Fundamentals CMS Final
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A nurse is assessing the heart sounds D
of a client who has developed chest
pain that becomes worse with
inspiration. The nurse auscultates a
high-pitched scratching sound
during both systole and diastole with
the diaphragm of the stethoscope
positioned at the left sternal border.
Which of the following heart sounds
should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub
,A nurse is obtaining the blood D
pressure in a client's lower extremity.
Which of the following action should
the nurse take?
A. Auscultate for the blood presure
at the dorsalis pedis artery.
B. Measure the blood pressure with
the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above
the popliteal artery.
D. Place the bladder of the cuff over
the posterior aspect of the thigh.
A charge nurse is teaching adult C
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.
, A nurse is caring for a client who D
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.
A nurse is caring for a child who is C
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.
Leave the first rating
Save
Terms in this set (40) Hide definitions
A nurse is assessing the heart sounds D
of a client who has developed chest
pain that becomes worse with
inspiration. The nurse auscultates a
high-pitched scratching sound
during both systole and diastole with
the diaphragm of the stethoscope
positioned at the left sternal border.
Which of the following heart sounds
should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub
,A nurse is obtaining the blood D
pressure in a client's lower extremity.
Which of the following action should
the nurse take?
A. Auscultate for the blood presure
at the dorsalis pedis artery.
B. Measure the blood pressure with
the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above
the popliteal artery.
D. Place the bladder of the cuff over
the posterior aspect of the thigh.
A charge nurse is teaching adult C
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.
, A nurse is caring for a client who D
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.
A nurse is caring for a child who is C
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.
