2025 Adult Medical Surgical Nursing Content Mastery Series (Cms) Exams Study Guide Actual Exam Questions And Well Elaborated Answers (Most Tested Questions With Verified Answers) Latest !!!!!

2025 Adult Medical Surgical Nursing Content Mastery Series (CMS) Exams STUDY
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GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS (MOST TES
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TED QUESTIONS WITH VERIFIED ANSWERS) LATEST
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The nurse notes that the handgrip of the client with hypokalemia has di
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minished since the previous assessment one hour ago. Which intervent
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ion by the nurse is the priority?
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a. assess the client's respiratory rate, rhythm, and depth
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b. document findings and monitor the client cn cn cn cn cn




c. measure the client's pulse and blood pressure cn cn cn cn cn cn




d. call the health care provider - CORRECT ANSWER A
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In a client with hypokkalemia, progressive skeletal muscle weakness i
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s associated with increasing severity of hypokalemia. The most life-
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threatening complication of hypokalemia is respiratory insufficiency. It
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is imperative for the nurse to perform a respiratory assessment first t
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o make sure that the client is not in immediate jeopardy. Next, the nur
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se would call the health care provider to obtain orders for potassium r
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eplacement.

The physician orders Lasix (furosemide) 60 mg po every day for your p
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atient. On hand you have Lasix 40 mg. How many tablets will you give t
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he patient?cn




a. 3
b. 1
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d. 2 1/5 - CORRECT ANSWER C
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60/40 (desired/have) cn




A client has been taught to restrict dietary sodium. Which food selecti
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on by the client indicates to the nurse that teaching has been effective
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?

a. a grilled cheese sandwich with tomato soup
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,b. Chinese take-out, including steamed rice cn cn cn cn




c. a chicken leg, one slice of bread with butter, and steamed carrots
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d. slices of ham and cheese on whole grain crackers -
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CORRECT ANSWER C
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Clients on restricted sodium diets generally should avoid processed, s
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moked, and pickled foods and those with sauces and other condiments
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. Foods lowest in sodium include fish, poultry, and fresh produce. The
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chinese food likely would have soy sauce, the tomato soup is processe
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d, and the crackers are a snack food -
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a category of foods often high in sodium.
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When a client is assessed, which behavior best indicates that he or sh
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e is experiencing changes associated with acute pain?
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a. inability to concentrate cn cn




b. expressed hopelessness cn




c. psychosocial withdrawal cn




d. anger and hostility - CORRECT ANSWER A
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The characteristics most common to chronic pain are psychosocial wit
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hdrawal, anger and hostility, depression, and hopelessness. The inabili
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ty to concentrate is associated much more with acute pain, before any
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physiologic or behavioral adaptation has occurred.
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A nurse is caring for several clients at risk for overhydration. The nurs
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e assesses the older client with which finding first?
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A) Has had diabetes mellitus for 12 years
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B) Had abdominal surgery and has a nasogastric tube
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C) Just received 3 units of packed red blood cells
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D) Uses sodium-containing antacids frequently - CORRECT ANSWER
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C

Blood replacement therapy involves intravenous fluid administration,
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which inherently increases the risk for overhydration. The fact that the
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fluid consists of packed red blood cells greatly increases the risk, bec
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ause this fluid increases the colloidal oncotic pressure of the
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,blood, causing fluid to move from interstitial and intracellular spaces i
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nto the plasma volume. An older adult may not have sufficient cardiac
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or renal reserve to manage this extra fluid.
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The client with a stroke was admitted to a medical-
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surgical unit. Which tasks does the nurse delegate to the unlice
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nsed assistive personnel?cn cn




A) Assess level of consciousness. cn cn cn




B) Evaluate the pulse oximetry reading. cn cn cn cn




C) Assist the client with meals. cn cn cn cn




D) Complete the nursing care plan. - CORRECT ANSWER C
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The nurse needs to know the five rights of delegation: right task, right
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circumstances, right person, right communication, and right supervisio cn cn cn cn cn cn cn




n. Unlicensed assistive personnel can help with feeding, but only the nu
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rse can care plan, assess the level of consciousness, and evaluate the
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oxygenation of the client.
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Interrelated concepts to the professional nursing role a nurse manager
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would consider when addressing concerns about the quality of patient
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education include:
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A) adherence.
B) developmental level. cn




C) motivation.
D) technology. - CORRECT ANSWER D cn cn c n




The interrelated concepts to the professional role of a nurse include h
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ealth promotion, leadership, technology/informatics, quality, collaborat
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ion, and communication. Adherence, culture, developmental level, famil
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y dynamics, and motivation are considered interrelated concepts to pa
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tient attributes and preference.
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During orientation to an emergency department, the nurse educator w
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ould be concerned if the new nurse listed which of the following as a ri
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sk factor for impaired thermoregulation?
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A) Temperature extremes cn

, B) Occupational exposure cn




C) Impaired cognition cn




D) Physical agility - CORRECT ANSWER D cn cn cn c n




Physical agility is not a risk factor for impaired thermoregulation. The n
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urse educator would use this information to plan additional teaching to
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include medical conditions and gait disturbance as risk factors for hyp
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othermia, because their bodies have a reduced ability to generate heat
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. Impaired cognition is a risk factor. Recreational or occupational expo
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sure is a risk factor. Temperature extremes are risk factors for impaire
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d thermoregulation.
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An older adult client is in physical restraints. Which intervention by the
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nurse is the priority? cn cn cn




A) Assess the client hourly while keeping the restraints in place.
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B) Assess the client once each shift, releasing the restraints for
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feeding.
C) Assess the client twice each shift while keeping the restraints in
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place.
D) Assess the client every 30 to 60 minutes, releasing restraints every
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2 hours. - CORRECT ANSWER D
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The application of restraints can have serious consequences. Thus, th
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e nurse should check the client every 30 to 60 minutes, releasing the
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restraints every 2 hours for positioning and toileting. The other answe
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rs would not be appropriate because the client would not be assessed
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frequently enough, and circulation to the limbs could be compromise
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d. Assessing every hour and releasing the restraints every 2 hours is in
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compliance with federal policy for monitoring clients in restraints.
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The nurse is assessing a client with a long-
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term history of arthritic pain. Assessment reveals a heart rate of 115 b
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eats/min and blood pressure of 170/80 mm Hg. Which intervention will t
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he nurse carry out first?
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A) Administer blood pressure medication. cn cn cn