FUNDAMENTAL CMS COMPLETE EXAM
STUDY QUESTIONS WITH 100% CORRECT
ANSWERS
1. A nurse is instructing a group of newly licensed nurses about the
responsibilities organ donation and procurement involve. When the nurse
explains that all clients waiting for a kidney transplant have to meet the same
qualifications, the newly licensed nurses should understand that this aspect
of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER C
2. Justice is fairness in care delivery and in the use of resources. By applying
the same qualifications to all potential kidney transplant recipients, organ
procurement organizations demonstrate this ethical principle in determining
the allocation of these scarce resources.
3. A nurse questions a medication prescription as too extreme in light of the
client's advanced age and unstable status. The nurse understands that this
action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER D
,4. Nonmaleficence is a commitment to do no harm. In this situation,
administering the medication could harm the client. By questioning it, the
nurse is demonstrating this ethical principle.
5. A nurse is instructing a group of newly licensed nurses about how to know
and what to expect when ethical dilemmas arise. Which of the following
situations should the newly licensed nurses identify as an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical
impairment.
B. A nurse overhears another nurse telling an older adult client that if he
doesn't stay in bed, she will have to apply restraints.
C. A family has conflicting feelings about the initiation of enteral tube
feedings for their father, who is terminally ill.
D. A client who is terminally ill hesitates to name their partner on their
durable power of attorney form. - ANSWER C
6. subjective data - ANSWER Nurses should document this as direct quotes,
within quotation marks, or summarize and identify the information as the
client's statement. It should be supported by objective data so charting is as
descriptive as possible.
7. objective data - ANSWER This should be descriptive and should include
what the nurse sees, hears, feels, and smells. Document without any
derogatory words, judgments, or opinions. Document the client's behavior
accurately. Instead of writing "client is agitated," write "client pacing back
and forth in the room, yelling loudly."
8. A nurse is preparing information for a change-of-shift report. Which of the
following information should the nurse include in the report?
, A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record -
ANSWER C
The bone scan is important because the nurse might have to modify the client's
care to accommodate leaving the unit.
9. A nurse manager is discussing the HIPAA Privacy Rule with a group of
newly hired nurses during orientation. Which of the following information
should the nurse manager include? (Select all that apply.)
A. A single electronic records password is provided for nurses on the
same unit.
B. Family members should provide a code prior to receiving client health
information.
C. Communication of client information can occur at the nurses' station.
D. A client can request a copy of their medical record.
E. A nurse can photocopy a client's medical record for transfer to another
facility. - ANSWER B, C, D, E
B. The HIPAA Privacy Rule states that information should only be disclosed to
authorized individuals to whom the client has provided consent. Many hospitals
use a code system to identify those individuals and should only provide
information if the individual can give the code.
C. The HIPAA Privacy Rule states that communication about a client should
only take place in a private setting where unauthorized individuals cannot
overhear it. A unit nurses' station is considered a private and secure location.
D. The HIPAA Privacy Rule states that clients have a right to read and obtain a
copy of their medical record.
, E. The HIPAA Privacy Rules states that nurses can only photocopy a client's
medical record if it is to be used for transfer to another facility or provider.
10.A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching?
(Select all that apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers - ANSWER A, B, D
11.A nurse is caring for a group of clients on a medical-surgical unit. For which
of the following client care needs should the nurse initiate a referral for a
social worker? (Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
C. A client states, "I would like to have my child baptized before
surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer." -
ANSWER A, B, D
Initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a client.
Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients.
Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge.
STUDY QUESTIONS WITH 100% CORRECT
ANSWERS
1. A nurse is instructing a group of newly licensed nurses about the
responsibilities organ donation and procurement involve. When the nurse
explains that all clients waiting for a kidney transplant have to meet the same
qualifications, the newly licensed nurses should understand that this aspect
of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER C
2. Justice is fairness in care delivery and in the use of resources. By applying
the same qualifications to all potential kidney transplant recipients, organ
procurement organizations demonstrate this ethical principle in determining
the allocation of these scarce resources.
3. A nurse questions a medication prescription as too extreme in light of the
client's advanced age and unstable status. The nurse understands that this
action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER D
,4. Nonmaleficence is a commitment to do no harm. In this situation,
administering the medication could harm the client. By questioning it, the
nurse is demonstrating this ethical principle.
5. A nurse is instructing a group of newly licensed nurses about how to know
and what to expect when ethical dilemmas arise. Which of the following
situations should the newly licensed nurses identify as an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical
impairment.
B. A nurse overhears another nurse telling an older adult client that if he
doesn't stay in bed, she will have to apply restraints.
C. A family has conflicting feelings about the initiation of enteral tube
feedings for their father, who is terminally ill.
D. A client who is terminally ill hesitates to name their partner on their
durable power of attorney form. - ANSWER C
6. subjective data - ANSWER Nurses should document this as direct quotes,
within quotation marks, or summarize and identify the information as the
client's statement. It should be supported by objective data so charting is as
descriptive as possible.
7. objective data - ANSWER This should be descriptive and should include
what the nurse sees, hears, feels, and smells. Document without any
derogatory words, judgments, or opinions. Document the client's behavior
accurately. Instead of writing "client is agitated," write "client pacing back
and forth in the room, yelling loudly."
8. A nurse is preparing information for a change-of-shift report. Which of the
following information should the nurse include in the report?
, A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record -
ANSWER C
The bone scan is important because the nurse might have to modify the client's
care to accommodate leaving the unit.
9. A nurse manager is discussing the HIPAA Privacy Rule with a group of
newly hired nurses during orientation. Which of the following information
should the nurse manager include? (Select all that apply.)
A. A single electronic records password is provided for nurses on the
same unit.
B. Family members should provide a code prior to receiving client health
information.
C. Communication of client information can occur at the nurses' station.
D. A client can request a copy of their medical record.
E. A nurse can photocopy a client's medical record for transfer to another
facility. - ANSWER B, C, D, E
B. The HIPAA Privacy Rule states that information should only be disclosed to
authorized individuals to whom the client has provided consent. Many hospitals
use a code system to identify those individuals and should only provide
information if the individual can give the code.
C. The HIPAA Privacy Rule states that communication about a client should
only take place in a private setting where unauthorized individuals cannot
overhear it. A unit nurses' station is considered a private and secure location.
D. The HIPAA Privacy Rule states that clients have a right to read and obtain a
copy of their medical record.
, E. The HIPAA Privacy Rules states that nurses can only photocopy a client's
medical record if it is to be used for transfer to another facility or provider.
10.A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching?
(Select all that apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers - ANSWER A, B, D
11.A nurse is caring for a group of clients on a medical-surgical unit. For which
of the following client care needs should the nurse initiate a referral for a
social worker? (Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
C. A client states, "I would like to have my child baptized before
surgery."
D. A client requests an electric wheelchair for use after discharge.
E. A client states, "I do not understand how to use a nebulizer." -
ANSWER A, B, D
Initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a client.
Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients.
Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge.
