CRIS TEST II 2026 CLAIMS ANALYSIS AND POLICY COVERAGE REVIEW QUESTIONS ANSWERS VERIFIED GUIDE

CRIS TEST II 2026 CLAIMS ANALYSIS AND
POLICY COVERAGE REVIEW QUESTIONS
ANSWERS VERIFIED GUIDE

◉ A young adult brings a friend to the emergency department and
states that the friend has been using heroin. Which action by the
nurse is the MOST appropriate?


1. Assess pupil size and reactivity.
2. Assess oxygen saturation levels.
3. Palpate dorsalis pedis pulses.
4. Ask the client if he knows today's date.
Answer: 1) Assessment: outcome not priority but may be
appropriate; pinpoint pupils are a sign of heroin overdose


2) CORRECT - Assessment: outcome priority; shallow respirations
seen; impaired alveolar gas exchange and possible respiratory arrest


3) Assessment: outcome not priority; most important to assess
airway and breathing


4) Assessment: outcome not priority but may be appropriate;
drowsiness and euphoria may be seen; not priority

,◉ The client tells the clinic nurse that the client is thinking about
using nicotine polacrilex (Nicorette). Which question is MOST
important for the nurse to ask?


1. "Have you tried other methods to stop smoking?"
2. "How long have you been smoking?"
3. "Have you ever had chest pain?"
4. "Do you have a partial dental bridge?"
Answer: 1) Assessment: outcome not priority but may be
appropriate; can be asked as part of assessment


2) Assessment: outcome not priority but may be appropriate; should
be assessed for further teaching


3) CORRECT - Assessment: outcome priority; action of nicotine is
vasoconstriction; increases heart rate and myocardial oxygen
consumption; increased risk of angina and myocardial infarction


4) Assessment: outcome may be appropriate but not priority; gum is
place between cheek and gums; may stain dental work


◉ The nurse cares for the client with a client controlled analgesia
(PCA) pump. The nurse determines that the client has pressed the

,button 11 times and received 6 doses of morphine during the last
hour. Which is the MOST appropriate action for the nurse to take?


1. Assess the patency of the PCA IV tubing.
2. Determine the client's understanding of the PCA pump function.
3. Obtain an order to begin a PCA infusion of fentanyl.
4. Ask the client to describe the pain.
Answer: 1) Assessment: outcome not priority but may be
appropriate; if tubing is obstructed, alarm is activated


2) Assessment: outcome may be appropriate but not priority; more
important to determine pain level, description of the pain, region
and radiation of the pain, and relieving factors


3) Implementation: outcome not desired; more important to assess
severity of pain and pain relief first


4) CORRECT - Assessment: outcome priority; must validate that
client is in pain before implementation


◉ A pregnant woman receives an epidural anesthetic. After
administration of the epidural anesthetic, the client's blood pressure
changes from 120/84 to 94/50. Which action by the nurse is MOST
appropriate?

, 1. Place the client flat on her back.
2. Elevate the head of the bed 30 degrees.
3. Place the client on her left side with her legs flexed.
4. Place the client supine with the foot of the bed elevated.
Answer: 1) Implementation: outcome not desired; no increase in
venous return


2) Implementation: outcome not desired; will decrease venous
return


3) CORRECT - Implementation: outcome desired; will increase
venous return and cardiac output; fetal pressure on inferior vena
cava reduced


4) Implementation: outcome not desired; elevation of legs will
increase venous return, but fetal pressure on vena cava will prevent
blood return to heart


◉ A nursing order, "Increase fluid intake" is written for a client
diagnosed with dehydration. Which finding BEST indicates
improving fluid status?


1. Urinary output of 1,500 mL in 24 hours.