS STUDY GUIDE EXAM ACTUAL UPDATE
QUESTIONS AND VERIFIED ANSWERS
A nurse is reinforcing information with a client who wishes to complete their advance directives.
Which of the following statements should the nurse make?
a) "You must have advance directives in place in order to refuse recommended
treatment."
b) "An attorney is needed in order for you to name a designee in your health care
proxy."
c) "You can decline to have certain medical procedures performed in your living will."
d) "A living will can be an oral statement that you agree upon with your provider." - ANSWER C:
"You can decline to have certain medical procedures performed in your living will."
A nurse is reinforcing teaching with a client who is premenopausal. Which of the following
statements by the client indicates in understanding of the teaching?
a) "I should stop receiving Papanicolaou tests once I reach menopause."
b) "The best time to perform a breast self-examination is on the first day of my period."
c) "I can expect to have regular periods until I am in menopause."
d) "I might have headaches due to a decline in my estrogen levels." - ANSWER d) "I might have
headaches due to a decline in my estrogen levels."
A nurse in a provider's office is calculating a client's BMI. Which of the following pieces of the
client data should the nurse use as a part of the calculation?
a) Daily calorie intake
b) Height
,c) Abdominal girth
d) Blood pressure - ANSWER b) Height
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the
following actions should the nurse make first?
a) Determine the client's knowledge of the use of the peak flow meter.
b) Show the client a video demonstration of peak flow meter use.
c) Observe the client using the peak flow meter.
d) Emphasize the importance of the daily use of the peak flow meter. - ANSWER a) Determine
the client's knowledge of the use of the peak flow meter.
A nurse is collecting data about a client's oral care. The client wears dentures and reports having
mouth sores. The nurse should identify which of the following oral care practices by the client
as a possible cause of the mouth sores?
a) Soaks dentures in water after removal.
b) Applies an adhesive to seal dentures in place.
c) Wears dentures while sleeping at night.
d) Rinses dentures after meals. - ANSWER c) Wears dentures while sleeping at night.
A nurse is preparing to administer a medication from an ampule. Which of the following is an
appropriate action for the nurse to make?
a) Inject air into the ampule prior to drawing the medication into a syringe.
b) Add 0.5 mL of diluent to the medication.
c) Cleanse the tip of the ampule with an alcohol swab after opening.
d) Use a filter needle to aspirate the medication. - ANSWER d) Use a filter needle to aspirate the
medication.
, A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings
should the nurse identify as a safety hazard?
a) An assistive personnel places a weight-sensitive sensor mat on the mattress beneath
the client's buttocks.
b) An assistive personnel raises all four side rails of a client's bed before leaving the room.
c) A client who has bilateral wrist restraints has a capillary refill less than 2 seconds.
d) A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing
sensation at the application site. - ANSWER b) An assistive personnel raises all four side rails of a
client's bed before leaving the room.
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation. Which of the following statements by the client should the nurse identify as
indicating an acceptance of the limb loss?
a) "I stay awake at night because I keep thinking about my leg."
b) "I need to learn how to perform a dressing change on my leg."
c) "I know my family means well, but I don't want visitors seeing my leg right now."
d) "I am going to have to find someone who can take care of my leg at home." - ANSWER b) "I
need to learn how to perform a dressing change on my leg."
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following
abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the
client's BP is 176/96 mm Hg. Which of the following actions should the nurse make?
a) Measure the client's BP in the other arm.
b) Use a narrower cuff to repeat the BP measurement.
c) Deflate the cuff faster when repeating the bp measurement.
d) Request a prescription for an antihypertension medication. - ANSWER a) Measure the client's
BP in the other arm
QUESTIONS AND VERIFIED ANSWERS
A nurse is reinforcing information with a client who wishes to complete their advance directives.
Which of the following statements should the nurse make?
a) "You must have advance directives in place in order to refuse recommended
treatment."
b) "An attorney is needed in order for you to name a designee in your health care
proxy."
c) "You can decline to have certain medical procedures performed in your living will."
d) "A living will can be an oral statement that you agree upon with your provider." - ANSWER C:
"You can decline to have certain medical procedures performed in your living will."
A nurse is reinforcing teaching with a client who is premenopausal. Which of the following
statements by the client indicates in understanding of the teaching?
a) "I should stop receiving Papanicolaou tests once I reach menopause."
b) "The best time to perform a breast self-examination is on the first day of my period."
c) "I can expect to have regular periods until I am in menopause."
d) "I might have headaches due to a decline in my estrogen levels." - ANSWER d) "I might have
headaches due to a decline in my estrogen levels."
A nurse in a provider's office is calculating a client's BMI. Which of the following pieces of the
client data should the nurse use as a part of the calculation?
a) Daily calorie intake
b) Height
,c) Abdominal girth
d) Blood pressure - ANSWER b) Height
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the
following actions should the nurse make first?
a) Determine the client's knowledge of the use of the peak flow meter.
b) Show the client a video demonstration of peak flow meter use.
c) Observe the client using the peak flow meter.
d) Emphasize the importance of the daily use of the peak flow meter. - ANSWER a) Determine
the client's knowledge of the use of the peak flow meter.
A nurse is collecting data about a client's oral care. The client wears dentures and reports having
mouth sores. The nurse should identify which of the following oral care practices by the client
as a possible cause of the mouth sores?
a) Soaks dentures in water after removal.
b) Applies an adhesive to seal dentures in place.
c) Wears dentures while sleeping at night.
d) Rinses dentures after meals. - ANSWER c) Wears dentures while sleeping at night.
A nurse is preparing to administer a medication from an ampule. Which of the following is an
appropriate action for the nurse to make?
a) Inject air into the ampule prior to drawing the medication into a syringe.
b) Add 0.5 mL of diluent to the medication.
c) Cleanse the tip of the ampule with an alcohol swab after opening.
d) Use a filter needle to aspirate the medication. - ANSWER d) Use a filter needle to aspirate the
medication.
, A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings
should the nurse identify as a safety hazard?
a) An assistive personnel places a weight-sensitive sensor mat on the mattress beneath
the client's buttocks.
b) An assistive personnel raises all four side rails of a client's bed before leaving the room.
c) A client who has bilateral wrist restraints has a capillary refill less than 2 seconds.
d) A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing
sensation at the application site. - ANSWER b) An assistive personnel raises all four side rails of a
client's bed before leaving the room.
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation. Which of the following statements by the client should the nurse identify as
indicating an acceptance of the limb loss?
a) "I stay awake at night because I keep thinking about my leg."
b) "I need to learn how to perform a dressing change on my leg."
c) "I know my family means well, but I don't want visitors seeing my leg right now."
d) "I am going to have to find someone who can take care of my leg at home." - ANSWER b) "I
need to learn how to perform a dressing change on my leg."
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following
abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the
client's BP is 176/96 mm Hg. Which of the following actions should the nurse make?
a) Measure the client's BP in the other arm.
b) Use a narrower cuff to repeat the BP measurement.
c) Deflate the cuff faster when repeating the bp measurement.
d) Request a prescription for an antihypertension medication. - ANSWER a) Measure the client's
BP in the other arm
