Page 1 of 101
CMS FUNDAMENTALS MIDTERM EXAM NEWEST
VERSION WITH COMPLETE 400 QUESTIONS AND
SOLUTIONS JUST RELEASED THIS YEAR
Question: A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to a group of
newly licensed nurses.
Which of the following actions should the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - CORRECT ANSWER✔✔C) Confirm unresponsiveness
Question: A nurse is caring for a client who requires a chest x-ray.
Prior to the client being transported for the procedure, which of the following actions should
the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - CORRECT ANSWER✔✔D) Identify the client using to
identifiers
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Question: A nurse is caring for a child who is postoperative following a tonsillectomy.
Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from anesthesia.
B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is initiated. - CORRECT ANSWER✔✔C)
Administer analgesics to the child on a routine schedule throughout the day and night
Question: A nurse is providing teaching to a client who has heart failure about how to reduce
his daily intake of sodium.
Which of the following factors is the most important in determining the client's ability to learn
new dietary habits?
A. The involvement of the client in planning the change.
B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client. - CORRECT ANSWER✔✔A) The
involvement of the client in planning the change
Question: A charge nurse is observing a newly licensed nurse perform tracheostomy care for a
client.
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Which of the following actions by the newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - CORRECT ANSWER✔✔B) Obtaining
cotton balls for the tracheostomy
Question: A nurse is caring for an older adult client who becomes agitated when the nurse
requests that the client's dentures be removed prior to surgery. Which of the following
responses should the nurse .make?
A.It's for your safety. Dentures can slip and block your airway during surgery.
B. You wouldn't want your teeth to be lost or broken during surgery, would you?
C. The anesthesiologist requires everyone to remove their dentures.
D. What worries you about being without your teeth? - CORRECT ANSWER✔✔D) What worries
you about being without your teeth?
Question: A nurse in an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicates she is experiencing
psychological distress?
A. My parents are retired, and they have come to help out with our children.
B. I am going to ask my husband to go to counseling with me.
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C. I keep having nightmares about my upcoming surgery.
D. My girlfriends bought me a nice wig. - CORRECT ANSWER✔✔C) I keep having nightmares
about my upcoming surgery
Question: A nurse on a medical-surgical unit is caring for a client.
Which of the following actions should the nurse take first when using the nursing process?
A. Identify goals for client care.
B. Obtain client information.
C. Document nursing care needs.
D. Evaluate the effectivness of nurse care. - CORRECT ANSWER✔✔B) Obtain client information
Question: A nurse is caring for an older adult client who is violent and attempting to disconnect
her IV lines. The provider prescribes soft wrist restraints.
Which of the following actions should the nurse take while the client is in restraints?
A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hrs.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. - CORRECT ANSWER✔✔C) Remove the restraints
one at a time
CMS FUNDAMENTALS MIDTERM EXAM NEWEST
VERSION WITH COMPLETE 400 QUESTIONS AND
SOLUTIONS JUST RELEASED THIS YEAR
Question: A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to a group of
newly licensed nurses.
Which of the following actions should the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - CORRECT ANSWER✔✔C) Confirm unresponsiveness
Question: A nurse is caring for a client who requires a chest x-ray.
Prior to the client being transported for the procedure, which of the following actions should
the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - CORRECT ANSWER✔✔D) Identify the client using to
identifiers
, Page 2 of 101
Question: A nurse is caring for a child who is postoperative following a tonsillectomy.
Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from anesthesia.
B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine schedule throughout the day and night.
D. Provide the child with ice cream when oral intake is initiated. - CORRECT ANSWER✔✔C)
Administer analgesics to the child on a routine schedule throughout the day and night
Question: A nurse is providing teaching to a client who has heart failure about how to reduce
his daily intake of sodium.
Which of the following factors is the most important in determining the client's ability to learn
new dietary habits?
A. The involvement of the client in planning the change.
B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client. - CORRECT ANSWER✔✔A) The
involvement of the client in planning the change
Question: A charge nurse is observing a newly licensed nurse perform tracheostomy care for a
client.
, Page 3 of 101
Which of the following actions by the newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - CORRECT ANSWER✔✔B) Obtaining
cotton balls for the tracheostomy
Question: A nurse is caring for an older adult client who becomes agitated when the nurse
requests that the client's dentures be removed prior to surgery. Which of the following
responses should the nurse .make?
A.It's for your safety. Dentures can slip and block your airway during surgery.
B. You wouldn't want your teeth to be lost or broken during surgery, would you?
C. The anesthesiologist requires everyone to remove their dentures.
D. What worries you about being without your teeth? - CORRECT ANSWER✔✔D) What worries
you about being without your teeth?
Question: A nurse in an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicates she is experiencing
psychological distress?
A. My parents are retired, and they have come to help out with our children.
B. I am going to ask my husband to go to counseling with me.
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C. I keep having nightmares about my upcoming surgery.
D. My girlfriends bought me a nice wig. - CORRECT ANSWER✔✔C) I keep having nightmares
about my upcoming surgery
Question: A nurse on a medical-surgical unit is caring for a client.
Which of the following actions should the nurse take first when using the nursing process?
A. Identify goals for client care.
B. Obtain client information.
C. Document nursing care needs.
D. Evaluate the effectivness of nurse care. - CORRECT ANSWER✔✔B) Obtain client information
Question: A nurse is caring for an older adult client who is violent and attempting to disconnect
her IV lines. The provider prescribes soft wrist restraints.
Which of the following actions should the nurse take while the client is in restraints?
A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hrs.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. - CORRECT ANSWER✔✔C) Remove the restraints
one at a time
