CMS FUNDAMENTALS
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1) A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.
Which of the following findings should the nurse expect? - ANSWER Low BP,
high pulse rate.
2) A nurse is assisting with the care of a client who has septic shock and is at risk for
disseminated intravascular coagulation (DIC). Which of the following nursing
statements indicates an understanding of the condition? - ANSWER DIC is caused
by abnormal coagulation involving fibrinogen
3) A nurse is monitoring a client for complications of immobility. Which of the
following findings should the nurse expect? (Select all that apply.) - ANSWER -
Contractures of extremities
- Crackles in the lungs.
- Pressure ulcers.
4) A nurse is caring for a client who develops a pulmonary embolism. Which of the
following interventions is the priority for the nurse to take? - ANSWER Begin
oxygen therapy
5) A nurse is reinforcing discharge teaching with a client who has asthma and a new
prescription for salmeterol. Which of the following instructions should the nurse
include? - ANSWER "This medication will provide long-term control of your
asthma symptoms."
,6) A nurse is caring for a client who has COPD. Which of the following actions should
the nurse take? - ANSWER Encourage the client to drink 8 glasses of water a day.
7) A nurse is collecting data for a client who has COPD. The nurse should expect the
client's chest to be which of the following shapes? - ANSWER Barrel
8) A nurse is reinforcing teaching with a client who is obese and has obstructive sleep
apnea about how to decrease the number of apneic episodes he has each night. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions? - ANSWER "I am going to try to lose about 50
pounds."
9) A nurse is reinforcing teaching with a client who has peripheral vascular disease
(PVD). The nurse should recognize that which of the following statements by the
client indicates a need for further teaching? - ANSWER "I will wear stockings
with elastic tops."
10) A nurse is reinforcing discharge teaching for a client who will be taking warfarin
(Coumadin) at home. Which of the following statements indicates that the client
understands the effects of this medication? - ANSWER "I'll use my electric razor
for shaving".
11) A nurse is collecting data from a female client who has osteoarthritis and reports she
is thinking about taking aspirin for pain control. Which of the following data in the
client's history should the nurse realize might be a contraindication to taking aspirin
and should be reported to the provider? - ANSWER History of vitamin K
deficiency.
12) A nurse in a provider's office is reinforcing teaching with a client about the risk
factors for osteoarthritis. Which of the following information should the nurse
include? (Select all that apply.) - ANSWER - Aging
- Obesity
- Heredity
13) A nurse is reinforcing teaching with a client who has rheumatoid arthritis (RA) about
self-care techniques. Which of the following strategies should the nurse include in the
teaching? - ANSWER Avoid exercising joints that are swollen.
,14) A nurse is collecting data on a client who has manifestations of osteoporosis. The
nurse anticipates the provider will prescribe which of the following diagnostic tests -
ANSWER Dual-energy absorptiometry
15) An older adult client in a long-term care facility has dementia and begins to have
frequent episodes of urinary incontinence. After the provider finds no medical cause
for his incontinence, which of the following interventions should the nurse initiate to
manage this behaviour? - ANSWER Take the client to the bathroom on every 2-
hour schedule.
16) A nurse is collecting data from a client who has multiple fractures in his left leg and
reports severe pain and tingling in the extremity. The nurse should suspect which of
the following complications? - ANSWER Acute compartment syndrome.
17) A nurse in a provider's office is reviewing the laboratory results of four clients who
take digoxin. Which of the following clients is at risk for developing digoxin toxicity?
- ANSWER A client who takes furosemide for hypertension.
18) A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is
prescribed glipizide. The client should be taught that glipizide works in which of the
following ways? - ANSWER Glipizide stimulates the pancreas to release adequate
insulin.
19) A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - ANSWER peripheral edema
20) A nurse is collecting data from a client who takes metformin for type 2 diabetes.
Which of the following medications is contraindicated for this client due its effect on
blood glucose levels? - ANSWER Prednisone
21) The nurse is discussing discharge planning with the family and patient, who has a
history of falls and lives alone. What should the nurse include in this discussion? -
ANSWER The ability of this patient to signal for help.
, 22) A nurse is reinforcing teaching about placement of a prosthesis with a client who is
having a below the knee amputation. Which of the following information should the
nurse include in the teaching? - ANSWER "This will improve your ability to
ambulate sooner".
23) A nurse is caring for a client who has hypertension and experiences acute epistaxis.
What is the sequence of steps the nurse should follow when caring for this client?
(Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ANSWER - Initiate standard precautions for the
client.
- Tilt the client's head forward.
- Apply direct pressure to the client's nares.
- Place ice on the bridge of the client's nose.
24) Eicosanoids are a class of fatty acids that regulates: - ANSWER Dilation of the
blood vessels
25) A client who had a cerebrovascular accident has persistent problems with dysphagia.
The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty with feeding due to swallowing difficulties.
26) A nurse is acquainting a group of newly licensed nurses with the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
providing examples of the type of tasks certified nursing assistants (CNAs) can
perform, which of the following client activities should the nurse include? (Select all
that apply.)
A. Bathing
B. Ambulating
C. Toileting
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
VERSION>
1) A nurse is measuring the vital signs of a client he suspects has hypovolemic shock.
Which of the following findings should the nurse expect? - ANSWER Low BP,
high pulse rate.
2) A nurse is assisting with the care of a client who has septic shock and is at risk for
disseminated intravascular coagulation (DIC). Which of the following nursing
statements indicates an understanding of the condition? - ANSWER DIC is caused
by abnormal coagulation involving fibrinogen
3) A nurse is monitoring a client for complications of immobility. Which of the
following findings should the nurse expect? (Select all that apply.) - ANSWER -
Contractures of extremities
- Crackles in the lungs.
- Pressure ulcers.
4) A nurse is caring for a client who develops a pulmonary embolism. Which of the
following interventions is the priority for the nurse to take? - ANSWER Begin
oxygen therapy
5) A nurse is reinforcing discharge teaching with a client who has asthma and a new
prescription for salmeterol. Which of the following instructions should the nurse
include? - ANSWER "This medication will provide long-term control of your
asthma symptoms."
,6) A nurse is caring for a client who has COPD. Which of the following actions should
the nurse take? - ANSWER Encourage the client to drink 8 glasses of water a day.
7) A nurse is collecting data for a client who has COPD. The nurse should expect the
client's chest to be which of the following shapes? - ANSWER Barrel
8) A nurse is reinforcing teaching with a client who is obese and has obstructive sleep
apnea about how to decrease the number of apneic episodes he has each night. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions? - ANSWER "I am going to try to lose about 50
pounds."
9) A nurse is reinforcing teaching with a client who has peripheral vascular disease
(PVD). The nurse should recognize that which of the following statements by the
client indicates a need for further teaching? - ANSWER "I will wear stockings
with elastic tops."
10) A nurse is reinforcing discharge teaching for a client who will be taking warfarin
(Coumadin) at home. Which of the following statements indicates that the client
understands the effects of this medication? - ANSWER "I'll use my electric razor
for shaving".
11) A nurse is collecting data from a female client who has osteoarthritis and reports she
is thinking about taking aspirin for pain control. Which of the following data in the
client's history should the nurse realize might be a contraindication to taking aspirin
and should be reported to the provider? - ANSWER History of vitamin K
deficiency.
12) A nurse in a provider's office is reinforcing teaching with a client about the risk
factors for osteoarthritis. Which of the following information should the nurse
include? (Select all that apply.) - ANSWER - Aging
- Obesity
- Heredity
13) A nurse is reinforcing teaching with a client who has rheumatoid arthritis (RA) about
self-care techniques. Which of the following strategies should the nurse include in the
teaching? - ANSWER Avoid exercising joints that are swollen.
,14) A nurse is collecting data on a client who has manifestations of osteoporosis. The
nurse anticipates the provider will prescribe which of the following diagnostic tests -
ANSWER Dual-energy absorptiometry
15) An older adult client in a long-term care facility has dementia and begins to have
frequent episodes of urinary incontinence. After the provider finds no medical cause
for his incontinence, which of the following interventions should the nurse initiate to
manage this behaviour? - ANSWER Take the client to the bathroom on every 2-
hour schedule.
16) A nurse is collecting data from a client who has multiple fractures in his left leg and
reports severe pain and tingling in the extremity. The nurse should suspect which of
the following complications? - ANSWER Acute compartment syndrome.
17) A nurse in a provider's office is reviewing the laboratory results of four clients who
take digoxin. Which of the following clients is at risk for developing digoxin toxicity?
- ANSWER A client who takes furosemide for hypertension.
18) A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is
prescribed glipizide. The client should be taught that glipizide works in which of the
following ways? - ANSWER Glipizide stimulates the pancreas to release adequate
insulin.
19) A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - ANSWER peripheral edema
20) A nurse is collecting data from a client who takes metformin for type 2 diabetes.
Which of the following medications is contraindicated for this client due its effect on
blood glucose levels? - ANSWER Prednisone
21) The nurse is discussing discharge planning with the family and patient, who has a
history of falls and lives alone. What should the nurse include in this discussion? -
ANSWER The ability of this patient to signal for help.
, 22) A nurse is reinforcing teaching about placement of a prosthesis with a client who is
having a below the knee amputation. Which of the following information should the
nurse include in the teaching? - ANSWER "This will improve your ability to
ambulate sooner".
23) A nurse is caring for a client who has hypertension and experiences acute epistaxis.
What is the sequence of steps the nurse should follow when caring for this client?
(Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.) - ANSWER - Initiate standard precautions for the
client.
- Tilt the client's head forward.
- Apply direct pressure to the client's nares.
- Place ice on the bridge of the client's nose.
24) Eicosanoids are a class of fatty acids that regulates: - ANSWER Dilation of the
blood vessels
25) A client who had a cerebrovascular accident has persistent problems with dysphagia.
The nurse caring for the client should initiate a referral with which of the following
members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty with feeding due to swallowing difficulties.
26) A nurse is acquainting a group of newly licensed nurses with the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
providing examples of the type of tasks certified nursing assistants (CNAs) can
perform, which of the following client activities should the nurse include? (Select all
that apply.)
A. Bathing
B. Ambulating
C. Toileting
