• CMS ACTUAL EXAM 09/15/2026
ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
Pass Guaranteed - A+ Graded
Ch. 4) A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning
whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, and
prepares to administer a PRN sedative medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - Correct Answer :B
Rationale: administering a medication as a chemical restraint to keep the client from leaving the facility against
medical advice is false imprisonment, because the client neither requested nor consented to receiving the
sedative.
P 1
, • CMS ACTUAL EXAM 09/15/2026
Ch. 4) A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery
the following week. The client tells the nurse that "I plan to prepare my advance directives before I come to the
hospital." Which of the following statements made by the client should indicate to the nurse an understanding
of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - Correct Answer :C
Rationale: The patient has the right to decide and specify which medical procedures he wants when a life-
threatening situation arises.
Ch. 4) A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take
which of the following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery. - Correct Answer :A, B
Rationale: it is the nurses responsibility to verify that The surgeon obtained the clients consent and that the
client understands the information the surgeon gave them AND witness the client signing of the consent form,
and to verify that they are consenting voluntarily and appear to be competent to do so. The nurse should also
verify that the client understands the information the surgeon has provided.
Ch. 4) A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy
and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not
during a break time. Which of the following actions should the nurse take?
A. Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit.
D. Leave the nurse alone to sleep. - Correct Answer :C
P 2
, • CMS ACTUAL EXAM 09/15/2026
Rationale: any nurse who notices behavior that could jeopardize client care or could indicate a substance use
disorder has a duty to report the situation immediately to the nurse manager.
Ch. 5) 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 - Correct Answer :C
Rationale: The bone scan is important because the nurse might have to modify the clients care to accommodate
leaving the unit
Ch. 5) 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. - Correct Answer :B, C, D, E
Rationale:
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 that identifies these 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
we're on authorized 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 rule states that nurses can only photocopy a clients medical record if it is to be used for
transfer to another facility or provider
P 3
, • CMS ACTUAL EXAM 09/15/2026
Ch. 5) A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following
legal guidelines should be followed when documenting in a client's record? (Select all that apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. - Correct Answer :B, C
Rationale:
B. The date and time confirm the recording of the correct sequence of events
C. Documentation must be factual, descriptive, and objective, without opinions or criticism
Ch. 3) A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary
arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer :B
Rationale: in this situation the client is exercising their right to make their own personal decision about surgery,
regardless of others opinions of what is best for them. This is an example of autonomy
Ch. 3) A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - Correct Answer :D
P 4
ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
Pass Guaranteed - A+ Graded
Ch. 4) A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning
whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, and
prepares to administer a PRN sedative medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - Correct Answer :B
Rationale: administering a medication as a chemical restraint to keep the client from leaving the facility against
medical advice is false imprisonment, because the client neither requested nor consented to receiving the
sedative.
P 1
, • CMS ACTUAL EXAM 09/15/2026
Ch. 4) A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery
the following week. The client tells the nurse that "I plan to prepare my advance directives before I come to the
hospital." Which of the following statements made by the client should indicate to the nurse an understanding
of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - Correct Answer :C
Rationale: The patient has the right to decide and specify which medical procedures he wants when a life-
threatening situation arises.
Ch. 4) A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take
which of the following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery. - Correct Answer :A, B
Rationale: it is the nurses responsibility to verify that The surgeon obtained the clients consent and that the
client understands the information the surgeon gave them AND witness the client signing of the consent form,
and to verify that they are consenting voluntarily and appear to be competent to do so. The nurse should also
verify that the client understands the information the surgeon has provided.
Ch. 4) A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy
and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the break room not
during a break time. Which of the following actions should the nurse take?
A. Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit.
D. Leave the nurse alone to sleep. - Correct Answer :C
P 2
, • CMS ACTUAL EXAM 09/15/2026
Rationale: any nurse who notices behavior that could jeopardize client care or could indicate a substance use
disorder has a duty to report the situation immediately to the nurse manager.
Ch. 5) 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 - Correct Answer :C
Rationale: The bone scan is important because the nurse might have to modify the clients care to accommodate
leaving the unit
Ch. 5) 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. - Correct Answer :B, C, D, E
Rationale:
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 that identifies these 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
we're on authorized 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 rule states that nurses can only photocopy a clients medical record if it is to be used for
transfer to another facility or provider
P 3
, • CMS ACTUAL EXAM 09/15/2026
Ch. 5) A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following
legal guidelines should be followed when documenting in a client's record? (Select all that apply.)
A. Cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. - Correct Answer :B, C
Rationale:
B. The date and time confirm the recording of the correct sequence of events
C. Documentation must be factual, descriptive, and objective, without opinions or criticism
Ch. 3) A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary
arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer :B
Rationale: in this situation the client is exercising their right to make their own personal decision about surgery,
regardless of others opinions of what is best for them. This is an example of autonomy
Ch. 3) A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - Correct Answer :D
P 4
